Abstract: Objective: To explore the behavioral characteristics of boys aged 6-11 with tic disorder of spleen deficiency and liver hyperactivity type, and to provide a theoretical basis for the early identification and intervention treatment of comorbid behavioral problems in tic disorder. Methods: A cross-sectional questionnaire survey was conducted,recruiting 30 boys who met the inclusion and exclusion criteria,including 14 children with tic disorder as the tic group and 16 children without tic disorder as the control group. Behavioral problems were assessed using the Child Behavior Checklist (CBCL) and Conners′ Parent Symptom Questionnaire (PSQ),and differences in scores between the two groups were compared. The severity of tic symptoms was evaluated using the Yale Global Tic Severity Scale (YGTSS), and the correlation between tic disorder and behavioral problems was analyzed. Results: The detection rate of behavioral problems in the tic group was 35.7%( 5/14),higher than that of 6.3%( 1/16) in the control group,with significance in the difference (P<0.05). The CBCL total score and PSQ total score in the tic group were higher than those in the control group (P<0.05). In terms of social ability,the activity ability score in the tic group was lower than that in the control group (P<0.05). In terms of behavioral problems, the scores for hyperactivity, obsessive-compulsive,schizoid,and somatic complaints were higher in the tic group than in the control group (P< 0.05). The internalizing and externalizing behavior scores were also higher in the tic group (P<0.05). In the PSQ,the scores for conduct problems, psychosomatic problems, impulsive hyperactivity, and anxiety were higher in the tic group (P<0.05). There was no significant difference in learning problems and ADHD index between the two groups (P>0.05). Spearman correlation analysis showed that the overall impairment of tic symptoms was positively correlated with hyperactivity, poor social interaction, and social withdrawal (rs=0.59-0.74), and the decline in activity capacity is negatively correlated with the level of interference (rs=-0.57). The PSQ showed that learning problems were positively correlated with overall impairment (rs=0.78), and anxiety was positively correlated with tic frequency (rs=0.56), all with statistical significance (P<0.05). Conclusion: Boys aged 6-11 with tic disorder of spleen deficiency and liver hyperactivity type exhibit behavioral problems such as decreased activity ability, anxiety, obsessive-compulsive behavior,and somatic discomfort. Moreover,as the severity of tic disorder increases,social and learning problems become more pronounced.