Sleep and Chinese Medicine: Why We Sleep Worse in Winter and What Actually Helps
If you have been lying awake since the clocks went back, you are not imagining it. Darker evenings, later sunrises and a sudden one-hour shift can throw the body clock out for days. Chinese medicine has its own way of explaining why: it sees sleep as the nightly moment when energy turns inwards and the mind comes home to rest, and it treats winter as the season for going to bed early and storing energy. In this guide, the UK Centre of Chinese Medicine (CCMUK) explains how that works, what your waking time might be telling you, what the research genuinely shows, and the small habits that make the biggest difference.
Key takeaways
- The UK clocks went back on Sunday 25 October 2026, and we stay on GMT until 28 March 2027.
- The average UK adult gets just three nights a week of good-quality sleep, according to the Mental Health Foundation.
- Chinese medicine describes sleep as Yang energy settling into Yin at night, with the Shen (mind) resting in the Heart.
- The classical texts advise going to bed early and getting up with the sun in winter, advice that fits well with modern body-clock science.
- Cognitive behavioural therapy for insomnia (CBT-I) is the first-line treatment for long-term insomnia. Acupuncture and tai chi show some promise but the evidence is less certain.
- Morning daylight, a regular bedtime, a lighter evening meal and a proper wind-down routine are the simplest places to start.
Why do we sleep worse after the clocks go back?
On paper, the October change gives us an extra hour in bed. In practice, it often does the opposite. Our internal body clock is set mainly by light, and once sunset slips before 5pm, many of us spend our evenings under bright indoor lighting and screens, then struggle to get up in the dark. For people who already sleep lightly, that small shift can be enough to tip them into a run of bad nights.
Poor sleep was already common before the clocks changed. A survey of 2,000 UK adults for the Mental Health Foundation found the average person gets only three nights of good sleep a week, and that worry and stress are among the biggest reasons why.
How does Chinese medicine explain sleep?
In Chinese medicine, day and night are the clearest expression of Yin and Yang. During the day, Yang energy is outward and active. At night, it is meant to draw inwards and settle into Yin, which is cool, quiet and nourishing. Classical texts describe sleep as happening when the body’s defensive energy (Wei Qi) moves inside at dusk, and waking as the moment it comes back out at dawn.
The mind, or Shen, is said to live in the Heart. When there is enough Blood and Yin to anchor it, the Shen settles at night and we sleep deeply. When the Shen is unsettled, by heat, worry, exhaustion or a heavy stomach, we lie awake, dream vividly or wake in the small hours. We explore the Shen and emotions in more depth in our guide to the seven emotions in Chinese medicine.
Winter is the season for storing energy
Each season has its own rhythm in Chinese medicine. Winter belongs to Water and the Kidneys, and its theme is storage and rest. The Huangdi Neijing, written more than two thousand years ago, advises that in the three months of winter we should go to bed early, get up late and wait for the sun before starting the day. It is striking how closely that matches what sleep scientists say today: morning light is the most powerful signal for setting the body clock, and winter is the time to protect it.
In winter, go to bed early and rise with the sun. Chinese medicine was giving body-clock advice long before anyone measured melatonin.
What your waking time may be telling you
Chinese medicine divides the 24 hours into two-hour periods, each linked to an organ system. Practitioners often ask when you wake, because a regular waking time can hint at which system is under strain. This is a traditional framework, not a diagnosis, but many people find it a useful starting point for a conversation.
Five common sleep patterns in Chinese medicine
Two people with insomnia can be treated very differently. A practitioner will look at your tongue and pulse, ask about digestion, temperature, dreams and mood, and then work out the pattern behind the poor sleep. Our article on pulse and tongue diagnosis explains how that assessment works. These are the patterns seen most often.
Heart and Spleen deficiency
Lying awake overthinking, tired but wired, poor appetiteCommon in people who are worn out by work or caring for others. The classical formula Gui Pi Tang is traditionally used to nourish Blood and calm the mind.
