Objective: To evaluate the current status and publication tendency of randomized controlled trials (RCTs) of tic disorders (TDs) by traditional Chinese medicine treatment, and to provide references for the design and guideline formulation of domestic clinical research in the future. Methods: Through searching 6 databases, the RCTs of TDs by traditional Chinese medicine treatment published home and abroad were included, and the quality evaluation of all the RCTs was carried out according to the Cochrane bias risk assessment. Results: Sixty-seven articles were included, with a total of 5 760 patients. All studies included in this article did not carry out the sample size calculation, 7.5% (5/67) of which are multi-center (2–7 centers) studies. 41.8% (28/67) of studies were completed in the teaching hospital. 71.6% (48/67) of studies adopted Chinese medicine treatment, and 28.4% (19/67) of studies adopted Chinese and Western medicine. All the studies applied positive drug control. Only 14.9% (10/67) of studies reported the right random allocation methods. All reports did not use complete allocation concealment methods. Only 3% (2/67) of studies used the correct method of blinding. Conclusion: There are few randomized controlled trials of traditional Chinese medicine in the treatment of TDs. The studies lacked placebo-controlled or group-hidden multicenter randomized trials. The study sample size is small, and the report quality is poor overall. Therefore, we should pay attention to the quality of the design or implementation of TDs treatment trials.