Tic disorder, also known as Tourette syndrome, is a syndrome characterized by multiple involuntary jerks, speech or behavior disorders. The syndrome usually develops between the ages of 3 and 15 years, more in males than females, with a ratio of (3-4): manifesting as brief, rapid, sudden, and varying degrees of involuntary movements, beginning with frequent blinking, eyebrow squeezing, nasal aspiration, and pouting. It starts with frequent blinking, eyebrow squeezing, nose sucking, pouting, mouth opening, tongue stretching, head nodding, etc. As the disease progresses, the twitching gradually diversifies, alternating with shrugging, neck twisting, head shaking, leg kicking, hand flinging or limb twitching, etc. The symptoms are often more pronounced during emotional stress or anxiety, and disappear after sleep. Vocal tics are often of various kinds, with explosive repeated vocalizations, clear noise and grunts, individual syllables, unclear words and phrases, improper stress or constant obscene speech, and an impatient, capricious and irritable personality. It is often accompanied by inattentiveness in class or a decline in grades. In severe cases, the movements and pronunciation affect learning and classroom order. The symptoms of tic disorder are fluctuating, progressive and chronic in course. (a) What are the hazards of Tourette’s syndrome? 1. The hazards of tic disorder are obvious, as the performance of tic disorder symptoms is often ridiculed by classmates. The problem is that they are often ridiculed by their peers. The child has a low self-esteem and an isolated personality. This is a very good way to get the most out of your life. The company’s main goal is to provide a solution to the problem. 2, children with Tourette’s syndrome inattentiveness is likely to cause a decline in academic performance, some failing, or even repeating a grade. This can cause a lot of pain to the child and parents. (b) Tic disorder is easily misdiagnosed 1. Doctors are not familiar with the disease and are confused by a variety of symptoms. The dry cough caused by laryngeal muscle twitching is misdiagnosed as chronic pharyngitis and bronchitis; blinking and frowning are misdiagnosed as conjunctivitis; moving nose is misdiagnosed as chronic rhinitis, etc. 2. Parents’ disapproval of the disorder. Very few people visit the hospital because they keep blinking and shrugging their shoulders, and they mostly think it’s a bad habit. When they go to the hospital to see another doctor and are asked about the situation, the parents do not cooperate with the answer and are often told, “It’s okay, it’s just a little problem. After the doctor told the parents, they did not trust them and opposed the consultation, thus delaying the diagnosis. 3. Patients have a certain degree of inhibition of symptoms, and when light patients intentionally cover up their tic symptoms, parents and doctors are not easily aware of them. Some doctors believe that the tic-obscene syndrome must have obscene language, but in fact only 1/3 of the patients appear obscene language several years after the onset of the disease. (3) How is tic disorder in children caused? The following are some of the major factors that can cause tics in children: 1. maternal factors: maternal fever during pregnancy, history of obstructed labor, history of postnatal asphyxia, neonatal hyperbilirubinemia, cesarean delivery, 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, emotional excitement, sadness, watching thrilling TV, novels and stimulating cartoons, etc. 4, family factors: parental tension, divorce, reprimanding or scolding children, etc. 5, other: such as epilepsy, trauma, carbon monoxide poisoning, toxic indigestion, allergies, etc. (D) What is the difference between tic-obulbar syndrome and ADHD in children? The incidence of ADHD in children is higher than that of Tourette’s syndrome, so people are more aware of ADHD. Because the names are similar, it is easy to confuse the two. However, the causes and signs and symptoms of ADHD are different, and they are two very different diseases that must be distinguished. ADHD, also known as mild brain dysfunction syndrome, is a relatively common behavioral abnormality in children. The child has normal or basically normal intelligence, but has deficits in learning, behavior and temperament. Most of the children show excitement, poor sleep and feeding difficulties from infancy and early childhood. As they grow older, their activities increase significantly, and they have uncoordinated movements, difficulty in fine movements such as threading needles and buttoning, inattention, emotional impulsiveness and lack of control; they are usually quarrelsome and easily agitated; they are disobedient, unreasonable, impolite and do not avoid danger; they have a positive finger test. In the case of tic-obscene syndrome, the main manifestation is muscle group twitching, and some children have a combination of hyperactivity symptoms. However, children with ADHD never show twitching, which is the key to differentiate the two. (E) Treatment 1, Western medicine: Western medicine treatment of this disease are to control the symptoms, the etiology of treatment has not been reported. The most commonly used drugs are haloperidol and Tebretol, which block dopamine receptors to control twitching and other symptoms. However, their corresponding side effects are more obvious, such as extrapyramidal adverse reactions, slow movements, increased muscle tone, and difficulty in opening the mouth, which can affect the continuation of treatment in severe cases, while the side effects can be reduced by taking Antan. Phenothiazines, such as Endorphin, are also effective, but some believe that symptom control and stabilization are not as good as the first two drugs. Tetrabenazine, a drug that inhibits dopamine synthesis and depletes dopamine, also has a better effect in some patients, but side effects are also obvious. In conclusion, western drugs act on neurotransmitters and receptors to control symptoms faster, but because of the non-selective pharmacological effects, they also have obvious side effects that control normal muscle groups while controlling symptoms. Some patients have to interrupt the treatment because the side effects are prominent or cannot be offset, which affects the treatment and prognosis of the disease. 