AMCMRAdvances in Modern Chinese Medicine Research3068-06383068-0646Art and Technology10.61369/AMCMR.202602005ArticleTreatment of Tic Disorder by Suppressing Hyperactive Liver, Strengthening the Spleen, and Eliminating Phlegm: A Case Reporthttps://artdesignp.com/journal/AMCMR/2/2/10.61369/AMCMR.202602005RenZhihong,YanYu,HuangMeilin2026222026-05-25Medical History Summary: The patient, a male named Shi, aged 18, presented with "recurrent throat clearing for over 10 years, aggravated with arm twitching and blinking for the past 2 years." He had previously taken oral medications such as aripiprazole and tiapride, but the effects were unsatisfactory, and symptoms recurred after discontinuation. Seeking traditional Chinese medicine treatment, he visited our clinic on August 15, 2025. Current symptoms included recurrent throat clearing, blinking, tilting of the neck, occasional "oh-oh" sounds in the throat, occasional involuntary trembling of both upper limbs, which was more pronounced during emotional excitement. He was generally melancholic, had poor concentration, and his academic performance was below average. He had a poor appetite, restless sleep, was easily awakened, had normal bowel and bladder movements, and occasional constipation. Physical examination revealed normal vital signs and general condition. He was slightly overweight, with a pale complexion and dark circles around the eyes. No abnormalities were found in the heart, lungs, or abdomen. His tongue was slightly red, enlarged, with longitudinal cracks in the middle, and thick and greasy coating in the middle and posterior sections. His pulse was wiry and slippery. Traditional Chinese Medicine Diagnosis: Tic disorder; spleen deficiency with liver hyperactivity and phlegm accumulation syndrome. Western Medicine Diagnosis: Tic disorder (Tourette's syndrome). Intervention Measures: The patient was prescribed modified Tianma Gouteng Decoction for oral administration, combined with emotional regulation and foot bath therapy. Outcome: The patient's tic symptoms improved significantly, with the Yale Global Tic Severity Scale (YGTSS) score decreasing from 48 to 12.Tic disorder,Tianma Gouteng Decoction,calming the liver and strengthening the spleen,case report

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