Abstract：Objective：To observe the clinical efficacy of lipid-reducing herbal tea combined with auricular point pressing in treating childhood simple obesity（SO）with spleen deficiency and dampness obstruction syndrome，based on dietary control and exercise training. Methods： A total of 76 children with SO with spleen deficiency-dampness obstruction syndrome admitted to Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from April 2022 to April 2024 were divided into the observation group and the control group（38 cases each）using the random number table method. Finally， 36 cases in the observation group， and 34 cases in the control group completed the study. Both groups received dietary control； the control group additionally underwent exercise training， whereas the observation group received lipid-reducing herbal tea combined with auricular point pressing on top of the control group's regimen. After three months of treatment，clinical efficacy was compared between the two groups. Before treatment，as well as， one month， and three months after treatment， changes in traditional Chinese medicine syndrome scores， obesity indices [body weight， body mass index（BMI）， and fat mass（FAT）]， glucose metabolism markers [fasting blood glucose（FBG），fasting insulin（FINS），and homeostasis model assessment of insulin resistance（HOMA-IR）]， and lipid profiles [total cholesterol（TC），triglycerides（TG），and low-density lipoprotein cholesterol（LDL-C）] were compared between the two groups. Safety was monitored throughout the study. Results：After three months，the total effective rate was significantly higher in the observation group [91.67%（33/36）] than in the control group [70.59%（24/ 34）]（P＜0.05）. After one month of treatment，the control group showed no significant differences in traditional Chinese medicine syndrome scores（body obesity， limb heaviness， fatigue， abdominal distension， lethargy， poor appetite， loose stools）（P＞0.05）when compared to before treatment，whereas the observation group demonstrated reductions in all seven symptoms（P＜0.05）when compared to before treatment，with lower scores than the control group（P＜0.05）. After three months of treatment，both groups exhibited decreased traditional Chinese medicine syndrome scores versus baseline and one-month results（P＜0.05）， with the observation group showing lower scores than the control group （P＜0.05）. For body weight，BMI，and FAT，the control group showed no significant differences at one month when compared to before treatment（P＞0.05），while the observation group displayed reductions in body weight，BMI，and FAT（P＜0.05），being lower than the control group（P＜0.05）. After three months of treatment，both groups showed progressive decreases in these indices（P＜0.05），with the observation group maintaining superiority when compared with those before and after one-month treatment（P＜0.05）. After one month of treatment， no statistically significant differences were found in glycolipid metabolism indicators（FBG，FINS，HOMA-IR，TG，TC，LDL-C）compared to before treatment in the control group（P＞0.05）. In contrast, the observation group showed significant reductions in these glycolipid metabolism indicators compared to both before treatment（P＜0.05）and the control group（P＜0.05）. After three months of treatment，both groups demonstrated further reductions in these indicators compared to before treatment and one month after treatment，with the observation group maintaining significantly lower levels than the control group （P＜0.05）. No adverse reactions were reported in either group. Conclusion： Combined with dietary control and exercise training，lipid-reducing herbal tea and auricular point pressing significantly enhance therapeutic outcomes for SO with spleen deficiency-dampness obstruction syndrome， effectively alleviating obesity symptoms， reducing body weight and FAT，improving glucose and lipid metablism，and demonstrating excellent safety.