Objective,2,To explore the relationship between functional bowel disorder (FBD) and anxiety and depressive states in patients with epilepsy and the distribution of traditional Chinese medicine (TCM) syndromes., Methods,2,A total of 306 patients with epilepsy were divided into the group with FBD (,n,=172) and the group without FBD (,n,=134) according to the disease status of FBD. The case data were collected and analyzed to compare the general conditions (gender, age, disease duration, EEG, cognitive function), Self-rating Anxiety Scale (SAS) scores, Self-rating Depression Scale (SDS) scores and the distribution of TCM symptoms between the two groups. Logistic regression was used to analyze the factors influencing FBD in epileptic patients.,Results,2,①Compared with the conditions in the group without FBD, the age was higher, the disease duration was longer and the EEG abnormality rate was higher in the group with FBD (,P,<,0.001,P,<,0.05). ②SAS and SDS scores were higher in the group with FBD than the scores in the group without FBD (,P,<,0.001), and the abnormal rates of SAS and SDS scores were higher than those in the group without FBD (,P,<,0.001). ③According to the results of logistic regression analysis, the disease duration, age, and SAS scores were influencing factors of FBD in epileptic patients (,P,<,0.05), and epileptic patients with abnormal SAS scores were 6.104 times more likely to have FBD than those with normal SAS scores [,OR,=6.104, 95% ,CI, (3.416-10.906),P,<,0.001]. ④The heart and spleen dual deficiency syndrome was the most common syndrome in the group with FBD (27.91%), and the stasis blocking brain collaterals syndrome was most common syndrome in the group without FBD (41.79%). The distribution of TCM syndromes of phlegm, deficiency and stasis showed that most cases in the group with FBD had deficiency syndomes (44.19%) and most cases in the group without FBD had phlegm syndromes (52.24%).,Conclusion,2,Compared with conditions in the group without FBD, epileptic patients with FBD had more severe anxiety and depression. The disease duration, age, and anxiety and depressive states are all influencing factors in the occurrence of FBD in patients with epilepsy. Epileptic patients with FBD are more likely to have deficiency syndromes, and the heart and spleen dual deficiency syndrome has the highest proportion.