2, Chinese medicine: Chinese medicine according to a holistic view and dialectical principles of the disease etiology, pathology and syndrome typing, with reference to the five elements of yin and Yang, Ying, Wei, Qi and blood, tongue and pulse signs, such as the formulation of treatment principles, purposeful selection of Chinese medicine soup, Chinese medicine acupuncture, Tuina, ear points, meridian therapy, etc.. In addition to controlling symptoms, improving the physical condition of the child and eliminating the causes of the disease, such as children with depression should be supplemented with the method of soothing the liver and relieving depression, so that the child’s personality becomes cheerful, so that the treatment plan varies from person to person, and the medication can be adjusted at any time according to changes in the course of treatment, and the method of supporting the cause after the symptoms are controlled can be used to consolidate the efficacy and reduce recurrence. In short, Chinese medicine treatment of Tourette’s syndrome is non-toxic, to give full play to the overall advantages of Chinese medicine, through the adjustment of yin and yang, to strengthen the body, to treat both the symptoms and the root cause, to reduce recurrence, to give children a healthy and happy tomorrow. In addition, since there are many factors that can cause relapse and aggravation, try to avoid the stimulation of these factors, such as viral infections, colds, upper respiratory tract infections, tonsillitis, mumps, rhinitis, pharyngitis, chicken pox, various types of encephalitis, fright, sadness, watching thrilling and scary ghost movies, novels and cartoons, learning and emotional tension, excessive psychological stress, etc. As a parent, do not blame, reprimand or scold the child, encourage the child to participate in normal sports activities, except for frequent episodes when the child should not participate in dangerous sports activities, encourage the child to participate in normal social interactions, get along with the people around them, encourage the child to make more friends, play their strengths, express themselves, get enough sleep, encourage the child to establish confidence in overcoming the disease, and encourage the child to praise more and criticize less. Tell the school teacher to try to take care of the child, do not reprimand, criticize, and order to suspend the child who can insist on attending classes and has little impact on classroom discipline, and remind classmates not to laugh, ridicule, look down on and isolate the child, but to take the initiative to contact the child and help the child from all aspects. (F) psychological treatment methods: 1, parents encounter this situation, do not blame the child, because the more blame the more forced he will feel nervous, involuntary movements will be more frequent, the child will gradually become timid, low self-esteem. 2, to help children to exclude the sense of tension and fear. Parents should do everything possible to create the conditions for their children to live in a calm and confident atmosphere. No matter how angry his actions, neither pay attention to his appearance, nor imitate him, make fun of him. Parents should encourage and guide their children to participate in various games and activities of interest to divert their attention. In addition, to inspire the child to establish a residence to engage in appropriate sports activities, sports activities will help the child to get rid of their closed state, revitalize the spirit, completely relaxed. 4. For a very small number of children with stubborn tics, parents should help them to restrain their tics with intention. Positive reinforcement can be used, and as long as the child’s tics are a little reduced, appropriate praise and encouragement will be given in time to strengthen the child to gradually eliminate the tics. Parents need not worry about this kind of twitching, not to mention that the child will grow up to have some kind of problem. The majority of children’s habitual twitching does not affect the child’s mental activities and physical health, as long as parents know how to treat their children correctly, the child’s twitching behavior will definitely disappear on its own. （What should I pay attention to in terms of diet for Tourette’s syndrome? First, do not drink beverages. Drinks contain a lot of preservatives, colors and additives, which can easily damage the temper. Second, do not eat raw, cold, cold food: raw food such as fruit, cold food such as crab, bitter melon, chrysanthemum, honeysuckle, etc. Also include all herbal tea, cold food such as cold rice, etc.. These foods hurt the spleen and stomach, so that the spleen and stomach transport malfunction. Third, fatty, sweet and thick taste: such as greasy and sweet food such as doughnuts easy to produce phlegm. The fourth, fried food: should not eat fried food such as instant noodles, shabu-shabu, grilled chicken legs, grilled lamb skewers, etc., fried food is dry, dry is hurt Jin, so the already deficient Yin and Jin again consumption, very bad for the disease. The above is important for children with Tourette’s syndrome, but it is also very important for normal children to maintain their bodies.