What are the Chinese medical treatments for Tourette’s syndrome?

  Multiple tic disorder, also known as tic-obscene syndrome, occurs in childhood, more in boys than in girls, and its clinical manifestations are mainly chronic, fluctuating, multiple motor muscle tics, accompanied by involuntary vocalization and speech disorders. According to its clinical manifestations, it belongs to “liver wind”, “twitching”, “blending S”, and ” Tendon Tigers and Flesh P” and other categories. In the treatment of this disease, he emphasized the following three methods.  The causes of hyperactivity are many, such as genetics, perinatal asphyxia, febrile convulsions, developmental delays, and low intelligence, but in terms of the etiology of Chinese medicine, he believes that phlegm and heat move the wind as the central link in the pathogenesis. The child’s heart and spleen are not healthy, and are easily injured by the seven emotions, and the accumulation of worry and depression further damages the heart and spleen. Therefore, the master believes that the treatment of this disease should be regarded as the essence of proper treatment to expel phlegm and quench the wind and to calm the mind.  Clinical practice to the “medical heart enlightenment” raw iron drop drink, every more effective. The usual formula is: calamus 10 grams, 9 grams of bile star, 10 grams of half ansia, 25 grams of iron drop flower (first decoction), 9 grams of cloud ling, 9 grams of asparagus, 5 grams of Chuanbei mother, 9 grams of salvia, 9 grams of maidenhair, 6 grams of Chen Pi. For those with wind-heat superficial evil, add peppermint, chrysanthemum and hooked vine; for those with phlegm fire congestion, add guadua and green pores; for those with liver and gallbladder fire and restlessness, add bile grass, gardenia and raw stone decision; for those with heart fire hyperactivity and restlessness, add Huang Lian and scutellaria.  As mentioned above, when tic disorder first starts, it is mostly phlegm and fire that move the wind, but the prolonged depletion of fluids will inevitably lead to injury to the heart, liver and spleen, resulting in the inability of the essence to moisten the five organs, the loss of balance between yin and yang, and the delusional movement of floating fire that disturbs the heart and mind, which is why they are mostly disturbed and restless and move around. In addition to involuntary twitching, these children show signs of heart yin deficiency, such as less florid face, thinness, fatigue, sweating, tired limbs, waking up in sleep, and light red tongue with less coating. If you see this symptom, the usual phlegm to quench the wind, calm the alarm and tranquilize the mind, every much ineffective. The practitioner used to add flavor to Ganmai Dazao Tang from “The Essentials of the Golden Horoscope” to nourish the heart and calm the mind, and to benefit the stomach and slow down the middle.  The usual formula is: 10 grams of nightshade, 30 grams of wheat, 9 grams of salvia, 10 grams of prunus ginseng, 25 grams of raw keel, 25 grams of raw oyster (first decoction), 10 grams of calamus, 3 large red dates, 9 grams of far-chested, 10 grams of semen, 25 grams of magnetic stone (first decoction), 6 grams of licorice. If the heart of the hand is burning, add Hu Huanglian and Artemisia annua; if the stomach and abdomen are bloated, add Houpao and Chen Pi; if phlegm is heard and constipation is present, add Guadua and Fenghua nitrate.  The phlegm and fire move the wind, which is the root cause of tics. However, there is a difference between deficiency fire and real fire, and there is a deficiency of kidney qi due to prolonged illness. These children often have a red face and fire, red lips and dry coating, sores on the mouth and tongue, heartburn and palpitations, insomnia and dreaminess, and a fine pulse. The frequency of twitching is mostly slow and intermittent, so clinical treatment should not be bitter-cold direct folding, to prevent its bitter dryness to hurt its yin, and should not wind to treat the wind, presumptuous injection of liver suppressant.  In the clinical encounter with this kind of disease children, the teacher used to “regimen secret agent” of “tonic heart pills” to nourish Yin and clear heat, tonic heart and tranquilize the mind and take effect. The usual formula is: 9 grams of calamus, 9 grams of saxifrage, 9 grams of ginseng, 25 grams of raw earth, 9 grams of danshen, 9 grams of green fruit, 9 grams of maitong, 9 grams of angelica, 9 grams of cypress seed, 6 grams of licorice. If the oral cavity is eroded and the mouth and tongue are sore, add Chuan Bai and Zhi Mu; if it is accompanied by upper sensory fever, add Peppermint (later down) and Lian Lian.