Abstract： Objective： To investigate and analyze the attention status of adolescents with different traditional Chinese medicine constitutions. Methods：A total of 1 002 adolescents from six schools in Jinhua City were selected as the study subjects from May 2020 to May 2023. Each participant completed a general information questionnaire， the Traditional Chinese Medicine Constitution Classification and Determination Scale， and an Adolescent Attention Test. Valid general information questionnaires， Traditional Chinese Medicine Constitution Classification and Determination Scale，and attention test results were collected from 992 adolescents. Multivariate Logistic regression analysis was used to analyze the influencing factors of attention levels in adolescents. Results： Among the 992 adolescents， males outnumbered females. The highest proportion （88.81%） was observed for "exercising at least three times per week." Options with proportions exceeding 50% included： daytime sleepiness， daily gaming time ＜one hour， harmonious teacher-student relationships， and drinking beverages at least three times per week. The attention test results showed that among the 992 adolescents，5.04%（ 50/992） had "very good attention，"17.94%（ 178/992） had "good attention，" 40.93% （406/992） had "average attention， " 21.67% （215/992） had "poor attention， " and 14.42% （143/992） had "very poor attention." In descending order of proportion， the ranking was： average attention > poor attention＞good attention＞very poor attention＞very good attention. There were 362 individuals （36.49%） with balanced constitution and 630 individuals （63.51%） with biased constitution. Among the biased constitutions，the proportions in descending order were： qi deficiency constitution＞qi stagnation constitution＞yin deficiency constitution＞phlegm-dampness constitution＞yang deficiency constitution＞special constitution＞dampness-heat constitution＞blood stasis constitution. Daytime sleepiness， emotional anxiety， and daytime drowsiness were significant factors influencing adolescents' attention levels （P＜0.05）. Qi deficiency，qi stagnation，and yin deficiency constitutions were independent risk factors for insufficient attention levels in adolescents （P＜0.05）. Conclusion： Most adolescents exhibit average or lower attention levels. Daytime sleepiness， emotional anxiety， and daytime drowsiness are significant factors influencing adolescents' attention levels. Qi deficiency，qi stagnation，and yin deficiency constitutions are independent influencing factors for insufficient attention in adolescents. Individualized dietary， daily living habit， exercise， and emotional regulation interventions should be adopted according to individual differences in traditional Chinese medicine constitution types to correct biased constitutions.