Treatment of Adolescent Bipolar Disorder Based on the Opening-Closing-Pivot Theory
10.13288/j.11-2166/r.2026.14.015
- VernacularTitle:基于开阖枢理论辨治青少年双相情感障碍
- Author:
Xiang LI
1
;
Xue BAI
2
;
Ruijing ZHANG
1
;
Yanli MENG
1
;
Xia CUI
2
Author Information
1. The Third Clinical Medical College，Beijing University of Chinese Medicine，Beijing，100029
2. The Third Affiliated Hospital of Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
bipolar disorder;
opening-closing-pivot theory;
six-channel syndrome differentiation;
visceral agitation;
adolescents
- From:
Journal of Traditional Chinese Medicine
2026;67(14):1556-1559
- CountryChina
- Language:Chinese
-
Abstract:
Based on the opening-closing-pivot theory， this paper proposes that adolescent bipolar disorder is closely associated with taiyin （太阴）， shaoyang （少阳）， and jueyin （厥阴） channels. The principal pathogenesis involves dysfunction of the opening function of taiyin， impaired pivot function of shaoyang， and failure of the closing function of jueyin. Accordingly， the therapeutic principles include regulating taiyin to restore the ascending and descending movement of qi， harmonizing shaoyang to facilitate the pivot mechanism， and balancing yin and yang to reinforce the closing and storing function of jueyin. In clinical practice， Yihuang Powder （益黄散） and Tongxie Important Formula （痛泻要方） are commonly prescribed to regulate the qi movement of taiyin and restore its ascending and transporting functions， while Xiaochaihu Decoction （小柴胡汤） and Sini Powder （四逆散） are used to regulate the shaoyang pivot， and Wumei Pill （乌梅丸）， Danggui Sini Decoction （当归四逆汤）， and Huanglian Ejiao Decoction （黄连阿胶汤） combined with Shaoyao Gancao Decoction （芍药甘草汤） are employed to harmonize the jueyin closing mechanism. In addition， traditional daoyin （导引） exercise yi jin jing （易筋经） is incorporated to simultaneously regulate the body and mind by guiding internal regulation through external movement， thereby calming the body and tranquilizing the mind.
