Pediatric Tourette Syndrome is a disorder characterized by involuntary muscle twitching of the face, limbs, and trunk with laryngeal heterophonia, accompanied by changes in social functioning and psychological behavior. In the past 20 years, the incidence of pediatric Tourette’s syndrome has increased dramatically in China, and unless these children did not come to the clinic at all in the past, this is a fact that we can’t help but accept: today’s high incidence of the disease is not unrelated to the problems brought about by the rapid development of the modern society and economy. Now, from the perspective of Chinese medicine, we would like to discuss the main etiology of the disease and think about the related high-risk factors. 1, the etiology of the discussion (1) innate endowment is insufficient “Yi Chuan? Department of rhetoric,” said: “heaven and earth is dense, everything is mellow; men and women conceive of essence, everything is born.” The child’s form and body into, all began with the parents of the two essence together, such as the father’s blood is not enough, the mother’s blood is weak, then the child’s innate endowment is insufficient. Cranial fontanel scripture” original preface cloud: “the child’s thin disease, cover the fault of others,” that is, pointing out that the parents are the determinants of the child’s endowment. The main biography of medicine? Pediatrics” that: “the child in the fetus? Spicy mouth, fetal qi with heat? all can make the child suffer.” If the mother is pregnant, the regulation is not normal, drunkenness and drinking, anger and shock, is bound to affect the fetal element. In short, the strength of the child’s body, a large part of the endowment of the parents. Therefore, if the child’s innate endowment is insufficient, deficiency of kidney essence, medulla oblongata, dirty gas to win the weak, the shape of the God is timid, easy to touch; true yin insufficiency, the water does not cover the wood, easy to cause the liver yang hyperactivity, if you meet with the lead to touch, the liver wind within the movement of the convulsions are not normal and common temperament or even injury behavior; deficiency of kidney yin, deficiency of fire on the inflammation, the upturned via the disturbances, paralysis, paralysis obstruction of the pharynx, throat, throat discomfort, the clinical manifestations of a dry cough, throat clearing, etc.; the kidney is the master of the water, the heart is the master of the fire, the water is insufficient, the fire of water, the loss of water, the water, fire, then it will affect the fetal elements. Insufficient water and fire, the heart and mind will be restless, and the heart will not be able to master speech, then there will be strange and obscene sounds. From the above, it can be seen that the lack of innate endowment is the foundation of some children’s susceptibility to physical and internal factors. (2) emotional factors Ancient medical practitioners believe that the child’s temperament naive, sincere simplicity, no caution, greed and delusion of the pain, the cause of the disease is relatively simple, such as “warm disease? The solution to the child difficult” cloud: “only compared to adults, no seven emotions and six desires of the injury, but outside the six obscenities, but within the diet of fetal toxicity.” In fact, it is not, internal injuries to the seven emotions will directly make the internal organs and blood dysfunction and disease, and more emotional disease, the Ming Dynasty physician Wan Quan proposed that the seven emotions of children can cause disease, he said, “Children are stubborn, where usually dear people, ? Can not be lost, lost is the mind, thinking is hurt spleen? Seekers can not be angry, anger is hurt liver”. Liver main drainage, like to organize, the main blood, liver body yin and with the sun, for the wind and wood of the organ, its voice for the call, its change for the grip. Children’s liver qi exuberance or depression, liver loss of its duty to drain, the gas is not smooth, stagnation of blood stasis, tendons and veins, or gas depressions for a long time, the accumulation of fire, fire and wind, can lead to liver wind disturbed by the weather, wind and sun upturned, injuries to the head and face, so stretching the head and shrinking the neck, frowning and blinking; liver just straight, the liver wind moving to make it difficult to smooth its access to the nature of the call for the fast, so the mouth of the different sounds of obscenities. Can be seen, emotional disorders for this disease is the main trigger or (and) aggravating factors. (3) dietary disorders pediatric spleen is often insufficient, coupled with pediatric awareness is not open, food and drink do not know the self-regulation, so often for the diet of injury, “Suwen? Paralysis theory” said: “diet since the double, the stomach and intestines are injured”. Children’s rapid growth and development, the nutrition required is relatively more than adults, and children’s spleen and stomach transport function is weak, if the feeding is not appropriate, hunger and satiety is not always; or indulge their preferences, dietary predilections, overeating cold, fat, sweet and spicy products, etc., are prone to damage the function of the spleen and stomach transport, that is, “the so-called cool taste is more than the end of the disease”. If the spleen is not healthy, dampness becomes phlegm, phlegm and phlegm turbidity, phlegm and heat brewing inside, staying in the body, if encountered with the lead to the onset of the disease; or spleen deficiency, the liver is prosperous, can also make the liver wind hostage phlegm up to disturb and