Abstract:Objective:To investigate the auricular point selection rules for children with attention deficit hyperactivity disorder (ADHD). Methods: The China National Knowledge Infrastructure (CNKI) database, WanFang Academic Journal Full Text Database (WanFang), VIP Chinese Science and Technology Journal Database (VIP), China Biomedical Literature Database (CBM), and PubMed database were searched by using free words or theme words such as "attention deficit hyperactivity disorder", "ADHD", "auricular point", "auricular acupuncture", and "auricular point seed-pressing", from the time of database establishment until September 3, 2023. The association rule analysis and systematic clustering analysis were performed on literature data by using SPSS 27.0,SPSS Modeler 18.0,and Cytoscape 3.10 software. Results: A total of 33 articles were included in the study, with a total of 27 effective auricular point prescriptions involving 20 auricular points. The main intervention method was auricular point seed-pressing with the stimulation of Vaccariae Semen seeds, the treatment methods of most studies were combined with other treatment methods. The commonly used auricular points were pizhixia (AT4), xin (CO15), shen (CO10),Shenmen (TF4),gan (CO12),naogan (AT3,4i),pi (CO13),and jiaogan (AH6a),mainly distributed in the concha zone. The results of association rule analysis indicated a strong correlation between heart point and liver point. Three clustering combinations were obtained: the first type is pizhixia point (AT4) - Shenmen point (TF4) - shen point (CO10) - xin point (CO15) - gan point (CO12) - pi point (CO13); the second type is naogan point (AT3,4i); the third type is jiaogan point (AH6a). Conclusion: The auricular point used to treat ADHD children are mainly subcortex (AT4),heart (CO15),shen (CO10),Shenmen (TF4),gan (CO12),naogan (AT3,4i),pi (CO13),and jiaogan (AH6a),mostly distributed in the concha zone. These points mainly improve ADHD by regulating viscera function. The auricular point seed-pressing method is the main intervention method,which has the characteristics of simple operation,high acceptance,and good safety.