Warts / Viral Skin

Childhood (ages 5–12) is a period when cell-mediated immunity is actively developing, making the natural healing rate of warts much higher than in adults. Reports vary, but some state that 60–78% spontaneously resolve within 2 years, and over 90% within 4 years. Therefore, if the child has no pain and the warts are not spreading quickly, watchful waiting is also a reasonable choice.

Cases where treatment should be considered: ①Plantar warts causing difficulty walking or abnormal gait, ②Rapid increase in number within 6 months, ③When the child expresses anxiety or self-esteem issues, ④Immunosuppressed state (severe atopic dermatitis, taking steroids). In children, cryotherapy can be painful, making it difficult for young children; salicylic acid self-application or imiquimod prescription becomes the first option.

Oriental Medicine Clinic Perspective

Pediatric warts in Hyeongsang Medicine are viewed as external pathogens invading during a period when Spleen and Stomach (脾胃) Qi has not yet become sturdy. A gentle prescription centered on Job's tears, Poria cocos, and Atractylodes that suits the child's constitution can help the Spleen and Stomach, strengthen skin immunity, and promote natural healing. Moxibustion is difficult to apply to children, but mild external treatment (Job's tears decoction applied topically) can be safely used.