Abstract: Combined allergic rhinitis and asthma syndrome （CARAS） in children refers to a syndrome including both allergic rhinitis and asthma， which involves upper and lower airway inflammation. In traditional Chinese medicine， there was a record of “lung opening at nose”， discussed the “whole” relationship between “rhinorrhea” and “asthma”， and accumulated rich experience in “same treatment for different disease”. This consensus is formulated to improve the awareness of physicians in pediatrics， otolaryngology， traditional Chinese medicine， general practice medicine and other related professions on the importance of joint management of CARAS. The consensus-making team is composed of experts from pediatrics， otorhinolaryngology and traditional Chinese medicine. Our principle is simultaneous diagnose and treatment for both upper and lower airway， and the integration of traditional Chinese and western medicine. This paper introduces the concept， pathogenesis， clinical manifestation and stage， drug and non-drug treatment and management of CARAS in children and puts forward the future research direction. 

Key words: consensus, combined allergic rhinitis and asthma syndrome（CARAS）, integrated traditional Chinese and western medicine, child

摘要： 儿童变应性鼻炎-哮喘综合征是指同时患有变应性鼻炎和哮喘的综合征，是一种同时累及上下气道的慢性炎症性疾病。中医学有“肺开窍于鼻”的记载，论述了“鼻鼽”和“哮喘”的“整体”关系，并对“异病同治”积累了丰富的经验。为提高儿科、耳鼻喉科、中医科、全科及相关专业医师对该病联合管理重要性的认识，特制订本共识。共识制订团队由儿科、耳鼻咽喉科和中医科专家组成，以上下气道同治、中西医结合为原则，阐明儿童变应性鼻炎-哮喘综合征的概念、发病机制、临床表现和分期、药物和非药物治疗以及管理等问题，并提出今后研究方向。

关键词: 共识, 变应性鼻炎-哮喘综合征, 中西医结合, 儿童