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Case-reports of supervising tourettes online treatments with Acupressure (massage)

( Finished cases since Sep/2013) 抽动秽语综合症医案记录(自2013年9月以后完成的病例) Tourette syndromes with blinking eyes: 眨眼为主的抽动症状: #1, 9/8/2013 Initial consult from online: boy, “2 yrs and 1 month, he has been blinking eyes for half a month. What he does is like constantly blinking eyes 3 times every 10 minutes, more hard than normal blinking eyes move. Today when we brought him to play in the shopping mall and found out that he was blinking his eyes very often.” After asking very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 9/21/2013 Mom emailed me: no symptoms for 3,4 days. 9/23/2013 Mom emailed me: no blinking eyes, only the nose a little bit move up when he is exited. I replied: keep doing massage and gradually reduce the treatment frequency. #1,9/8/2013初诊:男孩,“两岁一个月,最近半个月开始会眨巴眼睛,隔十来分钟连续眨三下,比正常眨眼要t看前面的屏幕也是。今天带去超市玩也会频繁的眨眼。“ 按抽动症指导其母行穴位按摩和刮经络。 9/21/2013 来信说3,4天没有抽动症状。 9/23/2.13 来信说周末玩高兴时有些皱鼻子。 嘱逐渐递减按摩次数。 #2, 9/26/3013 Initial consult from online:7 yrs old boy, Main condition is blinking the eyes from time to time, burp pretty often, can’t focus, easy to have car-sick, usually vomits after getting off the car. He had ITP when he was 2 yrs old, took medication - prednisone for half year. Diagnose as “Tourette” by the Pediatrician. After asking very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 12/24/2013 as I follow up the kid’s condition, the mom replied: he is better. #2,9/26/2013初诊:7岁男孩,最主要是眼睛抽动,会不时的眨眼,会经常打嗝,注意力不集中,会晕车,下车后就会呕吐,两岁时得过ITP,吃过半年的强的松,目前西医诊断是抽动症, 按抽动症指导其母行穴位按摩和刮经络。 12/24/2013 发信随访,回信说:好多了。 #3, 10/15/2015 Initial consult from online: “My kid is 10 yrs old, he started have the tics 3 years ago. First is groaning, weird sound from the throat, very frequent, and every 2 to 3 seconds. Then he started twisting his neck and shoulders. Now he is blinking his eyes very hard and frequent. I think that those bad habits formed from uncomfortable of the body, like uncomfortable of the throat, neck and eyes. And once he was used to one motion, it was hard to change until another urge take the place. It is also manifested as his personality; I don’t know it is Tourette or OCD. Once he maintains something, it is hard to change. Like when he was sleeping, he has to make sure the door and the windows are closed, and the air condition is on (even the weather is very cold). And he is hot tempered, irritable.” After asking questions and got very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 10/25/2013 Mom emailed me: It is amazing not blinking his eyes anymore! But now he has a bad habit: he likes to repeat the silly words from the cartoon TV, like when he is going to eat, he said:eat-ty. I replied: continue doing the treatment. 11/5/2013 Mom replied: After the second week’s massage, he has no symptoms now. Sometimes repeat the words of the TV conversation, but not very often. #3,10/15/2013初诊:“小孩今年10周岁,大概3年前出现抽动症状。先是喉咙发出怪声,频率很高,每两三秒一次,然后是脖子和肩膀习惯性地转动,现在发展为频繁地大力地眨眼睛。究其根源,在一个坏动作形成之初,都是由一些不舒服引起的,比如喉咙不舒服,脖子痒,眼睛疼,但一旦习惯了一个动作就改不了,直到另一个更加迫切的不舒服代替了原本的动作。