Liver Qi stagnation with heat
Waking between 1 and 3am, irritability, a busy mindStress and pent-up frustration are thought to block the smooth flow of Liver qi, which can generate heat that disturbs sleep.
Liver Blood deficiency
Restlessness, vivid dreams, difficulty getting to sleepSuan Zao Ren Tang, first recorded by the physician Zhang Zhongjing nearly 1,800 years ago, is the classical formula for this restless, unanchored kind of insomnia.
Heart and Kidney not communicating
Night sweats, palpitations, anxiety, waking hotOften seen in midlife and around menopause. Our menopause and Chinese medicine guide covers this pattern in more detail.
Stomach disharmony
Restless sleep after rich or late meals, heartburn, bloatingAn old Chinese saying holds that when the stomach is not at peace, sleep is not peaceful either. A lighter, earlier dinner is often the first fix.
What does the research say?
As a centre committed to research and education, we think you deserve an honest picture of the evidence, including where it is still thin.
CBT for insomnia (CBT-I)
Cognitive behavioural therapy for insomnia is the recommended first treatment for long-term insomnia in UK guidance, ahead of sleeping tablets. It is available through many NHS Talking Therapies services and as approved digital programmes, so it is worth asking your GP about.
Acupuncture
A Cochrane review of 33 trials involving 2,293 people found some signs that acupuncture may help insomnia, but the studies were small and of low quality. A 2025 Cochrane review in people with cancer found acupuncture was probably less effective than CBT-I for insomnia severity, though it may help total sleep time.
Tai chi and qigong
A 2023 meta-analysis of randomised trials in people with insomnia found tai chi improved sleep quality scores and reduced anxiety and depression. It is gentle, low-risk and easy to start at home.
Chinese herbal medicine
Formulas such as Suan Zao Ren Tang have a long history of use, but high-quality Western trials are still limited. Herbs that calm the mind can add to the effect of sleeping tablets, antidepressants and other sedating medicines, so professional advice really matters here.

Eight winter habits for better sleep
None of these are complicated, and you do not need to do them all at once. Pick two or three and give them a fortnight.
- Get daylight in the morning: even 15 to 20 minutes outside, ideally within an hour of waking, helps reset your body clock after the clocks change.
- Go to bed a little earlier: in keeping with the winter advice of the classics, aim to be winding down by about 10pm and keep the same wake time every day, weekends included.
- Eat a lighter, earlier dinner: try to finish eating two to three hours before bed and go easy on rich, spicy or very sweet food in the evening.
- Cut caffeine after midday: that includes strong tea, cola and dark chocolate, which can all keep a sensitive Shen awake.
- Warm your feet: a ten-minute warm foot soak before bed is a traditional Chinese way to draw energy downwards, and warm feet help many people drop off.
- Swap screens for a wind-down ritual: dim the lights, put the phone in another room and give yourself 30 minutes of reading, stretching or quiet.
- Breathe slowly: a few minutes of slow breathing or simple qigong in bed helps move energy out of the head and quieten a racing mind.
- Write down your worries: if your mind spins at 2am, a notebook by the bed gives those thoughts somewhere to go until morning.
Where food, teas and herbs fit in
What you eat during the day shapes how you sleep at night. Regular meals, plenty of vegetables and wholegrains, and foods traditionally used to nourish Blood and Yin, such as dates, goji berries, oats and leafy greens, all have a place in a sleep-friendly winter diet. Our colleagues at Phoenix NutriScience have written a practical guide to how food and lifestyle support a calmer mind, which is well worth reading alongside this one.
A warm, caffeine-free drink is also a simple signal to the body that the day is ending. If you would like to explore traditional options, Aura Nutrition, part of the same Phoenix family as CCMUK, makes a range of functional herbal teas and a Mind & Lifestyle collection of classical formulas made as food supplements. As with anything herbal, check with your GP or pharmacist first if you take sleeping tablets, antidepressants or other regular medicines, or if you are pregnant, and ideally choose formulas with a qualified practitioner who can match them to your pattern.

