A Randomized Controlled Trial On The Treatment Of Chronic Tic Disorder With Nourishing The Vital Energy And Regulating The Spirit Needle Technique

[Objective]This study was conducted to observe the efficacy of Nourishing the vital energy and Regulating the spirit needle technique in the treatment of chronic tic disorder through the Yale Global Tic Severity Scale（YGTSS）and the Chinese Medicine Symptom Rating Scale in order to provide a new,safe and feasible treatment option and idea for the treatment of chronic Tic Disorder.[Methods]In this study,76 children who met the diagnostic criteria for chronic tic disorder were collected and randomly divided into the therapy group（n=38）and control group（n=38）according to a random number table.The patients were treated 3 times a week for 7 weeks,a total of 20 times.YGTSS scores and the Chinese Medicine Symptom Rating Scale were performed before and after 2 courses of treatment,and clinical efficacy and adverse events were observed in both groups,and YGTSS scores were recorded at follow-up 4 weeks after the end of treatment and 12 weeks after the end of treatment,respectively.All data were statistically processed and analysed using SPSS 25.0 software,and relevant differences were compared after processing and analysis.[Results]Comparing the YGTSS scores of the two groups after 2 courses of treatment,4 weeks after treatment,12 weeks after treatment and the rate of post-treatment score reduction,the differences were statistically significant（P<0.05）.YGTSS scores after 2 courses of treatment,4 weeks post-treatment and 12 weeks post-treatment in each group were statistically significant（P<0.05）compared with those before treatment.After 2 courses of treatment,the effective rate of therapy group was 91.67%and that of the control group was 72.22%.The difference in TCM symptom scores between the groups before and after treatment was statistically significant（P<0.01）,but the difference between the groups was not statistically significant.There were no significant adverse reactions during the treatment period in the two groups.[Conclusion]（1）Nourishing the vital energy and Regulating the spirit needle technique can effectively treat chronic tic disorder,and superior to the control group.（2）Nourishing the vital energy and Regulating the spirit needle technique has certain advantages in terms of long-term efficacy.（3）Both the treatment and control groups were effective in improving TCM symptoms,and both showed comparable degrees of improvement.