Treatment of Tourette’s Syndrome in Children Based on the Theory of “Xuanfu-collaterials”

Authors

  • Jiahe Tian Clinical and Experimental Research Group for Pediatric Diseases, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi, China
  • Qilao Song Department of Traditional Chinese Medicine, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi, China

DOI:

https://doi.org/10.53469/jcmp.2025.07(02).05

Keywords:

Children, Tourette Syndrome, Xuanfu (pores), Collaterals, Wind medicine, Insect medicine, Opening xuanfu and dredging collaterals

Abstract

Tourette Syndrome belongs to the category of Chronic Convulsion in Traditional Chinese Medicine (TCM). The pathology is based on deficiency of internal organs, with wind, fire, phlegm and stagnation as the symptoms. Xuanfu and collaterials are important organs that regulate the circulation of qi, blood and fluid around the body, it is a tiny structure, but its role should not be underestimated, and it is also the key position for the production of dampness, phlegm and blood stasis. Based on the theory of “Xuanfu-collaterials” in traditional Chinese medicine, it is proposed that the pathogenesis of this disease is obstruction of Xuanfu, liver wind internal movement and blockage of collaterals by phlegm and blood stasis. External infection, internal injury and other factors can cause the five viscera Xuanfu depression and closure, opening and closing disorder, then attract internal wind and become the beginning of Tourette’s syndrome. Chronic Disease Transform to Collaterals. Long-term disease into the complex, Dampness, phlegm, blood stasis, or external evils stagnate in and damage the collaterals, makes the disease worsen day by day and prolonging the course of the disease. Collaterals depletion and stagnation further aggravate obstruction of Xuanfu, so that the cycle repeats itself, resulting in repeated and difficult to cure diseases. The clinical use of wind medicine and insect medicine to “opening xuanfu and dredging collaterals” has been very effective, which provides a new way of thinking for the understanding and treatment of Tourette’s syndrome from the level of the microstructure of traditional Chinese medicine.

References

The Subspecialty Group of Neurology, the Society of Pediatrics, Chinese Medical Association. Experts consensus of treatment and diagnosis of tic disorders in children (2017 practical version) [J]. Chinese Journal of Applied Clinical Pediatrics, 2017, 32(15):1137-1140.

C. Groth, N. M. Debes, C. U. Rask, et al. Course of Tourette syndrome and comorbidities in a large prospective clinical study [J]. European Journal of Paediatric Neurology, 2017, 21:e22-e22.

Zheng Ronghua, Jin Rong, Xu Huiqin, et al. Study on the prevalence of tic disorders in schoolchildren aged 7-16 years old in Wenzhou [J]. Chinese Journal of Epidemiology, 2004, 25(9):745-747.

Liu Ling, Jiang Zhigui, Li Wei, et al. Epidemiological investigation of tic disorders among pupils in the Shunde Longjiang area, and their relationship to trace elements [J]. Chinese Journal of Contemporary Pediatrics, 2013, 15(8):657-660.

Liu Maochang, Liu Zhisheng. Current research status on pharmacological treatments for children with tic disorders [J]. Chinese Journal of Applied Clinical Pediatrics, 2020, 35(12):948-951.

Ye Ruping, Hu Jingqing, Fang Rui, et al. Discussion on Xuanfu [J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2017, 32(4):1465-1468.

Luo Zaiqiong, Huang Wenqiang, Yng Jiuyi, et al. “Xuanfu”: the microstructure of Zang Xiang theory [J]. Journal of Traditional Chinese Medicine, 2011, 52(16): 1354-1356.

Chang Fuye, Wang Yingyan, et al. Annotation of Illness of Sweat Pore [J]. Study Journal of Traditional Chinese Medicine, 2005, 23(8):1389-1392.

Zang Ningzi, Pang Lijian, et al. Historical Development of Luo Disease Theory [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2014, 16(10):66-69.

