Abstract: Functional dyspepsia syndrome in infants and toddlers is a common gastrointestinal issue, resulting from incomplete physiological development and immature intestinal flora. Apart from feeding guidance and non pharmacological interventions, effective treatment options remain limited. To address this problem, a multidisciplinary expert team was organized to develop an integrated traditional Chinese and Western medicine therapeutic approach for functional dyspepsia syndrome in infants and toddlers.The main clinical manifestations include poor appetite, belching, abdominal distension, increased flatulence，dry retching,vomiting, recurrent crying，abdominal pain, and abnormal bowel movements. In traditional Chinese medicine, it is categorized under “food accumulation (jī zhì)” and “anorexia (yàn shí),” and can be differentiated into three patterns: deficiency syndrome, excess syndrome, and deficiency excess complex syndrome.The consensus emphasizes that treatment should prioritize feeding guidance and non pharmacological interventions, supplemented by medication and external therapies when necessary. Health education should explain the mechanism and prognosis of this syndrome to caregivers to alleviate their anxiety. Nursing guidance highlights creating a comfortable feeding environment, keeping the infant’s abdomen warm, and incorporating techniques such as gentle massage and burping. For different symptoms, corresponding treatment methods, medications, and external therapies should be selected.This consensus is formulated based on both traditional Chinese and Western medical theories as well as evidence based practice, fully integrating the advantages of both systems to provide a comprehensive reference for the standardized management of functional dyspepsia syndrome in infants and toddlers.

Key words: infantile functional dyspepsia syndrome, integrated traditional Chinese and Western medicine, accumulation and stagnation, feeding guidance, health education

摘要： 婴幼儿功能性消化不良综合征是婴幼儿常见的消化道问题，由生长发育不全和肠道菌群尚未完善所致，除喂养指导、非药物干预以外，尚缺乏有效的干预方法。为解决此问题，项目组组织多学科专家团队，聚焦婴幼儿功能性消化不良综合征的中西医结合治疗方案。婴幼儿功能性消化不良综合征以食欲下降、嗳气、腹胀、肛门排气增多、干呕呕吐、反复哭闹腹痛及排便异常为主要表现，中医将其归属于“积滞”“厌食”等范畴，辨证分为虚证、实证、虚实夹杂证三类。共识明确治疗以喂养指导、非药物干预为主，必要时结合药物与外治疗法。健康教育需向看护人讲解疾病机制与预后，缓解其焦虑情绪。养护指导强调营造舒适喂养环境，做好婴幼儿腹部保暖，配合抚触、拍嗝等操作。针对不同症状，需选择相应治疗方法、药物和外治疗法。该共识基于中西医理论与循证证据制定，充分整合两者优势，为婴幼儿功能性消化不良综合征的规范化治疗提供了全面参考。

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