表现在其它行为上,也是这样。不知道这是强迫症还是抽动症了。只要是他认定了的事情,就很难改。比如说,睡觉一定要把窗和门关严实,一定要开空调(即使天气很冷了)。另外小孩性格比较暴躁,易怒。 “ 按抽动症指导其母行穴位按摩和刮经络。 10/25/2013 回信:真神奇,小孩不眨眼睛了!只是他现在有个坏习惯,就是学电视里的动画人物说些很幼稚的话,比如说吃饭要说成“吃饭饭”。 嘱继续按摩。 11/5/2013回信:经过第二个星期的按摩,孩子现在已经没有什么症状了。偶尔还是会学电视里的人说话,不过不是很频繁。 #4, 12/21/2013 Initial consult from online: “My son is 5 yrs old, he only blinks his eyes, sometimes move his nose up. He has good appetite. He is not sleep very well, has difficult in going to sleep and not very deep. I like to have the directions for acupressure and massage.” After asking questions and got very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 1/2/2014 Mom emailed me and said: There are not significant improvement, he also developed curl lips. He still has blinking eyes, and curl his lips to both side, curl lips is not very frequent. I did some adjustment to the treatment plan. 1/15/2014 Mom emailed: Now his blinking eyes is better, no curl lips or occasionally happened. 1/28/2014 Mom emailed: Now he is much better than before, only blinks eyes sometimes. I am doing the massage on him every day, and hope he can be cured. He still easy to be angry, and once he is angry, he blinks his eyes. 2/16/2014 Mom emailed: Now he is good. I am still doing the massage for maintainance. #4,12/21/2013初诊:”小儿5岁半,仅仅是眨眼,有点儿孥鼻子,食欲很好,就是睡的不怎么踏实,入睡较困难。要求穴位按摩方法指导。” 按抽动症指导其母行穴位按摩和刮经络。 1/2/2014   来信说效果不明显,目前还有撇嘴巴的现象。撇嘴是才出现的现象。眨眼还有,撇嘴是往两边撇,撇嘴现象还不是太频繁。 遂调整方案继续按摩。 1/15/2014来信:目前眨眼现象稍微好些些,撇嘴基本没有了,偶尔会撇下下。 1/28/2014 来信:孩子现在比之前好多了,偶尔眨眼,还在坚持给他按摩,希望能尽快恢复,就是蛮喜欢生气,一生气就容易眨眼。 2/16/2014来信:目前情况比较稳定,还在继续稳定中。 #5, 1/9/2014 Initial consult from online: 6 yrs old girl. “About two years ago, when she was 4 yrs and 3 months, we started noticed that she has frequent blinking eyes. One day when we picked her at the preschool, the teacher told us that she was continued rolling her eyes that afternoon. I asked her what happened and she said her eyes were itchy. The next day we took her to see the doctor. The doctor checked her eyes and said there was nothing wrong, maybe a little bit inflamed. Then the doctor prescribed eye drop for her. We used the eye drop for one week and there was no change. We had nothing to do but corrected her when we saw she did it. Then we took her to see an Herbalist, I asked the Herbalist can that be Tourette, and he said no. He gave us some herbs to calm down the Liver and Tonified the qi. But she did not like drink herbal tea and we might not finished the tea. Then she stopped blinking eyes for around 1 month. On November last year, when she was 5yrs and 3 month, she started blinking eyes again, last time was rolling her eyes and this time is only blinking, and looked like her eyebrow was crowded together, I am not sure. What I remember is her belly was in and out when she blinked. We asked why she did that, and she said she want to see if her urine would come out or not. The good thing was she was not that frequent as one year before. When she was reading and happily playing, she would not do it or not very significant. That lasted a few months, because it was not very bad, so I am not remembered well. Until in