03/10/2026
If you wake at 3am, a Chinese medicine practitioner wouldn’t ask about your mattress. They’d ask what you’ve been holding in.
In Traditional Chinese Medicine, each organ has its own two hours on the body clock, and 1 to 3am belongs to the liver. In that tradition the liver is also linked with frustration and things left unsaid.
This is a traditional view, not a diagnosis, and waking at 3am doesn’t mean anything is wrong with your liver. If poor sleep is ongoing, mention it to your GP.
What time do you wake? Tell me below.
Rima 🌿
Further reading:
Yo San University of Traditional Chinese Medicine, ‘Waking Up at 3 or 4 AM?’
Huang Di Nei Jing (Ling Shu), the classical text behind the organ clock”
What the sources say:
* Yo San University, an acupuncture college in Los Angeles, describes waking between 1 and 3am as a possible sign of liver congestion from stress or suppressed emotions, and links the liver with unresolved anger, frustration and stress. Article
* Me & Qi, a TCM reference site, traces the organ clock to the Huang Di Nei Jing (Ling Shu), chapter 44. Article
* Pulse Acupuncture makes the point that 3am waking in this system signals an energetic imbalance, not necessarily liver disease in the Western sense. Article