Journal of Advances in Clinical Nursing

Objective This study is mainly to explore the TCM syndrome types and etiology of patients with bipolar disorder. Methods The study was conducted from January 2022 to January 2023. The subjects of the study were 400 patients with bipolar disorder received by our hospital. The study used the four diagnostic methods of traditional Chinese medicine to diagnose the patients, studied the syndrome differentiation and symptom indicators of the patients, and evaluated the depressive symptoms of patients with bipolar depression of different syndrome types and the manic episode of patients with bipolar mania. Results there was no significant difference between bipolar depression and bipolar mania (p>0.05); The highest proportion of patients with bipolar depression and bipolar mania is phlegm-heat syndrome. The YMRS score of phlegm-heat disturbance syndrome in bipolar manic patients was higher than that of other syndrome types (p<0.05); There was no significant difference in SDS scores of different syndrome types in patients with bipolar depression (p>0.05). Conclusion The main TCM syndrome type of patients with bipolar affective disorder is phlegm-heat internal disturbance syndrome. Bipolar manic patients and bipolar depression patients with different syndrome types have adverse symptoms. Clinical attention should be paid to the treatment of patients with bipolar affective disorder.

bipolar affective disorder; TCM syndrome type; pathogeny