Tourette Syndrome

General

Clinical Manifestations	Spasms Tics
Treatment Principle
Herb Formulas	Tourette Syndrome #1 Chou Dong Ling Chong Ji Tong Xie Yao Fang
Points	DU-20, GB-20, HT-7 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Spleen Qi Deficiency With Liver Wind

Clinical Manifestations	Spasms Tics Tremors Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient
Treatment Principle	Strengthen the Spleen Tonify Qi Extinguish Wind
Herb Formulas	Ran Gan Li Pi Tang Tourette Syndrome #4
Points	DU-20, GB-20, HT-7 Electro-acupuncture GB-20, LIV-14, ST-36, Yintang Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Spleen Qi And Heart Blood Deficiency

Clinical Manifestations	Spasms Tics Memory loss Forgetfulness Absent-mindedness Lack of concentration Menorrhagia Palpitations with or without anxiety Insomnia (difficulty falling asleep) Nightmares Reduced appetite Pale, wan complexion Pale lips and nails Early menstruation with copious pale blood Continuous flow with little blood (spotting) Excess perspiration Night sweats Irregular menstruation Leukorrhea Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)	Blurred vision Spots before the eyes Low spirits Depression Bruising easily Dream disturbed sleep Short attention span Anxiety Phobias Panic attacks Fear Low grade fever Withdrawal Fatigue and lethargy Weakness Genital itch Impotence Nocturnal emissions Weak abdomen Abdominal distention after eating Premenstrual spotting Dry skin and hair T: Pale, maybe swollen C: White P: Thready and weak or Thready and moderate
Treatment Principle	Augment Qi Nourish the Blood Strengthen the Spleen Nourish the Heart
Herb Formulas	Gui Pi Tang Qing Gan Jian Pi Xin Tang Bai He Gan Mai Da Zao Tang
Points	DU-20, GB-20, HT-7 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Liver Reinforce Blood Extinguish Wind Stop spasms
Herb Formulas	Xi Feng Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 DU-20, GB-20, HT-7 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver Yin Deficiency Generates Liver Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Twitching and involuntary writhing of hands and feet Numbness and tremor of limbs Dysphasia Unsteady gait T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Anchor Yang. Calm Liver Yang and Liver Wind Stop spasms
Herb Formulas	Tourette Syndrome #2 Tourette Syndrome #3 Tourette Syndrome #5
Points	DU-20, DU-26, GB-20, GB-34, GB-43, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 DU-20, GB-20, HT-7 Electro-acupuncture DU-4, DU-20, GB-14, LI-20, LIV-14, ST-4, UB-23 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver Wind With Heart And Kidney Imbalance

Clinical Manifestations	Spasms Tics Irritability Restlessness Insomnia A sensation of Heat and irritability in the chest A desire to vomit without result Dream-disturbed sleep Anxiety Tongue ulcers Fidgeting Palpitations Maybe a rancorous disposition Fear and fright Night sweats Shortness of breath Nausea T: Red or Red tip C: Normal P: Thin and rapid
Treatment Principle	Extinguish and pacify Wind Clear Heat Calm the Shen Sedate the Heart Drain Fire Nourish Yin
Herb Formulas	Feng Yin Tang + Zhu Sha An Shen Wan
Points	DU-20, GB-20, HT-7 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver Heat Generates Wind

Clinical Manifestations	Tics Maybe high fever Contractures Spasms Neck stiffness Convulsions Spasms Oculogyric crises Opisthotonos T: Red or Deep red C: Normal or Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Ding Feng Zhi Dong Chong Ji Jian Pi Ping Gan Xi Feng San Xi Feng Tang Yao Gan Xi Feng Tang Tourette Syndrome #3
Points	DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2 DU-20, GB-20, HT-7 Electro-acupuncture DU-20, GB-20, LIV-2, LIV-3, ST-2, ST-4 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver And Kidney Yin Deficiency

