Tourette’s syndrome, also known as Tourette’s syndrome (Toureetes), is a syndrome characterized by multiple involuntary jerks and speech or behavior disorders. The disorder usually develops between the ages of 3 and 15 years and is more frequent in males than females, with a ratio of 3-4:1. Basic Overview The manifestations are brief, rapid, sudden, and varying degrees of involuntary movements, beginning with frequent blinking, eyebrow squeezing, nasal aspiration, and mouth pouting. It starts with frequent blinking, eyebrow squeezing, nose sniffing, 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 obvious and aggravated during emotional stress or anxiety, and disappear after sleep. Vocal tics are often of various kinds, with explosive repeated vocalizations, clear noises and grunts, individual syllables, unclear words, improper stress or constant obscenities, 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. What are the hazards of Tourette’s syndrome 1. The hazards of Tourette’s syndrome are obvious, as the symptoms of Tourette’s syndrome are often ridiculed by classmates. The problem is that they are often ridiculed and taunted by their peers. The child has a low self-esteem and an isolated personality. In the long run, the child becomes lonely. This is a very good way to get the most out of your life. 2, children with Tourette’s syndrome inattentiveness is likely to cause a decline in academic performance. This can cause a lot of pain to the child and parents. The following are some of the main factors that can cause tic disorder in children: 1. maternal factors: maternal fever, history of obstructed labor, history of postnatal asphyxia, neonatal hyperbilirubinemia, cesarean section, 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. Clinical diagnosis (1) symptoms start between 2-15 years old; (2) recurrent multiple involuntary twitching of eye muscles, facial muscles, limbs and trunk muscles; (3) abnormal laryngeal articulation and imitation of language, imitation of movements; (4) the above symptoms alternate between mild and severe, cold, diarrhea, mental tension or watching TV for too long can sometimes aggravate the symptoms, which are reduced or disappear after sleeping; (5) neurological system (6) Excluding rheumatic chorea (blood sedimentation, anti-chain “O”, C-reactive protein should be checked), tardive dyskinesia, hepatomegaly (liver function, plasma copper blue protein should be checked) and other similar diseases. The course of Tourette’s syndrome can be transient or chronic, and in some cases it can last a lifetime. Transient tics usually do not affect the child’s academic performance, while chronic tics can affect the child’s academic performance and lead to adjustment disorders. There are three types of Tourette’s syndrome according to their clinical symptoms and course: (1) transient tic disorder (tic disorder, simple tics or habitual spasms in children); (2) chronic motor tic disorder; and (3) vocal and multiple combined tic disorder (also known as Tourette’s syndrome, Tourette′s syndrome). Generally speaking, these three types, have continuity. Transient tic disorder can develop into chronic motor tic or vocal tic disorder due to the continuity of the disease. About half of the patients with Tourette′s syndrome have the first symptom of simple motor tics and present with Tourette′s syndrome after several days or months. In addition, transient tic disorder can be accompanied by attention deficit hyperactivity disorder, which can occur after stimulant use and can affect a child’s academic performance. There are several clinical reasons why tic disorders are easily misdiagnosed: 1. Doctors are not familiar with the disorder and are confused by the 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 do not agree with this disease. Rarely do you see a doctor because you keep blinking and shrugging your shoulders, mostly because you think it’s a bad habit. When they go to the hospital to see other diseases and are asked about the situation by the doctor, 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. 4. Some doctors believe that the tic-obscene syndrome must have obscenities, but in fact only 1/3 of patients develop obscenities a few years after the onset of the disease. Treatment Western medicine and Chinese medicine have carried out treatment for Tourette’s syndrome, and traditional treatment is based on psychotropic drugs and herbal medicines. Although psychotropic drugs can temporarily control the symptoms, but the side effects are quite large, such as loss of appetite, insomnia, headache, abdominal pain, etc. Long-term use is also prone to drug dependence, which affects the normal development of children, forming a lack of height, memory impairment, personality changes and psychiatric syndrome; although Chinese medicine is relatively safe, but the efficacy is still inaccurate, often based on tonic drugs, which can easily lead to premature sexual development of children. Therefore, for many years people have been looking for a safe and effective means of treatment. 1, Western medicine: the current Western medicine treatment of this disease are to control the symptoms, for etiological treatment has not been reported. Nerve blocking dopamine receptors, so as to control symptoms such as convulsions, of which the most commonly used drugs are haloperidol, Tebri. However, their corresponding side effects are more obvious, such as extrapyramidal adverse reactions, slow movements, increased muscle tone, difficulty in opening the mouth, etc. In severe cases, this can affect the continuation of treatment Stimulation of the brain can directly regulate the brain to secrete a series of neurotransmitters and hormones that help improve the symptoms of ADHD and tics, such as endorphins and has-been choline, which are involved in regulating several physiological and psychological activities of the body and can improve the overall hyperactivity and These hormones are involved in regulating several physiological and psychological activities of the body, and can improve the overall performance of children with hyperactivity and tics, such as emotional instability, irritability, and excessive activity. 2, Chinese medicine: Chinese medicine according to a holistic view and dialectical principles of the etiology, pathology and symptoms of the disease typing, with reference to the five elements of yin and Yang, Ying and Wei Qi and blood, tongue and pulse signs, etc. to develop treatment principles, purposely choose Chinese medicine soup, Chinese medicine, acupuncture, massage, ear acupuncture, meridian therapy, etc., in the control of symptoms at the same time, improve the child’s physique, get rid of the cause of the disease, such as depression caused by the child should be supplemented with liver relief method, so that the child’s personality After the symptoms are controlled, we can use the method of “Fu Zheng Yin Ben” to consolidate the effect and reduce recurrence. However, the taste of Chinese medicine soup is poor, children can not accept for a long time, affecting the therapeutic effect; general Chinese medicine for the treatment of this disease more ideal oral dosage form, can also choose the State Administration of Traditional Chinese Medicine focus on the promotion of a single Chinese medicine effective million points of the new formula of concentrated and purified particles for clinical additions and subtractions; acupuncture treatment because of child patients afraid of needles less use; tui na, ear acupuncture, meridian therapy, etc. is more easily accepted by patients, the results They are more stable and have been promoted in recent years. In short, Chinese medicine treatment should give full play to the overall advantages, through adjusting yin and yang, strengthening the body, treating both the symptoms and the root cause, reducing recurrence, and giving children a healthy and happy tomorrow.