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.