Abstract: Constipation is one of the most common digestive symptoms in childhood. It seriously affects the quality of life and even the physical and mental development of children in China， and children with constipation often seek medical treatment repeatedly， which increases the burden on families and medical care. Functional constipation （FC） is the most common form of constipation in children. To standardize the clinical diagnosis， treatment， and long-term management of FC in children with integrated Chinese and Western medicine， the Expert Committee of the Collaborative Innovation Platform for Children's Health of the Chinese Society of Traditional Chinese Medicine （CSTCM） initiated and organized some Chinese and Western medicine experts in this field to jointly formulate this expert consensus. The Consensus systematically comprehends FC from the aspects of epidemiology， etiology， diagnostic criteria， clinical evaluation， and clinical management， and especially gives the combination points of Chinese and Western medicine for different stages of FC， to provide rationalized suggestions and references for the diagnosis and treatment of FC in children and promote the development of the research on the combination of Chinese and Western medicine in FC.

Key words: child, functional constipation, integration of traditional Chinese and western medicine, diagnosis, treatment

摘要： 便秘（constipation）是儿童时期最常见的消化道症状之一，严重影响我国儿童的生活质量甚至身心发展，患儿常反复就医，增加了家庭和医疗负担。儿童便秘以功能性便秘（functional constipation，FC）居多。为规范儿童FC的中西医结合临床诊疗和长程管理，由中华中医药学会儿童健康协同创新平台专家委员会发起并组织国内该领域的部分中西医专家联合制定了专家共识。该共识从流行病学、病因、诊断标准、临床评估及临床管理等方面对FC进行了系统梳理，尤其是针对FC的不同阶段分别给出了中西互参的结合点，以期为儿童FC的中西医诊断与治疗提供合理化建议和参考，并推动FC中西医结合研究的发展。

关键词: 儿童, 功能性便秘, 中西医结合, 诊断, 治疗