From the perspective of traditional Chinese medicine, analyzing sleep problems: what are the root causes of difficulty falling asleep, easy awakening, and early awakening?
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2025-08-07 16:31:56
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From the perspective of traditional Chinese medicine, sleep disorders (including difficulty falling asleep, lack of drowsiness, easy awakening, early awakening, etc.) are closely related to the dysfunction of the human organs and the imbalance of qi, blood, yin and yang. The following is a traditional Chinese medicine analysis of common sleep problems:


1. Difficulty falling asleep and sleeping soundly

Common reasons:

  • Heart fire hyperactivity: manifested as restlessness, mouth and tongue sores, bitter mouth, and yellow urine. Due to emotional suppression, excessive thinking, and exhaustion of sadness and restlessness.

  • Liver depression turning into fire: Impatience in temperament, irritability and irritability, often accompanied by chest and rib distension, and menstrual disorders in women.

Related organs: heart, liver


2. Lack of drowsiness and difficulty falling asleep for a long time

Common reasons:

  • Heart and spleen deficiency: excessive thinking and fatigue, damage to the heart and spleen, and loss of mental and spiritual nourishment. Accompanied by memory decline, fatigue, pale complexion, and loss of appetite.

  • Yin deficiency and excessive fire: Insufficient kidney yin and disturbed the mind and spirit due to deficiency fire. Commonly seen in individuals with weak constitution, dry mouth and tongue, and restlessness and heat in the five hearts.

Related organs: heart, spleen, kidney


3. Easy to wake up and have frequent dreams

Common reasons:

  • Heart and gallbladder deficiency: Heart and gallbladder deficiency, waking up at the slightest movement, often accompanied by daytime anxiety, fear of things, and palpitations.

  • Phlegm heat disturbs the heart: the body is damp and hot, and phlegm dampness disturbs the mind and spirit. Manifested as chest tightness, heavy head, bitter mouth, and excessive phlegm.

Related organs: heart, gallbladder


4. Easy to wake up early and have difficulty sleeping again after waking up

Common reasons:

  • Liver and kidney yin deficiency: Yin deficiency and internal heat disturb the mind and spirit. Accompanied by tinnitus, soreness and weakness in the waist and knees, and restlessness and heat in the five hearts.

  • Heart Yin Deficiency: Difficulty falling asleep after waking up at night, commonly seen in the elderly and weak, with red tongue and little coating.

Related organs: heart, liver, kidney


5. Unable to sleep deeply all night, exhausted after waking up

Common reasons:

  • Spleen and stomach imbalance: Irregular diet, overeating at dinner, poor digestion of the spleen and stomach, dampness and stagnation, resulting in excessive dreaming and difficulty sleeping at night.

  • Qi and blood deficiency: Blood deficiency cannot nourish the heart, causing restlessness, commonly seen in women, those who have lost too much blood, or those who have been ill for a long time.

Related organs: spleen, stomach, heart


Suggestions for conditioning (general):

  • Adjusting the HeartMaintain emotional calmness and avoid overthinking.

  • Regulating spleen and stomachHave a light dinner and avoid greasy or spicy food before bedtime.

  • nourishing yinSuitable for those with yin deficiency, consume nourishing and calming products such as lilies, lotus seeds, and Tremella fuciformis.

  • keep regular hoursMaintaining a regular daily routine helps with the circulation of qi and blood and the balance of yin and yang.

  • Chinese medicine/acupuncture and moxibustion conditioningSuch as Suanzaoren Decoction, Tianwang Buxin Pill, acupuncture and moxibustion Anshen Point, etc.

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