A tic is a repetitive, stereotyped movement (or vocalization) such as blinking, sniffing, facial movements, tensing or jerking muscles, coughing, and eye rolling. Some more semi-purposeful movements like jumping, hitting or shaking may also represent tics, especially in children. Tics may wax and wane related to emotional upheaval, fatigue and caffeine intake. Tourette syndrome is a genetic disorder that includes tics as well as other behavioral disorders (such as OCD/ADHD). The diagnosis usually does not require specific testing, although Tourette’s may be related to minor brain dysfunction and/or brain chemical imbalances.

Western medical treatments include watchful waiting, behavioral modification, and neuroleptic medication (Risperidal, Zyprexa), often managed by a psychiatrist. Many other medications and interventions are used less frequently, most of which are fraught with significant side effects. Tic disorders tend to improve with age.^[1]

Tic disorders may respond to Neurological Scalp Acupuncture, especially when combined with ear acupuncture. Due to deficient “Yin” (substance) failing to control/balance “Yang” (excess movement/muscle tonicity) and “Wind”, a “false excess” of Yang “rises” to and “stimulates” the brain to produce excess movement. In children, “immature” Yin is the cause, and explains improvement with age. As a potentially reversible condition, improvements gained with TCM (acupuncture/herbs) may be sustained.^{[2 3 4]}

Learn more about Tic Disorders/Tourette Syndrome

These brief overviews of conditions represent distillations of basic and current medical reviews from the following sources:

^[1]Conventional Medical Sources

“Harrison’s Principles of Internal Medicine: Volumes 1 and 2, 18th Edition”. Dan Longo Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo. McGraw-Hill Professional; (July, 2011)

Medscape eMedicine Physician’s online resource. Various review articles:

Complex Regional Pain Syndromes Treatment & Management.
Anthony H Wheeler MD. Medscape Reference Chief Editor: Stephen A Beman, MD PhD MBA.

Essential Tremor
Deborah A Burke, MD Clinician, Sub-Investigator, Movement Disorder/Parkinson’s Disease Center, University of South Florida College of Medicine; Investigator, Physician, Roskamp Institute Memory Clinic

Bell Palsy
Danette C Taylor, DO, MS Clinical Assistant Professor, Department of Neurology and Ophthalmology, Michigan State University College of Osteopathic Medicine; Senior Staff Neurologist, Henry Ford Health Systems

Meniere Disease (Idiopathic Endolymphatic Hydrops)
John C Li, MD Private Practice in Otology and Neurology; Medical Director, Balance Center

Restless Legs Syndrome
Ali M Bozorg, MD Assistant Professor, Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, University of South Florida College of Medicine

Postherpetic Neuralgia
W Alvin McElveen, MD Director, Stroke Unit, Lakewood Ranch Medical Center; Neurologist, Manatee Memorial Hospital

Sleep disorders
Roy H Lubit, MD, PhD Assistant Clinical Professor, Mount Sinai School of Medicine; Clinical Faculty, Department of Child Psychiatry, New York University School of Medicine; Private Practice

Tinnitus
Aaron G Benson, MD Director, Ohio Hearing and Balance Institute, Maumee, Ohio; Consulting Staff, Toledo Ear, Nose and Throat, Inc

Multiple Sclerosis
Christopher Luzzio, MD Clinical Assistant Professor, Department of Neurology, University of Wisconsin at Madison School of Medicine and Public Health

Parkinson Disease
Robert A Hauser, MD, MBA Professor of Neurology, Molecular Pharmacology and Physiology, Director, USF Parkinson’s Disease and Movement Disorders Center, National Parkinson Foundation Center of Excellence, Byrd Institute, Clinical Chair, Signature Interdisciplinary Program in Neuroscience, University of South Florida College of Medicine

Tourette Syndrome and Tic Disorders
William C Robertson Jr, MD Professor, Departments of Neurology, Pediatrics, and Family Practice, Clinical Title Series, University of Kentucky College of Medicine

Post Concussive Syndrome
Roy H Lubit, MD, PhD Assistant Clinical Professor, Mount Sinai School of Medicine; Clinical Faculty, Department of Child Psychiatry, New York University School of Medicine; Private Practice

Traumatic Brain Injury
Segun T Dawodu, MD, JD, MBA, LLM, FAAPMR, FAANEM Associate Professor of Rehabilitation Medicine and Interventional Pain Medicine, Albany Medical College

Dizziness, Vertigo, Imbalance
Hesham M Samy, MD, PhD Head of Hearing and Balance Unit, Otolaryngology Department, Minia University, Egypt

CNS Causes of Vertigo
Marcelo B Antunes, MD Resident Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System

Communication Disorders
Renee S Melfi, MD Consulting Staff, Orthopaedic Associates of Central New York

^{[2], [3]}

“Acupuncture Energetics: A Clinical Approach for Physicians”. Joseph M. Helms. Medical Acupuncture Publishers; 1st Edition. (1995)
“Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists”. Giovanni Maciocia. Churchill Livingstone; 2 Edition (July, 2005).
“Diagnosis in Chinese Medicine: A Comprehensive Guide”. Giovanni Maciocia. Churchill Livingstone; 1st Edition (January, 2004).

Chinese Scalp Acupuncture”. Jason Ji-shun Hao, Linda Ling-zhi Hao and Honora Lee Wolfe. Blue Poppy Press; 1st Edition. (November, 2011)