Wu Yiling. Collateral-Disease Theory of TCM and Three-Dimensional Network System [J]. Journal of Traditional Chinese Medicine, 2003, 44(6):407-409

Wu Yiling, Wei Cong, Jia Zhenhua, et al. A Summary of Vessels-Networks Theory and Its Application [J]. Journal of Traditional Chinese Medicine, 2014, 55(3): 181-184.

Wu Yiling. Establishment of collateral disease theory system [J]. Chinese Journal of Difficult and Complicated Cases, 2005, 4(6):349-350.

Lu Peng, You Fengming, et al. Introduction to the Xuan Fu-Collaterials System [J]. Journal of Basic Chinese Medicine, 2017, 23(1):29-3092.

Lu Peng, Ren Fengyan, et al. Lung Xuanfu collaterals (TCM) and air-blood barrie [J]. Journal of Traditional Chinese Medicine, 2016, 57(16):1433-1435.

Zhang Yixin, Zhang Xiaoke. Treatment of diabetic peripheral neuropathy based on “Xuanfu-collaterial” theory [J]. Journal of Beijing University of Traditional Chinese Medicine, 2021, 44(11):1034-1038.

Lu Peng, Liu Lixiang, Pan Di, et al. On the Kidney Xuanfu Collaterals and Glomerular Filtration Barrier [J]. Journal of Traditional Chinese Medicine, 2016, 57(21): 1888-1890.

Liu Xiaofang, Wei li, et al. Professor WANG Sumei ‘s experience on treating Tourette syndrome in children [J]. Modern Chinese Clinical Medicine, 2016, 23(3):38-41.

Xue Xiaona, Wei Li, Liu Yi, et al. Treating Tourette Syndrome in Children from the Perspective of Phlegm and Stasis [J]. Global Traditional Chinese Medicine, 2019, 12(5):739-742.

Zhao Qiang, Wu Ling, et al. Hu Tiancheng’s experience in treating Tourette Syndrome with ADHD from the perspective of wind, phlegm, and fire [J]. Hunan Journal of Traditional Chinese Medicine, 2022, 38(8):60-63.

Zhu Qin, Wang Hongyu. Kidney Xuanfu Theory and Application of Pungent-flavor Wind-related Herbs in Treatment of Kidney Diseases [J]. Journal of Traditional Chinese Medicine, 2018, 59(4):281-284.

Wu Yiling. Etiological investigation of collateral disease [J]. Chinese Journal of Difficult and Complicated Cases, 2004, 3(4):215-217.

Huang Xu, Li Xianting, et al. Clinical study of Tianchong Dingxuan pill in the treatment of vertebrobasilar insufficiency vertigo of phlegm and blood stasis type [J]. Journal of Chinese Medicinal Materials, 2022, 45(1):225-229.

Wang Mingjie, Huang Shufen, et al. A NEW UNDERSTANDING OF WIND MEDICINE [J]. Journal of Luzhou Medical College, 2011, 34(5): 570-572.

Guo Junjun, Wang Ya. Experience of Changke in Treating Tourette’s syndrome in Children [J]. Inner Mongolia Journal of Traditional Chinese Medicine, 2019, 38(3):38-39.

Wang Xuemei. Professor Wang Sumei’s Experience in Treating Tourette Syndrome in Children [J]. Global Traditional Chinese Medicine, 2018, 11(9):1386-1389.

YANG Cuiling, ZHANG Xiaojin, ZHAO Qiong, et al. Clinical observation on 60 cases of Tourette syndrome in children with heat accumulation in spleen and stomach syndrome treated by Jiawei Xiehuang San [J]. Journal of Pediatrics of Traditional Chinese Medicine, 2020, 16(5): 71-75.

MAI Xiujing, XU Ke, HAN Xinmin. Mechanism of insect drugs in the treatment of Tourette’s syndrome [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2019, 11(2):129-132.

Downloads

Published

2025-02-28

How to Cite

Tian, J., & Song, Q. (2025). Treatment of Tourette’s Syndrome in Children Based on the Theory of “Xuanfu-collaterials”. Journal of Contemporary Medical Practice, 7(2), 24–28. https://doi.org/10.53469/jcmp.2025.07(02).05