How is refractory pediatric blinking disorder treated and tested in Chinese medicine?

Frequent blinking since early May, about 40-50 times/minute. The child complained of itchy eyes, rubbing of both eyes, no nasal movement, nuzzling of lips, facial muscle twitching, and twitching of limbs. He was examined in an outside hospital for exclusion of ophthalmologic problems and diagnosed as “pediatric allergic blinking syndrome”. The symptoms were recurrent and treatment was unsuccessful (details unknown). At the time of consultation, the child was blinking frequently, the conjunctiva was not congested, and the eyelids of both eyes were reddish. The child’s family complained of poor appetite, sleeplessness at night, stools 1-2 days a line, goat-shaped stools, urination. The tongue was slightly reddish at the edge, with white coating and stringy pulse. Diagnosis: pediatric blinking syndrome. TCM diagnosis: “eye cut”, evidence of “spleen deficiency and liver exuberance”. Prescription: Shenqu 10g Faxia 5g Fried Hawthorn 15g Ledebouriella 5g Forsythia 10g Pericarpium Citri Reticulatae 5g Poria Cocos 10g Penicillium 5g Radix Bupleurum Chinense 5g Scutellaria Baicalensis 5g Chuanpu 15g Citrus aurantium dulcis 12g Atractylodes Macrocephala 15g Long Bone 30g Magnetic Stone 30g Cicada Shedule 8g Crocus Sativus 8g Three doses, one dose per day. Second diagnosis on June 20, 2014: blinking decreased after taking two doses, about 20-30 times/minute. The child’s eye itching improved and eye rubbing decreased. Gastric appetite and sleep improved, and bowel movement was daily. Tongue and pulse were the same as before. Add 10g of Chrysanthemum and 10g of Fructus Lycium Chinense to the original formula for four doses, one dose per day. Third consultation on June 24, 2014: no more frequent blinking, about 15 times/minute. The child complained that there was no eye itching, and the family members complained that they did not see him rubbing his eyes. Sleeping can be, stool 1-2 lines per day, soft. Tongue light red, thin white moss, pulse string. The above get rid of Citrus aurantium, Leptospermum, add Fangfeng 5g White peony 8g. Served seven doses, frequent blinking, eye itching symptoms have disappeared, sleep can be, two stool regulation. Press: “Huangdi Neijing. Spiritual Pivot” recorded, “the spleen is the main muscle, its Hua in the lips, its pulse is connected to the tongue, scattered under the tongue. Eyelids are muscle tissue, so the eyelid disease is responsible for the spleen. Ming Dynasty pediatrician Wan Quan “young play” has the cloud, “the liver is often surplus, the spleen is often insufficient, but this is the qi of the organ. Covering the liver is the gas of the lesser yang child’s first born as wood Fang Meng and the lesser yang growth of gas gradually and strong, so there is a surplus. The intestines and stomach are brittle and thin, and the grain is not full, so the spleen is also insufficient.” Children’s spleen is often insufficient, but also due to dietary disorders, spleen qi weakness, can not transport the water and grain, food and drink stagnation of the stomach and intestines, so see the dull, dry stools, moss white. When the spleen and earth are weak, the liver and wood multiply, and the liver fire is inflamed, disturbing the mind internally, so one can see sleeplessness at night; the liver opens the orifices to the eyes, so one can see itchy eyes and blinking without measure. Treatment should strengthen the spleen to eliminate accumulation, dispel wind and stop spasm.