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Insomnia Due to Restlessness

How Chinese medicine differentiates insomnia driven by mental agitation into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Insomnia and Restless Sleeplessness pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Persistent insomnia deserves a full assessment rather than assuming a single pattern from this list alone.
General Acupuncture Points

Acupuncture points traditionally used for insomnia due to restlessness — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding. Calms the Mind.
GB-20Subdues Liver-Yang. Clears Heat. Nourishes Marrow and clears the Brain.
PC-5Calms the Mind, opens the Mind's orifices and resolves Phlegm in the Heart. Harmonizes the Stomach and subdues rebellious Qi.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi. Calms the Mind and opens the Mind's orifices.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Calms the Mind.
HT-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
KI-6Nourishes Kidney-Yin. Calms the Mind. Invigorates the Yin Stepping Vessel.
HT-6Invigorates Heart-Blood. Nourishes Heart-Yin and clears Empty-Heat of the Heart. Stops sweating. Calms the Mind.
HT-8Clears Heart-Fire, Heart Empty-Heat and Heart Phlegm-Fire. Calms the Mind.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Fire Blazing View full pattern →

Clinical manifestations: Throbbing headache at the temples or crown, bitter taste, intense irritability, red or burning eyes, burning rib pain, mental agitation.
Tongue: Red body with redder sides, dry yellow coating, possible red prickles. Pulse: Wiry, rapid, and forceful, especially at the left middle position.
Treatment principle: Drains excess Fire from the Liver and Gall-Bladder, clears Damp-Heat, soothes the agitated Heart-Shen.
Note: no moxa. Direct exact-name match with this site's own Liver-Fire-blazing slide.

2. Phlegm-Fire Harassing the Heart View full pattern →

Clinical manifestations: Chest oppression or fullness, thick yellow sticky phlegm, bitter taste, head heaviness, flushed face, mental restlessness.
Tongue: Red body, swollen with red prickles on the tip, thick yellow greasy coating. Pulse: Slippery and rapid, forceful especially at the left Cun position.
Treatment principle: Clears Heat, transforms Phlegm clouding the Heart, calms the Mind.
Note: no moxa. Direct exact-name match with this site's own Phlegm-Fire-harassing-the-Heart slide.

3. Heart and Spleen Qi and Blood Deficiency View full pattern →

Clinical manifestations: Excessive dreaming with frequent waking, palpitations and anxiety, poor appetite and bloating, pale complexion, lips, and nails, fatigue, loose stools, poor memory.
Tongue: Pale, puffy with teeth marks and thin white coating. Pulse: Fine and weak, especially empty at the left Cun position and soft at the right Guan position.
Treatment principle: Strengthens the Spleen, nourishes Heart-Blood, anchors the spirit through tonification.
Note: moxa applicable. Linked to this site's own Spleen-and-Heart-Blood-deficiency slide — the source names a combined Qi-and-Blood deficiency while the deck slide is pure-Blood-framed, a framing gap flagged consistent with this session's earlier Heart-and-Spleen pages.

4. Disharmony Between Heart and Kidneys View full pattern →

Clinical manifestations: Night sweats, lower back and knee soreness, heat in the palms, soles, and chest, tinnitus, poor memory, dry mouth and throat, restlessness.
Tongue: Red, thin body with redder tip, little or no coating, possible midline crack. Pulse: Fine and rapid, weaker at the rear (Chi) position.
Treatment principle: Nourishes Kidney-Yin to cool rising Empty-Heat, restores Heart-Kidney communication.
Note: no moxa. Direct exact-name match with this site's own Kidneys-and-Heart-not-harmonized slide.

5. Heart Fire Blazing View full pattern →

Clinical manifestations: Mental restlessness and agitation, very red tongue tip with red points, mouth or tongue ulcers with red edges, dark yellow urine, chest heat sensation.
Tongue: Red body, tip markedly redder with red prickles, yellow dry coating, midline crack may extend to the tip. Pulse: Rapid, forceful, overflowing, especially at the left Cun position, possibly hasty.
Treatment principle: Drains Heart-Fire directly, resolves toxicity, extinguishes blazing Fire disturbing the Shen.
Note: no moxa. Direct exact-name match with this site's own Heart-Fire-blazing slide.
Related conditions

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