Patient: Description of condition (onset, main symptoms, hospital visited, etc.): pediatric tic disorder, throat uttering sounds, had treatment did not completely heal. Li Liping, Department of Acupuncture, Hangzhou Hospital of Traditional Chinese Medicine: Pediatric tic disorder is a movement disorder that mostly starts between the ages of 2 and 13, and is more common in boys. It can be manifested as rapid and repeated irregular twitching of the facial, eye, neck or upper limb muscles. Subsequently, symptoms worsen with brief, bursts of involuntary movements of the limbs or trunk. Often within 2-4 years after the onset of the muscle twitches, a variety of strange noises are made, such as guttural sounds, coughing, grunting, dog and cat roars, or whistling sounds. The symptoms fluctuate and the form of the convulsions changes from time to time. They may decrease when attention is distracted, disappear when sleeping, and increase when nervousness is present. The twitching can be reduced or suppressed for a short period of time by voluntary effort, but the twitching worsens afterwards. It is often accompanied by inattention, reduced learning ability and lower grades. Western medicine such as sulpiride or haloperidol is commonly used. Acupuncture is effective in Chinese medicine.