Five Types of Insomnia and Their Constitution

Not All Awakeness is the Same
In TCM, insomnia (Bu Mei) is not a disease in itself, but a symptom of imbalance in the Shen (Mind).way what you can’t sleep on tells you exactly which constitution is out of balance.

1. Liver Fire / Stagnation:


Type:The “Stressed Sleeper”.


Symptom: Unable to fall asleep. Toss and turn. Head full of plans, irritations, or anger. Often vivid, restless dreams (nightmares).


Constitution:Irritable, red face, bitter taste in the mouth.


2. Heart-Spleen Blood Deficiency:


Type: The “Worrying Sleeper”.


Symptom: Falls asleep but wakes up tired. Or wakes up and immediately starts worrying. Dreams frequently about everyday things.


Constitution:Pale, tired, palpitations, poor appetite, forgetfulness. (Often students or young mothers.)


3. Heart-Kidney Disconnection (Yin Deficiency):


Type: The “Night Owl”.


Symptom: Wakes up in the middle of the night (often around 3:00 a.m.) and is wide awake. Feels mentally alert but physically tired at night.


Constitution: Night sweats, dry mouth, restlessness (warmth in palms), dizziness, tinnitus.


4. Gallbladder-Heart Qi Deficiency:


Type: The “Anxious Sleeper”.


Symptom: Wakes up with a start, heart palpitations, or fear. Doesn’t sleep well alone. Light sleeper, wakes up at every little sound.


Constitution: Timid, easily startled, indecisive.


5. Stomach Disharmony:


Type: The “Full Sleeper”.


Symptom: Restless sleep after eating. “If the stomach isn’t calm, the mind isn’t calm.”


Constitution: Bloated abdomen, belching, thick coating on the tongue.


Conclusion
Sleeping pills have a sedative effect on everyone, but they don’t address the underlying cause. In traditional Chinese medicine, you’re given a sedative herb for type 1, a nourishing herb for type 2, and a digestive herb for type 5.