the summer of 2013,after she swam a few times, she complained that her nose was itchy, she has to dogged the nose from time to time, and then she start blinking her eyes again. After we yelled at her several times, she stopped blinking eyes, only dogged nose. This past September, she is in 1st grade. I saw her had blinking eyes occasionally but I did not care that much. Ever since the season of Fall, she has been coughing a lot, she always has running nose, even the teacher noticed this. In December, after a severe coughing break out, she started to blink eyes. I noticed that it happens more often when she is eating. Other time she looked fine. Last week, she had flu with fever. Her blinking eyes become more noticeable: even during her sleep when she is not in deep sleep. She also blinks eyes when she has difficult with her homework. Sometimes she cries in her sleep. The only time that she is not blinking is when she is playing.” After asking questions and got very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 2/9/2014 Mom emailed me: She has not been seen blinking eyes this week. I asked her continued the treatment once a week and do more sports activities to build up the energy.. #5, 1/9/2014初诊: 6岁女孩. “两年前,她四岁三个月,我们第一次发现她有频繁眨眼的现象,当时时幼儿园放学,老师告诉我们那天下午她一直不停的在翻白眼,我问孩子是怎么回事,她回答我说眼睛痒,第二天我们就带她去了眼科检查,可是医生说眼睛没有什么问题,顶多是有轻微的结膜炎,开了眼药水,滴了一周,没有什么效果。就这样,我们也没有办法,只有不停的纠正她,后来带去一个老中医那里,当时我有问医生这个会不会是抽动症,医生说不会,开了点平肝补气的中药,因为孩子当时比较抗拒吃中药,其实我们就看了那么一回,有没吃完五贴我都不记得,孩子后来就不眨眼了,那个时间持续的时间不长,一个月左右这样吧。去年十一月份,五岁三个月左右,她又开始眨眼了,上次是翻白眼,这次就是眨,而且似乎有眼睛鼻子眉毛一起挤在一起那样的情况,我记得不太清楚了。我印象比较深的是眨眼的同时还有把肚子一顶一顶的。我们当时问她,她说她想看看尿尿会不会滴出来。但是这一年她眨眼不像前一年那么频繁,看书,玩的开心的时候不会。只有有时候会,不是特别明显。这次眨眼完似乎有持续了几个月吧,但不是特别明显,所以我印象不深。一直到2013年的夏天,她去游泳了几次,回来就说鼻子很痒,不停的用两个手指伸进去挖鼻孔,然后开始又有频繁眨眼的现象,后来被我们喝斥了几次,眨眼没有了,但还是不停的挖鼻孔。     今年九月,孩子上小学一年级,这期间偶尔我还是会看以她眨眼,所以我也不去管她。入秋以来,孩子频繁咳嗽,鼻炎发作,不停的醒鼻涕,连老师都发觉她上课老醒鼻涕。又是12月份,再一次严重爆发咳嗽的时候,感觉她又开始眨眼了,吃饭的时候居多,其它时间秒好。我第一次给你发信息的时候其实除了吃饭时间,都还好。上周得了流感发烧了,一下子感觉眨眼又严重了些,睡觉得不安稳的时候也会眨,写作业不会的时候,也会眨。而且晚上睡觉有时候会哭。只有玩的时候不怎么眨。” 按抽动症指导其母行穴位按摩和刮经络。 2/9/2014来信:這一周,基本沒看到孩子眨眼了。 嘱一周做一次按摩强健体质。 Tourette with opening mouth symptoms: 咧嘴为主的抽动症: 10/16/2013 Initial consult from online: “My son’s symptom now is opening the mouth. Before this, he snorted with his nose. Now he is not snort. Like if the teacher calls him to answer a question, he then opens mouth, crooks mouth, seems very nervous. Can’t focus is a big problem. This happens from time to time. If the tic is severe, his study will out of control, he will not listen. The teacher asked us to keep him at home for a while. We don’t know what to do. We had him have some herbal medicine for half month, it did not work. The herbs include scorpion etc. and it is bitter. We want to stop taking it. He was taking one kind of nutrition pill for promoting the focusing; he looks respond a little better in studying and coordinating. His sleeping has not been good ever since he was a little, he did not take a nap, and he has difficult to fall sleep at night. He is picky, doesn’t like vegetable. He is not easy be sick. Sometime he has migraine headache, maybe on the left, he forgot. The headache