Bipolar disorder(BD)is a serious mental disorder.When it occurs,mania or hypomania and depression symptoms will appear at the same time,or the two will appear alternately.At present,its pathogenesis is still unclear.The incidence rate in China is constantly increasing.Although modern medicine has achieved certain results in its diagnosis and treatment,Western medicine has large side effects and a high recurrence rate.The holistic view and syndrome differentiation theory of traditional Chinese medicine are suitable for the identification and diagnosis of BD,which is completely opposite to the manic and depressive phases.The theory of'earth being dredged by wood'is a theoretical exploration of the relationship between wood and earth in the theory of the five elements of traditional Chinese medicine.Liver and spleen dysfunction is an important pathogenic factor in the onset of BD.Guided by the theory of'earth being dredged by wood',this article explores the etiology and pathogenesis of BD from the perspective of the relationship between liver and spleen,as well as related treatment methods,and proposes to treat BD with liver and spleen as the starting point,and to harmonize the liver and spleen,relieve liver depression,and promote qi and nourish blood as the key.
Bipolar disorder(BD)DepressionManiaEarth-wood relationshipLiver-spleen coordinationEtiology and pathogenesisDiagnosis and treatment