Clinic cases

Waking too many times a night, restored to deep, unbroken sleep

C.H. · Female, age 56

This case was written by Dr. Laura Cowburn, Doctor of TCM and Registered Acupuncturist in Alberta.

Mental Health & Sleep Sleep Urinary

At a glance

Hours to fall asleep and constant night-time waking, resolved by warming the Kidneys and unwinding stress — deep sleep within a month.

Presentation

A 56-year-old patient came to the clinic with two layers of disrupted sleep. First, it took her hours to fall asleep at night. Second, once asleep she woke repeatedly to urinate, and the constant interruptions robbed her of the deep and REM sleep the body needs to feel truly rested.

The result was the familiar toll of chronic sleep loss — low energy, foggy days, and a sense that no amount of time in bed was enough.

Diagnosis

Two patterns were working together. The difficulty falling asleep traced back to stress driving Liver Qi stagnation — when Qi cannot flow smoothly, the mind stays wound up and won't settle. The repeated night-time waking traced to Kidney Yang deficiency, where the body's warming, consolidating energy is too weak to hold fluids through the night, leading to frequent urination. Each needed its own approach.

Treatment

Treatment addressed both patterns in parallel — warming and consolidating the Kidneys to settle the bladder overnight, and releasing the stress pattern keeping her awake:

To tonify Kidney Yang, a custom herbal formula was prescribed and paired with guidance toward regular aerobic exercise. To release the stress and smooth the Liver Qi, treatment combined acupuncture, ear seeds, and supportive work on day-to-day attitude and stress habits.

Result

Within a month, the patient could fall asleep easily and stay asleep through the night. With the bladder settled and the mind unwound, her sleep became deep and unbroken again — and her daytime energy returned with it.

This reflects an individual patient experience, not clinical trial data.

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