Traditional Chinese Medicine Symptom Study Of Children With Tourtte Syndrome

ObjectiveThrough analyzing the chronological age, age of onset, gender, birth process, complications of children with Tourette Syndrome, this study investigated the correlation factors of children with Tourette Syndrome. According to holism and treatment based on syndrome differentiation in TCM theory system, this study observed symptoms of children with Tourette Syndrome, and induced its common type to provide guidance to clinical treatment and to improve the chance of rehabilitation.MethodsWe filled in correlation factors questionnaires and syndrome observation tables for the142children with Tourette Syndrome who are in accordance with the inclusion criteria. Statistics of the frequency of related factors, symptoms and symptom pattern of the children with Tourette Syndrome would be done. The higher frequency of related factors would be preliminary discussed, and the frequently witnessed syndrome would be induced. Chi-square test would be used to compare the distribution difference of gender in TCM syndrome types of children with Tourette Syndrome, and Analysis of Variance would be used to compare the distribution difference of the onset age in TCM syndrome types of children with Tourette Syndrome.Results(1)General situation of children with Tourette Syndrome:The average age of children with Tourette Syndrome is9.606±0.2201years old. The frequency between the ages of6-13was the highest, which accounted for95.3%of the total cases. The mean age of onset is8.471±0.1998years old. The frequency between the ages of5-11was the highest, which accounted for88.9%of the total cases. In142cases of children with Tourette Syndrome, boys are more than girls with the ratio3.73:1, among which112male cases accounted for 78.9%, while30female cases accounted for21.1%.29cases (20.4%) are often abused or punished within family,74cases (52.1%) got occasional family abuse and punishment, and39cases (27.5%) had none.59cases (41.5%) are often encouraged within family,67cases (47.2%) got occasional family encouragement, and16cases (11.3%) had none. Among the children with Tourette Syndrome, there are126cases (88.7%) of partus maturus and16cases (11.3%) of partus immaturus. There are95cases (66.9%) of natural birth and47cases (33.1%) of caesarean birth.55cases (38.7%) have rhinitis,8cases (5.6%) have recurrent respiratory tract infection,4cases (2.8%) have acute tonsillitis,2cases (1.4%) have febrile convulsion,3cases (2.1%) have viral encephalitis,5cases (3.5%) have traumatic brain injury,4cases (2.8%) have conjunctivitis,1cases (0.7%) have cervical spondylosis,2cases (1.4%) have autism, and4cases (2.8%) have of ADHD(Attention Deficit Hyperactivity Disorder).(2)The distribution of syndromes in children with Tourette Syndrome:The main symptoms of the children with Tourette Syndrome is53times (37.1%) of squeeze eyebrow,93times (65.0%) of blink,34times (23.8%) of wrinkled nose,59times (41.7%) of making signal with the lips tongue,39times(27.8%) of head shaking,24times (16.7%) of shrug,51times (36.1%) of limb twitch,28times (19.4%) of body twitch,83times (58.3%) of making strange voice with mouth,2times (1.4%) of speaking filthy words,8times (5.6%) of dry cough hawk, and1time (0.7%) of speech repeating; the accompanied symptoms of the children with Tourette Syndrome is87times (61.3%) of temperament irritable,67times (47.2%) of impulsive,12times (8.5%) of god tired idle,24times (16.9%) of inattention,39times (27.5%) of hyperactivity,16times (11.3%) of depression,16times (11.3%) of obesity,8times (5.6%) of marasmus,12times (8.5%) of low weak voice,12times (8.5%) of recurring deep sigh,8times (5.6%) of feverishness in palms, soles and heart,20times (14.1%) of headache,32times (22.5%) of dizziness,12times (8.5%) of head heavy,12times (8.5%) of forgetful,20times (14.1%) of lips red,75times (52.8%) of redness of the throat,8times (5.6%) of dry itchy,8times (5.6%) of pale complexion,8times (5.6%) of red face,8times (5.6%) of intinnitus,20times (14.1%) of vomit saliva sputum,12times (8.5%) of tidal reddening of the cheeks,8times (5.6%) of chest tightness full,0times (0.0%) of belching,0times (0.0%) of borborygmus,0times (0.0%) of flatus,4times (2.8%) of Limbs sink and weak,0times (0.0%) of falling easily,36times (25.4%) of poor appetite, 55times (38.7%) of spontaneous perspiration,20times (14.1%) of night sweats,4times (2.8%) of thirsty,83times (58.5%) of loving cold drink,4times (2.8%) of loving hot drink,0times (0.0%) of bitter taste,43times (30.3%) of dreaminess,28times (19.7%) of easily frightened in sleeping at night,12times (8.5%) of sleeplessness at night,4times (2.8%) of long sleep,28times (19.7%) of dry stool,16times (11.3%) of defecate pond,20times (14.1%) of defecate dry and rotten alternately,4times (2.8%) of urine yellow,87times (61.3%) of red tongue,12times (8.5%) of pale tongue,4times (2.8%) of tongue reddish,24times (16.9%) of white tongue fur,32times (22.5%) of yellow tongue fur,12times (8.5%) of thick tongue fur,12times (8.5%) of exfoliative fur,8times (5.6%) of tongue with more water,59times (41.5%) of string pulse,36times (25.4%) of rapid pulse,39times (27.5%) of slide pulse,4times (2.8%) of deep pulse, and4times (2.8%) of thin and weak pulse.(3)The distribution of TCM syndromes in children with Tourette Syndrome is as follows:hyperactivity of liver wind in28cases (19.72%), spleen deficiency, phlegm accumulation in63cases (44.37%), Spleen Deficiency Hyperactivity of liver in39cases (27.46%), and wind formation from yin deficiency in12cases (8.45%).ConelusionThe reason of Tourette Syndrome and rhinitis often concurred is that they have common pathogenesis-phlegm accumulation by spleen deficiency. Symptoms of children with Tourette Syndrome can be seen in different body parts, and it has the characteristics of diversity. The highest frequency of main symptom is wink, followed by making strange voice with mouth, and the highest frequency of complicating symptom is irritability. Symptom patterns of children with Tourette Syndrome are mainly divided into stirring wind due to liver hyperactivity, phlegm accumulation due to spleen deficiency, spleen Deficiency and liver hyperactivity, wind formation from yin deficiency. The highest frequency of TCM syndrome type is spleen deficiency and phlegm accumulation, followed by Spleen Deficiency Hyperactivity of liver, their distribution is not affected by gender, and age of onset.