Cough is a common pediatric complaint. Acute cough is often considered to be self-limiting and not requiring particular management. However, pediatric patients and their parents often seek remedy for acute cough. Traditional Chinese Medicine (TCM) Specialists have been treating pediatric cough for millenniums. Here we present a case of pediatric cough and approach to it by Western and Chinese Respiratory Specialist. We conclude that TCM may provide important and useful insight on treatment of pediatric respiratory diseases.