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Asthma is one of the most common chronic diseases in childhood, and its pathogenesis is not yet clear. In recent years, the imbalance of intestinal flora has attracted more and more attention to the occurrence and development of childhood asthma. Traditional Chinese medicine believes that the lung and the large intestine are interrelated, and the occurrence of childhood asthma is closely related to the dysfunction of the lung and the large intestine, while Western medicine believes that the occurrence of childhood asthma is related to various factors. Among them, pulmonary immune imbalance caused by intestinal flora disorder is one of the important causes of its occurrence. This paper discussed the occurrence of childhood asthma by focusing on pulmonary and intestinal pathophysiology, so as to provide new targets or therapeutic ideas for the prevention and treatment of childhood asthma. [ABSTRACT FROM AUTHOR]