run for the disease. Spleen orifices in the mouth, its Hua in the lips, the main muscles and limbs, “strange disease more phlegm”, visible head and neck, limbs and muscles twitching. Therefore, dietary disorders is also one of the causes of this disease. (4) feel the evil child child yin and yang body, viscera delicate, form gas is not full, skin is weak, coupling loose, plus cold and temperature do not know self-adjustment, it is easy to be injured for the evil. Su Wen? Wind theory” said: “the wind, the longest of all diseases also”. Clinical Guide to medical cases” clearly pointed out that: “cover the six gas, only the wind can be full and five gas.” If the external wind, heat, cold, heat, dampness, fire, invade the surface of the muscle, into the heat, depletion of qi, blood and fluid, aggravate the deficiency of qi and blood, yin and yang bias, or lead to touch phlegm heat, disturbing the heart, or lead to touch the internal hyperactivity of the liver yang, resulting in the wind and yang bulge, the development of this disease. The wind is active, the wind is good at traveling and several changes, so you can see the children twitching parts of the rotation; the wind is light, easy to attack the yang position, “on top of the top, but the wind can reach the ear”, so the head and face symptoms are common. Therefore, feeling external evils and triggering internal wind is also one of the important external factors leading to aggravation or recurrence of the disease. 2, the thinking of the relevant risk factors (1) endowment is not always Nowadays, the age of marriage and childbearing of men and women is mostly delayed compared with the previous, or even miss the optimal age of childbearing. For the harm of non-timely breeding, ancient literature has long been documented, such as “live young heart” said: “men that is two eight, Wei Qi Fang Zheng, women that is two seven, Rong blood Fang line? Woman too much seven seven, the birth of a baby”; coupled with excessive work pressure, the pace of life is too fast and the environment is not suitable (such as air, drinking water pollution) and so on, so that the fetus is restless or premature birth, etc. will affect the essence of the child’s innate qi, the formation of a different from the normal children’s unique physique, personality and prone to disease. For example, the Spiritual Pivot? Tongtian” on the human character is divided into five; “Ling Shu? Five changes” said: “small bones and weak flesh, good disease cold and hot”. (2) emotional disorders in the existing teaching mode, children’s heavy academic burden, parents expect their children to become a dragon, expect their daughters to become a phoenix, keen to engage in the children’s age and qualifications and talents are not commensurate with the “intellectual development” and so on, and on the other hand, most of the children are now the only child, the family’s “little emperor, princess! “On the other hand, most children nowadays are only children, “little emperors and princesses” at home, and their parents usually dote on them, and then shake their hearts with undesirable TV programs about violence and pornography, online games, etc., as well as disharmony in the family and school environments (e.g., parental quarrels and divorces), which can cause children’s psychological problems, and all these can lead to the children’s psychological problems that are not commensurate with their ages and talents. Psychological problems, can make children often in the bad mood and excessive mental stress, and ultimately psychological imbalance, resulting in five Zhi over extreme, wind and phlegm internal and for the disease. Su wen? Lift the pain theory” cloud: “anger is gas, joy is slow gas? Thinking is gas knot”. (3) dietary factors Nowadays, parents are afraid of children’s nutrition is not enough to give the so-called “health products, brain products”, look at the shopping malls, drugstores in a wide range of related products, you will appreciate the flavor of the “medicine and food”! On the other hand, children are young, do not yet know “five grains for nutrition, five fruits to help, five animals for the benefit of five dishes for the full” reasoning, it is difficult to achieve dietary diversity, there are grains and fruits, there are coarse and fine, meat and vegetarian; on the contrary, indulge their preferences, dietary preferences, over-eating fat, sweet, thick and spicy products, especially a variety of puffed food containing lead evil (such as french fries) and Containing additives (such as instant noodles) and so on, perhaps from the “McDonald’s, KFC, Coke, Sprite, iced tea” of the prevalence as well as the children’s hands in the colorful food can be tasted “a glimpse of a spot and see the whole picture”. Jingyue Quanshu? Children are” cloud: “children’s diet has arbitrary preferences, no disease. In short, the above and the rapid development of modern society and economy brought about by the many problems are likely to lead to the incidence of this disease in recent years higher than before, if the parents try to age marriage and parenthood, pay attention to raising the fetus to protect the fetus, children to avoid wind and cold, careful living, pay attention to the spirit of nourishment, careful and the five flavors and pay attention to the physical exercise to do the shape of the labor and not weary, “moral, intellectual, physical, aesthetic and labor” all-round development, I believe that it will be a good thing to do. The comprehensive development of “ethics, intellect, physique, aesthetics and labor” is believed to be beneficial to the reduction of the incidence of this disease.