What are pediatric vocal tics?

  When it comes to tic disorder, many parents immediately associate it with frequent eye blinking, eyebrow squeezing, nose sniffing, pouting and even shoulder shrugging, head shaking and limb twitching. However, in terms of symptoms, tic disorders mainly include “motor tics” and “vocal tics”, and parents are mostly aware of motor tics, while vocal tics are often ignored by parents.  Vocal twitching is mainly due to the sudden contraction of a group of muscles or a muscle group when the muscles of the human body, such as the muscles of the chest expansion, abdominal muscles and oropharynx, are twitching, resulting in abnormal pronunciation. This type of tic is characterized by throat clearing, pausing in speech, stuttering, stammering, dry cough, and bird sounds such as gurgling in the voice. Because vocal tics are mostly laryngeal symptoms, they are often misdiagnosed as allergic cough or chronic pharyngitis and remain untreated in outpatient clinics. In addition, it is easy to distinguish vocal tics from simple stuttering. Generally speaking, the symptoms of simple stuttering are relatively stable, while vocal tics are sometimes mild and sometimes severe, and some are accompanied by physical symptoms such as blinking and pouting.  It is very unlikely that a child with vocal tics will remit naturally, and because the child will be teased and taunted by classmates, it is easy for the child to become withdrawn and have low self-esteem, which can lead to inattention, lower grades, and even hatred and revenge against others in the long run. In terms of treatment, the current Western medicine mostly uses dopamine receptor blockers such as haloperidol and Tebri, but it will produce many side effects, mainly manifested as extravertebral symptoms, such as drowsiness, irritability, dizziness and even strong neck implants, eye movement, etc. Therefore, it is best to use Chinese medicine or with Chinese medicine for treatment, Chinese medicine can be used under the guidance of the doctor Jingling Oral Liquid, Gentian Diarrhea Liver Pills, Guixin Pills, etc.  Finally, it should be emphasized that children of preschool and school age have a strong ability to imitate, so if some children imitate others who “stutter” and end up being affected, parents should not reprimand or over-correct them to avoid overburdening them psychologically and triggering stuttering.  The most important thing is that the liver, spleen and kidneys are out of balance, and the liver is out of balance, so the wind, fire, phlegm and dampness metabolize and accumulate in the body. The following are some small prescriptions with the effect of dispelling wind and calming the mind, the affected children in daily life may wish to try: 1, pearl powder: 1 gram each time, 3 times / day orally, has a calming effect.  2, cicada powder: the appropriate amount of cicada roasted and dried into a fine powder, bottled and ready. Each time 2 grams, 2 times a day orally, has the effect of dispelling the wind to stop the panic and calm the mind.  3, silver flower, chrysanthemum, fat sea tea: 3 grams of each of the above drugs, boiling water, 1 dose per day, as tea, has the effect of eliminating foreign body sensation in the throat.  4, hooked vine drink: 10 grams of hooked vine, brewed with boiling water, drink as tea, 1 dose daily.  5.Diluvian powder: Dried diluvian is roasted and ground into fine powder, bottled and set aside, 3 grams each time, twice a day, has the effect of dispelling wind and stopping smoking.  Please use the above prescriptions under the guidance of a physician.