Abstract：Objective：To analyze the core traditional Chinese medicine （TCM） syndrome types and medication rules for pediatric short stature through data mining， and to integrate and optimize the TCM diagnosis and treatment plan. Methods：Relevant literature published from database inception to March 30，2025 was retrieved from CNKI， Wanfang， and VIP databases. Clinical studies on oral administration of Chinese herbal medicines for pediatric short stature were screened. After standardizing syndrome types and names of Chinese herbal medicines，frequency statistics were performed using Excel， cluster analysis of high-frequency medicines was conducted using Origin 2024， and association rule analysis was carried out using SPSS Modeler and Cytoscape. Results：A total of 107 prescriptions were extracted，involving 117 Chinese herbal medicines with a total medication frequency of 1 185. The predominant TCM syndrome types were spleen-kidney deficiency （63.04%） and spleen deficiency （18.48%）. Twenty-one Chinese herbal medicines had a frequency≥15， with the top three being Poria， Atractylodis Macrocephalae Rhizoma， and Glycyrrhizae Radix et Rhizoma. Medicinal properties were mostly warm and cold； flavors were mainly sweet， bitter， and acrid； channel entry was predominantly kidney， spleen， and liver meridians； and efficacy was dominated by deficiency-supplementing. Association rule analysis identified Poria， Atractylodis Macrocephalae Rhizoma， Dioscoreae Rhizoma， and Glycyrrhizae Radix et Rhizoma as core medicines， and five prescription clusters were obtained. Conclusion：Pediatric short stature is mostly attributed to dysfunction of spleen transportation，insufficiency of kidney essence， and malnutrition of liver sinews. Treatment should address both root and branch， regulate the spleen， kidney， and liver simultaneously， and adopt strengthening the spleen to promote growth as the fundamental principle. Based on syndrome differentiation， specific therapeutic methods include strengthening the spleen and harmonizing the stomach， strengthening the spleen and supplementing the kidney， and strengthening the spleen and soothing the liver. Commonly used Chinese herbal medicines are deficiency-supplementing medicines， heat-clearing medicines，and qi-regulating medicines. Modified Sijunzi Decoction，Bushen Dihuang Pills，and Yigong Powder may be applied clinically.