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Outpatient case: 10-year-old boy has been ticuals for 5 years, symptoms are repeated, TCM differentiation: spleen deficiency and liver wang!

author:Elegant Director of Pediatrics

A few days ago, I received a child, 14 years old in the second year of junior high school, this child's tic disorder has developed to a wide range of movements. Roll your eyes, shrug your nose, shake your head, shrug your shoulders, bulge your belly, make noises, and make obscenities. The mother said that she found that the child had tic symptoms when she was two years old and nine months old, and there was no treatment for eleven years.

The child's condition has developed to the present, can no longer attend classes and write homework normally, I feel sorry for this child, it has dragged on for too long, to be honest, it is somewhat difficult to treat. In order to allow the child to recover as soon as possible, I recommend parents to use Chinese medicine for half a month, and if the symptoms are relieved, continue to take Chinese medicine. If the effect is not good, it is necessary to cooperate with Western medicine treatment.

But the child's mother was worried about the side effects of Western medicine, and I reassured her that I would take care of this when I prescribed Chinese medicine. Treat it quickly, otherwise the child will become more and more inferior, and it will be more troublesome after combining depression.

Outpatient case: 10-year-old boy has been ticuals for 5 years, symptoms are repeated, TCM differentiation: spleen deficiency and liver wang!

Today I will share with you a case of cure for spleen deficiency and liver Wangwang tics.

The 10-year-old boy blinked and wrinkled his nose five years ago, with little frequency, and his parents did not pay attention to it. 4 years ago, due to the aggravation of symptoms after fright, he successively appeared with open mouth, crooked neck, abnormal voice in the throat, shaking of the right arm, and knocking on objects by hand.

A year ago, the child had frequent blinking and nose wrinkling without obvious triggers, and then developed symptoms of crooked neck and throat due to the pressure of starting school, which were aggravated by colds and emotional stress.

Current symptoms: frequent blinking, wrinkling nose, crooked neck, abnormal voice in the larynx, slight lack of concentration, small movements, irritable temper, crying, timidity, night sweats, less napping, sleepiness, two-bowel adjustment. The tongue is red, the moss is thick and greasy, the pulse chords are smooth, and the pharynx is not red.

Diagnosis of multiple tics;

The evidence is spleen deficiency and liver wang;

Treat the liver and calm the yang, clear the liver and strengthen the spleen.

Composition: Tianma, hook vine, stone cassia, mulberry leaves, chrysanthemum, zombie silkworm, whole scorpion, white peony, white art, raw keel, raw oyster, golden olive, shot dry, ginseng, tendon grass, kudzu, floating wheat, licorice.

Outpatient case: 10-year-old boy has been ticuals for 5 years, symptoms are repeated, TCM differentiation: spleen deficiency and liver wang!

Second diagnosis: the symptoms after the drug have improved significantly, and now the bulging mouth is the main symptom, occasionally blinking, wrinkling the nose, abnormal sound in the throat, the frequency of crooked neck is reduced compared with before, the temper is irritable, the tongue is red, the moss is white, the pulse is flat, the pharynx is slightly red, Nako, sleep, and two bowel adjustments.

Composition: Add fried gardenia, bergamot and rose flowers on top to clear heat and relieve troubles, relieve liver depression.

Three diagnoses: occasional wrinkled nose, bulging mouth, blinking, abnormal voice in the throat, crooked neck basically disappeared, temper improved compared with before.

Composition: upper kudzu root, tendon grass.

Four diagnoses: the above symptoms basically disappear, and the temper can be.

Composition: Fried gardenia, bergamot, rose.

They are advised to avoid the cold, flirt, eat less, eat less beef and mutton and other sexual items, reduce the psychological pressure of the child, and create a relaxed and comfortable living environment. After 3 months of follow-up, no recurrence was observed.

Outpatient case: 10-year-old boy has been ticuals for 5 years, symptoms are repeated, TCM differentiation: spleen deficiency and liver wang!

Fang Zhongtianma, hook vine calms the liver and relieves wind and spasms; Stone cassia, mulberry leaves, chrysanthemum flowers relieve wind, clear liver heat, calm liver yang; Mulberry leaves, chrysanthemums clear liver and bright eyes; Zombie silkworm, whole scorpion breath wind antispasms; White peony nourishes blood and soft liver; Baishu strengthens the spleen and strengthens qi; Add keel, oysters to calm the liver and submerged yang, calm the alarm; Golden fruit olive, shot dry, Xuan ginseng clear the lungs and throat.

The treatment of Tic syndrome requires a doctor's diagnosis, the child taking medicine, and the cooperation of parents, especially parents should calm down, actively treat, and cooperate closely, so that the child can recover as soon as possible.