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Tic Disorder

How Chinese medicine differentiates a chronic tic disorder — distinct from Facial Tic and Essential Tremor already covered — the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. New or worsening tics, especially with vocal outbursts or loss of function, need medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for a tic disorder — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues rising Liver-Yang and extinguishes internal Wind.
G.B.-20Extinguishes internal Wind and clears the head.
DU-20Calms the mind, anchors Yang, settles the head.
L.I.-4Regulates Qi and relaxes the facial muscles.
ST-40Transforms Phlegm and clears Heat from the body.
P-6Clears Heart-Fire and calms the Spirit.
HT-7Settles the Heart and stops the agitation fuelling tics.
LR-2Fire point of the Liver channel, drains excess Fire and calms irritability.
KI-3Nourishes Kidney-Yin to anchor Yang and extinguish Wind.
BL-23Tonifies Kidney-Yin and strengthens the root.
SP-6Nourishes Yin and Blood, supporting the Liver and Kidneys.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Wind Agitating Internally due to Liver Yang Rising View full pattern →

Clinical manifestations: Sudden jerky tics around the eyes, face, or neck that worsen with emotional stress, irritability and easy anger, dizziness or a sensation of falling, throbbing distending headache often at the temples, flushed face and red eyes.
Tongue: Red body, stiff or trembling, possibly deviated, thin yellow or scanty coating. Pulse: Wiry, fine and may be rapid.
Treatment principle: Calm the Liver and extinguish Wind, subdue Liver-Yang, clear Heat and drain Fire.
Note: no moxa. This site's own Liver-Fire-generating-Wind slide is the closer match — it explicitly names tremor, irritability and a red face, which plain Liver-Yang rising does not — so it is linked here.

2. Exterior Wind

Clinical manifestations: Sudden onset of tics after wind exposure or a mild cold, aversion to wind or drafts, mild chills or low-grade fever, runny nose with clear discharge, sneezing, itchy throat, stiff neck and muscle aches.
Tongue: Normal pink body with thin white coating. Pulse: Floating, possibly slightly wiry.
Treatment principle: Release the exterior and dispel the pathogen while calming internal agitation.
Note: no moxa. This pattern's own listed signs mix Cold markers (clear discharge, chills) with a stated Wind-Heat treatment principle — an inconsistent presentation that doesn't cleanly match either this site's Wind-Cold or Wind-Heat invasion slide, so no pattern link is given here.

3. Phlegm-Fire Harassing the Heart View full pattern →

Clinical manifestations: Mental restlessness and agitation, copious thick yellow sticky phlegm, flushed red face and bitter taste in the mouth, severely disturbed sleep with vivid dreams.
Tongue: Red body, swollen with a red prickly tip, thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat and transform Phlegm, clear Liver and Gall Bladder Heat.
Note: no moxa. Direct match with this site's own Phlegm-Fire-harassing-the-Heart slide.

4. Stagnant Liver Qi Turning Into Fire View full pattern →

Clinical manifestations: Tics worsen with emotional stress or anger, irritability and angry outbursts, bitter taste in the mouth, rib-side distension or chest tightness, dry mouth and throat, red eyes or headache.
Tongue: Red body especially on the sides, with yellow dry coating, possible prickles. Pulse: Wiry and rapid, especially at left Guan.
Treatment principle: Smooth Liver-Qi stagnation, clear Heat, and calm the spirit.
Note: no moxa. Direct match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

5. Empty-Wind Agitating in the Interior

Clinical manifestations: Mild persistent twitching of the limbs or face, deep exhaustion and listlessness, night sweats and malar flush, dry mouth and throat, dizziness and blurred vision.
Tongue: Crimson, thin, dry, cracked, little or no coating, may tremble. Pulse: Fine, rapid, may be wiry at left Guan but lacks force.
Treatment principle: Nourish Yin and extinguish Wind, subdue floating Yang, nourish Blood and generate Essence.
Note: no moxa given the Empty-Heat. No deck on this site has a Yin-deficiency-generating-Wind slide distinct from the Fire- and Blood-deficiency Wind patterns already covered, so no pattern link is given here.
Related conditions

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