Awake at 2–3 a.m.
Falling asleep is no problem,
but your eyes open at 2 or 3 a.m.
If waking up before dawn
has been going on for months
Instead of covering it up with sleeping pills, we start by finding out why you wake up. This isn't about medicine that puts you to sleep. It's treatment that builds a body that stays asleep.
We allow about one month for symptoms to settle and three months to get the body back on track. It got tangled up gradually, so untangling it also takes time.
If you fall asleep but wake before dawn and can't get back to sleep,
that is insomnia too, and it has a name.
People whose nights go like this are the ones we see most in our clinic. And most of them have put up with it for a long time before coming in, thinking, "I can fall asleep, so it can't be insomnia." Waking up and not being able to get back to sleep is a type of insomnia called sleep maintenance insomnia.
Falling asleep is no problem,
but your eyes open at 2 or 3 a.m.
Once you wake, thoughts come flooding in,
and you toss and turn until morning.
You did sleep, but when you get up
you feel more tired than last night.
You worry you won't sleep again tonight,
so just lying down feels like a burden.
You've probably tried everything people recommend: going to bed early, warm water, half-body baths, and sleeping pills. Things got a little better for a while, and then you were back to those early-morning hours.
If the cause stays the same, the nights come back the same.
Research describes chronic insomnia not as "not getting enough sleep" but as a state where the body's arousal system doesn't switch off, even at night. Even lying down, the body can't get out of standby mode.
Korean medicine has long called the same thing "heat above, cold below": heat rising to the top while the lower body turns cold. The words differ, but they point to the same place.
And that rising heat comes in three types. When the type differs, so does the medicine.
If you keep changing methods without knowing which type you have, your nights won't change. That's why we start with tests.
Excess fire — heat you can see
Bringing the risen heat down
We help bring down heat gathered in the upper body so you can settle at night.
→ We track the flushed feeling when you lie down and how long it takes you to fall asleep.
Pent-up fire — so restless you can't fall asleep. The most common type
Releasing what's knotted up
We help release what's pent up so your nerves can calm down at night.
→ We track how much your thoughts keep running after you lie down and how often you wake before dawn.
Deficiency fire — heat rising when the body's reserves are running low
Replenishing what's lacking
We help replenish what's lacking so heat doesn't rise for no reason.
→ We track the warmth that rises at night and how well you've recovered by morning.
We start by checking numbers, not just how things feel.
We start by checking what time you wake up and what wakes you. If something in the body is waking you, like pain, needing to urinate at night, or reflux, we deal with that first. We also trace back when this started. Sometimes it begins after a long course of antibiotics, so we always ask.
There's an order to it. First comes the digestive system. Even good medicine just passes through if it can't be absorbed, and a large share of the hormones needed for sleep are made in the gut.
Next is replenishing what's lacking. A body that hasn't slept well for a long time has used up everything it had, and its reserves are empty.
We ease tension built up during the day with acupuncture and pharmacopuncture, and help restore a broken rhythm with herbal medicine matched to your test results. We work on bedtime habits together through bed retraining. We don't just hand out sleep hygiene tips on their own.
We compare the measures taken before treatment again at follow-up visits. If nothing has changed, we don't repeat the same treatment; we go back and look for the cause again.
2,417 test-based herbal prescriptions have shaped these standards.
We don't cut back from the start. First we confirm that the time it takes you to fall asleep and the number of times you wake at night have changed. Talk of reducing comes after that.
Please don't stop suddenly on your own. Stopping all at once can make sleep even harder and sometimes brings on anxiety or shaking. That's not because the medicine is bad. It's because of the way it was stopped.
When it's time to reduce, we'll guide you to take your records to the doctor who prescribed it and talk it over with them. How much and how fast to reduce is for the prescriber to decide. Our part is to build a body that makes that decision possible. If things get hard again while reducing, we slow down. Going back a step is not a failure.
Stopping the medication isn't the goal in itself. The goal is to build the conditions in your body for sleeping without medication, and reducing follows as a result.
Once you start reducing, there may be a harder stretch of about a week. We tell you that ahead of time. It's a reaction that happens when medication leaves the body suddenly, and we've written about it separately.
Seven questions to sum up how you've been sleeping lately.
The results don't diagnose anything. They give you a summary to bring to your visit.
A. Yes. That's the type we see most often. Waking up during the night (sleep maintenance insomnia) has different causes and calls for a different approach than trouble falling asleep. We start by asking what time you wake up.
A. Yes. You start while keeping your current medication, and we don't recommend stopping suddenly on your own. When it's time to reduce, we'll guide you to take your records to the doctor who prescribed it and talk it over with them. How much and how fast to reduce is for the prescriber to decide.
A. No. The EEG isn't a diagnostic tool. It's a reference for tendencies in alertness and a way to compare before and after treatment. Diagnosis is based on a consultation and an assessment of your sleep patterns, and when needed, we refer you to a sleep study center.
A. Deep sleep naturally comes only in the early part of the night. Even on a very good night it's about an hour and a half, and on a bad night 20 to 30 minutes. Nobody sleeps deeply all night long. Knowing this can ease the worry that "I never get deep sleep" a little.
A. Tests look for tissue damage or abnormal numbers. Problems like whether your body properly settles down at night may not be picked up. We check for those through abdominal and pulse diagnosis.
A. It's a way of correcting habits and thoughts that get in the way of sleep, through counseling. We go over together what time you go to bed and get up, and what you do when you can't sleep, and fix things one at a time. Some things medicine alone can't reach, so we use both together.
A. We allow about one month for symptoms to settle and three months to get the body back on track. Your body didn't get this way overnight. It got tangled up gradually, so untangling it also takes time. If you only want to try it for a month, we'll honestly tell you it may be better not to start. In a month, sleep quality may improve a little, but your overall condition won't have caught up yet. At a set point, we check the changes together and decide whether to continue or change direction. We won't keep you coming in with no end in sight.
A. We're open every day: until 8:30 p.m. on weekdays, and until 4:00 p.m. on weekends and public holidays. Many office workers come in after work.
의료진이 직접 전하는 건강 정보입니다.
Alcohol before bed puts you to sleep fast in the first half of the night, then wakes you often in the second. Three nights is enough to change your sleep. Stop at least 4 hours before bed and avoid three nights in a row.
Caffeine doesn't remove tiredness; it hides the sensor that notices it. Coffee 6 hours before bed still cut sleep by over an hour, and people didn't notice. Don't quit — just move your last cup earlier.
A nap uses up some of the sleep pressure you'd otherwise use at night. If you have insomnia, cut back. If you need one, keep it under 20 minutes, early in the afternoon, and out of bed.
Mornings when you don't have to count how many times you woke last night.
Evenings when going to bed doesn't fill you with dread.
Out of the cycle of repeated treatment, into a healthy daily life.
Progress and recovery speed vary from person to person, depending on the type of sleep problem, how long it has lasted, and any other conditions you have.
We've answered the questions we often hear in clinic, one per article.
Feel free to start with whatever you're curious about.