The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Facial tics can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like facial tics here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here facial tics is often associated with headaches, hypertension and dry throat in the pattern “Liver Wind agitating Internally due to Liver Blood Deficiency”. As you will see below, we have in record two patterns that can cause facial tics.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of facial tics we’ve identified three herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat facial tics.
The two "patterns of disharmony" that can cause facial tics
In Chinese Medicine facial tics is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Wind agitating Internally due to Liver Blood Deficiency
Pulse type(s): Wiry (Xian), Fine (Xi)
Tongue color: Pale
In addition to facial tics, other symptoms associated with Liver Wind agitating Internally due to Liver Blood Deficiency include headaches, hypertension and dry throat.
Liver Wind agitating Internally due to Liver Blood Deficiency is often treated with E Jiao Ji Zi Huang Tang, a herbal formula made of 10 herbs (including Donkey-Hide Gelatin - E Jiao - as a key herb). E Jiao Ji Zi Huang Tang belongs to the category of "formulas that pacify and extinguish internal wind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes Yin".
Read more about Liver Wind agitating Internally due to Liver Blood Deficiency here
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Wind agitating Internally due to Liver Yang Rising
Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Fine (Xi), Floating (Fu)
Tongue color: Red
Liver Yang Rising can create Interior Wind if the condition is not treated for a long time. It can be divided to three categories based on the cause of the pattern: Liver Yin Deficiency, Liver and Kidney Yin Deficiency or Liver Blood Deficiency.
In addition to facial tics, other symptoms associated with Liver Wind agitating Internally due to Liver Yang Rising include headaches, hypertension and dry throat.
Liver Wind agitating Internally due to Liver Yang Rising is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
Read more about Liver Wind agitating Internally due to Liver Yang Rising here
Three herbal formulas that might help with facial tics
Bu Gan Tang
Source date: 1742 AD
Number of ingredients: 7 herbs
Key actions: Tonifies and regulates the Blood. Nourishes the Liver Yin.
Why might Bu Gan Tang help with facial tics?
Because it is a formula often recommended to treat the pattern 'Liver Wind agitating Internally due to Liver Blood Deficiency' of which facial tics is a symptom.
Other symptoms characteristic of Liver Wind Agitating Internally Due To Liver Blood Deficiency include headaches, hypertension and dry throat.
E Jiao Ji Zi Huang Tang
Source date: the Qing dynasty
Number of ingredients: 10 herbs
Key actions: Nourishes Yin. Nourishes Blood. Calms the Liver. Extinguishes Wind.
Why might E Jiao Ji Zi Huang Tang help with facial tics?
Because it is a formula often recommended to treat the pattern 'Liver Wind agitating Internally due to Liver Yang Rising' of which facial tics is a symptom.
Other symptoms characteristic of Liver Wind Agitating Internally Due To Liver Yang Rising include headaches, hypertension and dry throat.
Si Wu Tang
Source date: 846 AD
Number of ingredients: 4 herbs
Key actions: Restores and nourishes Blood. Stimulates Blood circulation.
Why might Si Wu Tang help with facial tics?
Because it is a formula often recommended to treat the pattern 'Liver Wind agitating Internally due to Liver Blood Deficiency' of which facial tics is a symptom.
Other symptoms characteristic of Liver Wind Agitating Internally Due To Liver Blood Deficiency include headaches, hypertension and dry throat.
Acupuncture points used for facial tics
The five Chinese Medicinal herbs most likely to help treat facial tics
Why might Prepared Rehmannia (Shu Di Huang) help with facial tics?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat facial tics as a symptom, like Bu Gan Tang or Si Wu Tang for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might White Peony Root (Bai Shao) help with facial tics?
Because White Peony Root is an ingredient in several formulas indicated to treat facial tics as a symptom, like Bu Gan Tang or Si Wu Tang for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Liquorice (Gan Cao) help with facial tics?
Because Liquorice is an ingredient in several formulas indicated to treat facial tics as a symptom, like E Jiao Ji Zi Huang Tang or Bu Gan Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Abalone Shell (Shi Jue Ming) help with facial tics?
Because Abalone Shell is an ingredient in several formulas indicated to treat facial tics as a symptom, like Tian Ma Gou Teng Yin or E Jiao Ji Zi Huang Tang for instance.
Abalone Shells is a Cold herb that tastes Salty. It targets the Kidney, the Liver and the Lung.
Its main actions are: Clears Heat and calms ascending Liver Yang. Clears Liver Heat that is obstructing the vision.
Why might Dong Quai (Dang Gui) help with facial tics?
Because Dong Quai is an ingredient in several formulas indicated to treat facial tics as a symptom, like Bu Gan Tang or Si Wu Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Other symptoms often associated with facial tics
Headaches Hypertension Dry throat Blurred vision Numbness in the limbs Tingling of limbs Poor memory Insomnia Dizziness Scanty periods