Abstract: Childhood vitiligo is caused by the synergistic effects of congenital deficiencies，diet disorders，emotional disorders，wind pathogens，trauma，and other internal and external factors that lead to the imbalance of qi and blood. The core pathogenesis is“deficiencycausing disease”，with the progression stage being characterized by deficiencyin origin and excess in superficiality and the stable stage being dominated by deficiency. In clinical practice，the eight principles of syndrome differentiation are used as the guideline，together with the methods of differentiation of organs，wind pathogens，and qi and blood；based on the characteristics of the disease onset and the physiological and pathological characteristics of children，comprehensive individualized internal and external treatment is carried out，and at the same time，attention is paid to daily care in order to improve efficacy and prevent recurrence. 

Key words: traditional Chinese medicine, childhood vitiligo, qi and blood imbalance

摘要： 儿童白癜风由先天不足、饮食失调、情志不遂以及风邪、外伤等内外因相互协同作用致气血失和而发病。核心病机为“因虚致病”，进展期本虚标实，稳定期以虚为主。临证时以八纲辨证为纲领，结合脏腑、风邪、气血等辨证方法，根据发病特点和儿童的生理病理特性，进行个体化的内外综合治疗，同时注重日常调护以提高疗效、预防复发。

关键词: 中医, 儿童白癜风, 气血失和