bothered him for a while, the one day, I gave him a full cup of water and he drank, his headache gone ever since. He is a easy going boy, but sometime is stubborn, like he want to do something, the he has to do it.” After asking questions and got very detail of his symptoms, I gave the mom the treatment plan. She followed it and did the acupressure massage once a day. 10/25/2013 Mom email: I have done massage on him for one week. Here is the feedback. His sleeping is better, maybe because he is not sweating that much like in the summer; he holds his urine at night, so he toss and around. Opening mouth symptoms are still there, sometime is good sometime is bad, sometime is frequency and sometime is rare to see. I asked about the symptoms in very detail and found out that the kid is curl lips to the sides. So I changed the treatment plan. 11/1/2013 Mom emailed: Hi! Now he is not opening mouth, instead he breathes out, like a sigh. 11/18/2013 Mom emailed: He has not much symptoms now, so I did not video tape as you requested. Thank you Doctor Wen! 10/16/2013初诊:“我儿子他目前就是咧嘴,前面有一段哼鼻子,现在不哼,然后上课老师叫他起来回答问题,他咧嘴,歪嘴,好像很紧张,主要是注意力问题,这个是间歇性的,如果抽动厉害,他学习就特别涣散,基本不听了,老师都叫我们给他休学一段时间,实在是没办法了,给他吃了半个多月中药,效果不明显,蝎子啊什么的,又苦,打算停了,本来在吃美国出的一种注意力提升片,营养品,学习稍微自觉一点,配合度好一点,睡眠从小不太好,没有午休习惯,晚上入睡困难,挑食,不爱吃蔬菜,生病倒不多,偶尔偏头疼,好像是左边,他自己都忘记了,有一段时间了,后来我给他喝了一点大悲水居然很久不犯了.他脾气倒还好,什么都无所谓,就是有时候很犟,要干什么一定要去干.“ 按抽动症指导其母行穴位按摩和刮经络。 10/25/2013回信:到今天一个礼拜了,给您反馈一下。睡眠好一点了,有可能是出汗比夏天少,晚上小便憋着,就一直翻动。咧嘴的现象还是有,时好时坏,有时候频繁,有时候较少。。 重新问诊,得到进一步资料:嘴角往两边拉,抿着,是向后脑勺拉也没有特别朝上还是下 重新调整了按摩方案继续按摩。 11/10/2013 反馈:您好,现在又变喘气了,不咧嘴了,叹口气就是。 11/18/2013回信:最近症状不太明显,所以也没拍下视频,感谢文子医生! Twisting neck and flapping arms: 扭头甩手为主的抽动症状: 9/21/2013 Initial consult from online: “My kid has the habitual movement of twisting neck and throwing hand, his throwing hand becomes more frequent this half month. Last week, we took him to see the doctor, and the doctor said that he is probably has Tourette Syndromes. Since his symptoms are not that severe, and the medicine’s side effect is too much, we want to try Chinese Medicine first. His initial symptoms were itchy of the throat, and then his neck twisted from the right to the left. We took him to the doctor, and the doctor said that he has infection in his throat. Then after he took the medicine for the throat, he felt better. But then we found that it was too frequent that he flapped his hands, both of his hand wrists turn out, like that. One day, when I clipped his figure nail, and I saw his right arm was shaking uncontrolled, we realized there must be something wrong. Then we went to the hospital and he was diagnosed as Tourette Syndromes. The doctor prescribed Vit B to him.  9/21/2013初诊:”孩子近一个多月有扭脖子和甩手的习惯性动作,近半月来甩手频繁,上周去医院医生说可能为抽动症,因为他症状不严重,再加上西药副作用太大,我们想先试试中医。最初孩子说嗓子痒,脖子从右侧往左上方扭,我们看医生后说有些咽炎,吃了点治咽炎的药(施保利通)后好些了,随后我们发现他甩手的动作太频繁了,就是从两手手腕部往外甩,那天给他剪指甲,发现他右胳膊居然在不受控制地抖动,这才意识到不对,后去医院医生说是抽动症,开了些维B吃,大致情况即这样。孩子的症状是:头直接向左上方扭;甩手时大拇指在上小指在下用手腕部甩。” 按抽动症指导其母行穴位按摩和刮经络。 10/9/2013回信:捏脊和摩腹一直坚持着,手臂部也做了几天,国庆出门玩没怎么做。我感觉他兴奋的时候或者跑着玩时甩手多,静下来时基本不甩,扭脖子症状也基本没有了。 12/22/2013  发信询问,回信如下:是的,没有甩手了。治了一个来月吧。


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