Traditional Chinese Medicine and Insomnia
Neurological & Mental · ICD-10 G47.0
Insomnia (失眠) means difficulty falling asleep, waking during the night, or unrefreshing sleep that affects daytime life. In Traditional Chinese Medicine (TCM), sleep relates to the balance of the mind (Shen) and internal organs. This is educational, not advertising or an individual diagnosis.
The TCM perspective
TCM relates insomnia to imbalances of the Heart, Spleen, Liver, and Kidney — such as Heart-Spleen deficiency, Liver fire disturbing the mind, or Heart-Kidney disharmony. Acupuncture and balancing approaches aim to help calm the mind and ease symptoms. Results vary from person to person.
TCM patterns
- Heart-Spleen Deficiency — Difficulty falling asleep, dream-disturbed sleep, palpitations, fatigue, and poor memory.
- Liver Fire — Irritability, quick temper, and vivid dreams, often linked to stress.
- Heart-Kidney Disharmony — Waking at night, hot flushes, palpitations, and night sweats.
- Phlegm-Heat — Restless sleep, chest fullness, and a muzzy head, related to digestion.
General self-care
- Keep consistent sleep and wake times, even on days off.
- Reduce screens and bright light before bed; keep the bedroom quiet and comfortably dark.
- Avoid caffeine and heavy meals in the evening.
- Practise a wind-down routine such as deep breathing or gentle stretching.
- Exercise during the day, but avoid vigorous exercise close to bedtime.
When to consult a doctor
- Consult a doctor if insomnia is persistent and affects work or mood.
- See a doctor for excessive daytime sleepiness, loud snoring, or pauses in breathing during sleep.
- If insomnia comes with significant low mood or anxiety, consult a doctor.
This content is provided for general knowledge only. It is not individual medical advice and does not guarantee any result. Appropriate care should follow an assessment by a licensed TCM practitioner. For severe or emergency symptoms, see a doctor or call 1669.
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