Clinical Manifestations	Dry eyes Diminished visual acuity Photophobia Tearing when exposed to Wind Painful eyes Blurred vision Lower back pain Weakness of the lower back, knees and extremities Spontaneous and nocturnal emissions Light-headedness Vertigo Tinnitus Diminished hearing Five sole heat Chronic dry, sore throat Toothache Wasting and thirsting disorder / Xiao Ke Decreased libido Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Urinary incontinence Heel pain Knee pain Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Nourish the essence of the Liver and Kidneys Brighten the eyes Enrich Blood
Herb Formulas	Qi Ju Di Huang Wan Tourette Syndrome #5
Points	DU-20, GB-20, HT-7 Electro-acupuncture DU-4, DU-20, GB-14, LI-20, LIV-14, ST-4, UB-23 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver And Kidney Yin Deficiency Generates Liver Wind

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Prostration Weak and sore lower back and knees Weakness and atrophy of the legs Dry, parched mouth and throat Dizziness Blurred vision Insomnia Dream disturbed sleep Spermatorrhea Prematurely gray hair Premature hair loss A bitter taste in the mouth Nocturnal emissions Hypermenorrhea T: Red and dry or Deep red C:Thin or Peeled P: Weak and faint
Treatment Principle	Nourishes Kidney and Liver Yin Extinguishes Endogenous Wind
Herb Formulas	Da Ding Feng Zhu + Er Zhi Wan Nao Qing Ling Kou Fu Ye Tourette Syndrome #3 Tourette Syndrome #5
Points	DU-20, GB-20, HT-7 Electro-acupuncture DU-4, DU-20, GB-14, LI-20, LIV-14, ST-4, UB-23 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Liver Wind Generating Phlegm-Fire Disturbing The Heart

Clinical Manifestations	Spasms Tics Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Calm the Liver Transform Phlegm Sedate and calm the Spirit Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	DU-20, GB-20, HT-7 Electro-acupuncture DU-20, GB-20, LIV-2, LIV-3, ST-2, ST-4 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Kidney And Liver Yin Deficiency With Liver Qi Stagnation

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Delayed closing or unclosed fontanel in infants Tidal fevers Loose teeth Dripping urine Thirst Dry tongue	Numbness and weakness at the waist and knees Heel pain Dry mouth Dry throat Blurred vision Urinary incontinence Spontaneous and nocturnal emissions Night sweats Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Epigastric and abdominal distention T: Red and dry C: Little or None P: Thready and rapid or Thready and weak or Wiry and Deficient
Treatment Principle	Enriches Yin Nourishes the Essence of the Liver and Kidney Spreads Liver Qi
Herb Formulas	Liu Wei Di Huang Wan + Yi Guan Jian Tourette Syndrome #5 modified
Points	DU-20, GB-20, HT-7 Electro acupuncture DU-4, DU-20, GB-14, LI-20, LIV-14, ST-4, UB-23 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Excess Heat Generates Wind

Clinical Manifestations	Spasms Tics Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Tourette Syndrome #1 Chou Dong Ling Chong Ji Tong Xie Yao Fang Qing Re Xi Feng Tang Yao Gan Xi Feng Tang
Points	DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2 DU-20, GB-20, HT-7 DU-20, GB-20, LIV-2, LIV-3, ST-2, ST-4 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei

Phlegm Obstructing The Channels

Clinical Manifestations	Deviation of the eyes and mouth Paralysis of the skin Continuous, uncontrolled salivation Fever Sore, painful joints Facial paralysis Difficulty speaking Intolerance of Cold Spasms of the limbs Hypochondriac pain and distention Alternating fever and chills Depression Easily angered Chest fullness Bitter taste in mouth Fidgeting Abdominal pain and cramps Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Normal C: Thin and white P: Wiry or Taut and thready or Floating and rapid
Treatment Principle	Dispel Wind Resolve Phlegm Stop spasms Spread Liver Qi Promote Qi circulation Harmonize the Blood Alleviate pain
Herb Formulas	Qian Zhen San + Chai Hu Shu Gan Tang
Points	DU-20, GB-20, HT-7 Ear: Shenmen, Liver, Spleen, Kidney, Heart, Endocrine, Erbei