This little patient is from Beijing, and the girl is 9 years old.
First visit: March 16, 2022
Chief complaint: blinking, mouth, involuntary twitching of limbs for more than 3 years.
The child has been smart since childhood, and 3 years ago, he found that he blinked involuntarily, stretched his mouth, shrunk his nose, frowned, and his symptoms were changeable, sometimes shaking his head and shrugging his shoulders, involuntary twitching of his limbs, accompanied by dry cough, and hiccups in his throat.
Because of the tics, the child has been sleeping on the floor for two years, and the family washes their faces with tears every day.
Western medicine diagnosed Tourette's syndrome, and had taken psychotropic drugs such as Tybilide and traditional Chinese medicine treatment, which was effective but could not be stopped, and it recurred once it stopped.
[Immediate diagnosis]: blinking and frowning from time to time, accompanied by shaking the head and shrugging the shoulders, involuntary twitching of the limbs, and dry cough, and hiccups in the throat. Plain excitability, inattention, willfulness, impulsiveness, picky eating, easy to catch a cold.
[Diagnosis]: The pharynx is red, milk moths can be seen, the tip of the tongue is red, the moss is thin, and the pulse is thin and slippery.
[Syndrome differentiation]: Kidney yin insufficiency, heart and lung depression, spleen and stomach disharmony, phlegm and cremation wind.
[Treatment]: nourish the kidneys and soften the liver, clear the lungs and stomach, dissolve phlegm and quench wind, and benefit the mind and calm the nerves.
[Prescription]: Shengdi, Radix Radix, Angelica, White Peony, Mulberry Leaf, Chrysanthemum, Skullcap, Radix Radix, Peppermint, (Later) Hook Vine, Raw Oyster, (First Fried) Mother-of-Pearl, (First Fried) Stone Calamus, Burning Yuanzhi, Nightshade, Tangerine Peel, Qing Banxia, Cocos God, Licorice. Twenty doses
(TCM syndrome differentiation is one person and cannot be applied)
Second visit: April 6, 2022
After taking the medicine, the dry cough disappeared, and the symptoms of blinking, frowning and limb tics were also reduced. Twenty doses
Third visit: April 28, 2022
Tic symptoms are significantly reduced, and attention is noticeably more concentrated. Add or subtract with the certificate, and follow the service. Forty doses
Fourth visit: June 8, 2022
The symptoms disappear, the child is much more confident and cheerful, and his academic Xi grades improve. After six months of follow-up, there was no recurrence.
Why do some children get better after taking Chinese medicine, but they still relapse?
Traditional Chinese medicine practitioners for Tourette's syndrome generally give antispasmodic and tranquilizing drugs. However, extinguishing the wind and calming the mind is only a symptomatic treatment, and only by adjusting the functions of the five internal organs is the root cause.
Because although traditional Chinese medicine has the saying that "the memory of the spirit is in the brain", it emphasizes more on the five internal organs, the so-called "the heart hides the spirit, the liver hides the soul, the lungs hide the soul, the spleen hides the mind, and the kidney hides the will".
By observing children with tics, it is found that:
Its pathogenesis is related to heredity, personality, viral infection, trace element imbalance, etc., and in traditional Chinese medicine, it is related to kidney deficiency, heart fire, liver fire, lung fever, spleen and stomach disharmony, etc.
Therefore, the treatment should pay attention to tonifying the kidney, clearing the heart, cooling the liver, clearing the lungs, strengthening the spleen, and stomach, etc., and should focus on specific conditions.
In this case, the patient had obvious dysfunction of the five organs, plain susceptibility, red throat, milk moths visible, dry cough from time to time, and pulmonary fever symptoms were more prominent. Lung fever affects the heart and liver organs, which can cause irritability and wind movement.
Therefore, we should reuse some ingredients that clear away heat, moisten the lungs and detoxify, and regulate the organs. Choosing the right party can play a good role. It is necessary to regulate the lungs, for the external wind, but also for the liver, for the internal wind, and for the wind, itchy throat and dry cough.