The Syndrome differentiation of Gilles de la Tourettes syndrome should concentrate on inspecting cold, heat, asthenia and sthenia of the state of illness as well as accompanying symptoms of which is more serious. Stagnation of phlegm and heat in the middle energizer due to internal wind of the liver mainly manifests shaking head, shrug, unsteady waking, stretching out and drawing back head, open and wry mouth, frown, nictitation, endless tremor of limbs and coprophasia; loss of nourishment of asthenia of the spasm such as nictution, frown, raising head, stretching neck, shrug, throwing chest, bulging belly, raising head and stamping foot, accompanied by the symptoms of stirring –up of liver wind due to yin deficiency of the kidney include wink, swinging hand, standing on tiptoe, vibrating leg, stamping foot, sound in the throat, coprophasia, malar flush, dysphoric fever of chest, palms and soles and irritability.