I. What is twitching? A twitch is an involuntary, purposeless, repetitive, rapid muscle contraction anywhere in the body. The etiology is unknown. It occurs mostly in childhood. How is tic disorder in children classified? Temporary tic disorder: also known as tic disorder, is the most common type. Eye, facial and cervical muscle twitches are usually the most common. The common symptoms are eye blinking, lip biting, head shaking, neck tilting, side vision, shoulder shrugging, frowning, nose shrinking, teeth showing, limb twitching or trunk twisting, etc. A few simply show stereotyped, repeated humming, nose twitching or throat clearing sounds. 2.Chronic motor or vocal twitch disorder: single twitch site or 2~3 muscle groups or simple vocal twitches. However, the duration of the disease lasts at least 1 year, chronic course, or even lasts a lifetime. 3, vocal and multi-motor combined tic disorder: also known as tic-obscene syndrome. What factors are associated with tics in children? 1. Perinatal factors: maternal stress during pregnancy, high fever, pre-eclampsia; obstructed labor, caesarean section, postnatal asphyxia, neonatal jaundice, etc. 2.Infection factors: upper respiratory tract infection, tonsillitis, mumps, rhinitis, pharyngitis, chicken pox, various types of encephalitis, viral hepatitis, etc. 3, mental factors: fright, excitement, sadness, watching thrilling TV, novels and stimulating cartoons, excessive playing video games, etc. 4, family factors: parental tension, divorce, reprimand or scolding children, etc. 5, other factors: epilepsy, trauma, poisoning, allergies, etc. IV. What are the clinical manifestations of Tourette’s syndrome? The main manifestations are chronic, fluctuating, multiple motor muscle sudden, rapid, repetitive twitching with symptoms such as involuntary vocalization and behavioral changes. In the early stage, the face is predominant, followed by the neck and shoulders, and gradually to the trunk and limbs. Facial muscle twitching is characterized by blinking, squinting, raising eyebrows, frowning, grinning, shrinking nose, making strange equations; head and neck muscle twitching is characterized by nodding, shaking head, twisting head, jerking neck, shrugging shoulders, etc.; trunk is characterized by jerking chest, twisting waist, abdominal muscle twitching; upper limb twitching is characterized by rubbing fingers, clenching fist, shaking hands, raising arms, twisting arms; lower limbs are characterized by shaking legs, kicking legs, tiptoeing and even abnormal gait. The laryngeal twitch is abnormal pronunciation, such as dry cough, roaring, uttering, or spitting anywhere, or involuntary cursing. Some people have all of the above symptoms at the same time, while others have one group of symptoms first and then change or add another group of symptoms after a period of time. The twitching can be controlled briefly with consciousness and disappears after sleep, and it is aggravated by emotional stress. Very few children may also have nudism, enuresis, aggressive and childish behavior, anxiety, depression, discipline problems, mania, phobia, stuttering, self-harming behavior, etc. V. How to treat Tourette’s syndrome in our center? 1.Medication: The following drugs can be used for severe symptoms: (1) Haloperidol; (2) Tebretol; (3) Colistin; (4) Chinese medicine. 2.Psychotherapy: Psychotherapy helps to recover and improve mood, behavior and learning difficulties. 3.Guide parents to properly arrange daily work and rest system, avoid excessive stress and fatigue, and carry out physical exercise, etc. 6. What do parents, teachers and children need to do in the treatment? Parents should not reprimand their children, keep family harmony, do not play at home to watch stimulating TV movies and play games. Add clothes to your child in time to prevent cold. Cooperate with the doctor in giving your child medication. Teachers should protect the child when he or she is twitching, and do not allow classmates to coax or tease him or her. Promptly remind parents to visit the hospital. Help to solve the inconvenience of life and study due to the disease. Children themselves should pay attention to: 1. to build up confidence to overcome the disease, understand that their disease can be cured, proactively cooperate with parents and doctors. 2. to understand that their symptoms are caused by the disease, classmates are understandable, do not have low self-esteem, take the initiative to interact with classmates to enhance friendship. 3. when the impact of the decline in academic performance, know that it is temporary, through hard work will catch up. 4. Avoid mood swings, usually watch less TV, do not play video games, do not watch horror movies and dramas, get along with classmates peacefully, do not fight and brawl. 5. Prevent colds. Go to bed early, get up early, exercise, go to public places less often, increase and decrease clothes in time, etc. 7, tic – obscene syndrome children’s diet Note beneficial diet 1, animal brains and bone marrow: steamed can be, often eat can benefit the kidneys and fill the marrow, improve attention and memory. 2, fresh fish steamed: fish contains many substances beneficial to intellectual development, steamed food, the composition of less damage, with educational effect. 3, lotus seeds and lily porridge: the above two drugs plus round-grained rice into a porridge, once every morning, has the spleen and kidney, the function of calm the mind. 4, poria yam porridge: poria powder and fresh yam boiled together with corn flour in the right amount boiled into a porridge, can strengthen the spleen to help transport to eliminate phlegm dampness. Unsuitable diet 1, fried food: fried food is dry, dry will hurt, so that the already deficient yin and then exhausted, it is not good for the disease. 2, fat, sweet and thick taste: greasy and sweet food easy to produce phlegm. 3, raw and cold food: raw and cold hurt the spleen and stomach, so that the spleen and stomach transportation is not normal. What is the prognosis of Tourette’s syndrome? After active and appropriate treatment, Tourette’s syndrome can be reduced and gradually controlled within 4-6 months. It usually does not affect learning and normal life, and most of them can be gradually relieved by adolescence with timely treatment.