What is the situation of children's picky eating?

Patient's question:

There are still a few children in the kindergarten. Recently, they haven't been eating much. I don't know what's going on, but could they have developed pediatric anorexia? What symptoms would indicate anorexia?

Doctor's answer:

Anorexia refers to a common disease syndrome in children where there is a prolonged lack of appetite, poor appetite, and even refusal to eat. Differentiation of symptoms should focus on whether the issue lies in the spleen or the stomach. When the problem is in the stomach, it is primarily due to insufficient stomach yin, with symptoms such as anorexia, dry mouth with excessive thirst, dry and constipated stools, and a red tongue with little moisture. When the problem is in the spleen, it is primarily due to impaired spleen transportation, with symptoms such as anorexia, pale complexion, abdominal distension, and loose stools, along with a pale tongue and white coating. The general treatment principle is to invigorate the spleen, nourish yin, and benefit the stomach.

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