If stress is the main thing keeping you awake, you may also find our article on Chinese herbs for stress helpful.
When to speak to your GP
Most sleep problems settle with time and better habits, but it is worth seeing your GP or calling NHS 111 if:
- you have struggled to sleep for several weeks and changing your routine has not helped
- tiredness is affecting your work, driving, mood or relationships
- you snore loudly, gasp or stop breathing in your sleep, which can be a sign of sleep apnoea
- poor sleep is linked with low mood or anxiety. If you are struggling, you can call Samaritans free on 116 123, day or night.
Frequently asked questions
How does Chinese medicine explain insomnia?
Chinese medicine sees sleep as Yang energy settling into Yin at night, with the Shen (mind) resting in the Heart. Insomnia happens when the Shen is unsettled, usually by heat, worry, exhaustion, a lack of Blood or Yin, or a heavy stomach. Treatment depends on which of these patterns is behind it.
Why do I keep waking up at 3am?
In the Chinese body clock, 1 to 3am belongs to the Liver and 3 to 5am to the Lung. Waking at these times is traditionally linked with stress and frustration or with grief and shallow breathing. In modern terms, stress hormones, alcohol, a late meal or a too-warm bedroom are common causes. If it happens most nights for weeks, speak to your GP.
Why is sleep worse after the clocks go back?
The body clock is set mainly by light. After the clocks go back, evenings are dark earlier and many people spend them under bright indoor lights and screens, which can delay sleepiness. Morning daylight and a consistent wake time help the body adjust within a week or two.
Does acupuncture help with sleep?
Possibly. A Cochrane review of 33 trials found some signs of benefit for insomnia, but the evidence was low quality. Acupuncture appears less effective than CBT for insomnia, which remains the recommended first treatment. Many people still find acupuncture relaxing as part of a wider plan.
What does Chinese medicine recommend for sleep in winter?
Classical texts advise going to bed early and getting up with the sun in winter, eating warm and nourishing food, keeping the feet warm and avoiding overstimulation in the evening, so energy can be stored rather than spent.
Can I take Chinese herbs with sleeping tablets?
Not without professional advice. Some calming herbs can add to the effect of sleeping tablets, antidepressants and other sedating medicines. Always check with your GP or pharmacist and see a qualified Chinese herbal medicine practitioner.
What is the best treatment for long-term insomnia?
Cognitive behavioural therapy for insomnia (CBT-I) is the recommended first-line treatment in UK guidance. It is available through many NHS services and approved digital programmes, and its benefits tend to last after the course ends.
The bottom line
Sleeping badly for a week or two after the clocks go back is normal, and it usually settles. Chinese medicine offers a gentle way of thinking about it: winter is a season to slow down, go to bed earlier, eat warming food and protect your energy. Pair that wisdom with what modern sleep science recommends, especially morning light, a regular routine and CBT-I if problems persist, and most people find their way back to good nights.
Learn more with CCMUK
CCMUK is a not-for-profit centre dedicated to advancing Chinese medicine in the UK through education, research and publications. Explore our courses and CPD programmes, upcoming conferences and events, or read more on our blog.
Sources
- Royal Museums Greenwich. When do the clocks go back?
- Mental Health Foundation. Average adult has only 3 days a week with good quality sleep.
- Cheuk DKL, Yeung WF, Chung KF, Wong V (2012). Acupuncture for insomnia. Cochrane Database of Systematic Reviews.
- Acupuncture for insomnia in people with cancer (2025). Cochrane Database of Systematic Reviews.
- Yang M et al. (2023). Effects of tai chi on sleep quality, depression and anxiety in insomnia patients: a meta-analysis. International Journal of Environmental Research and Public Health.
- NICE (2022). Sleepio to treat insomnia and insomnia symptoms.
- Huangdi Neijing Suwen, Chapter 2: Great Treatise on Regulating the Spirit According to the Four Seasons.
This article is for educational purposes only and is not medical advice. Always consult a qualified healthcare professional about your health.