Clinical Research Directory

Inclusion Criteria: 1. Meet the diagnostic criteria for Chronic Motor Tic Disorder or Vocal Tic Disorder as defined by the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), confirmed by at least one associate chief psychiatrist. Tic severity must be mild to moderate (YGTSS total score ≤50). 2. Age: 4-12 years old. 3. Patients with comorbid conditions (e.g., ADHD, OCD, oppositional defiant disorder, depression, anxiety) must have stable medication regimens with no anticipated adjustments during the study period. 4. Patients currently taking traditional Chinese herbal medications or decoctions for tics must agree to discontinue use and complete a 2-4 week washout period before enrollment. 5. Newly diagnosed cases unwilling to start medication, patients with unsatisfactory medication-controlled tics, or those reporting significant side effects are eligible if tics have remained stable (unchanged for ≥2 months) without improvement. 6. Voluntary participation with a signed informed consent form. Exclusion Criteria: 1. IQ（intelligence quotient） ≤80. 2. Severe cardiac, liver, kidney diseases, hyperthyroidism, or unstable vital signs. 3. Comorbid conditions such as intellectual disability, autism spectrum disorder, childhood schizophrenia, bipolar disorder, specific learning disorders, or epilepsy. 4. Patients currently taking traditional Chinese herbal medications or decoctions for tics who refuse to discontinue use. 5. Patients unable to tolerate acupuncture therapy. 6. Prior acupuncture treatment for tics proven ineffective.