Questions people ask · Sleep

What time should I go to bed, according to Chinese medicine?

起居有常qǐ jū yǒu cháng · rising and resting with regularity

Bed
Before 11 pm, the gallbladder’s watch 子时
Rise
5 to 7 am, the large intestine’s watch 卯时, with the light
Noon
A short rest in the heart’s watch 午时, twenty minutes at most
By season
Later in spring and summer, earlier in autumn and winter
Longer read
Waking at three

Asleep before eleven, up between five and seven, and the window moved with the season: later to bed in summer, earlier in winter, always up with the light. The tradition does not give one number. It gives a rising hour, which it wants fixed, and a bed hour, which it wants before the liver’s watch begins at one. The Suwen sets the hours by season, and the organ clock explains why.

Plate

Morning light across a plaster wall, a celadon cup of clear infusion and dried herbs on a low elm table.
起居有常 · qǐ jū yǒu cháng · rising and resting with regularityFirst light. The Suwen sets the hours of sleep by the season and always ends the sentence the same way: rise with the light. It is the rising hour that the tradition fixes; the bed hour follows it.

答

The short answer

The tradition’s answer is a window, and the window moves. In practice, for most adults in most months: asleep before eleven, awake between five and seven, and the same rising time every day of the week. In summer the bed hour drifts later and the rising hour earlier; in winter both move earlier, and the Suwen actually says to wait for the sun. If you only fix one of the two ends, fix the rising hour. Everything else in the tradition’s sleep advice hangs from it.

The reasoning has two parts, one about the year and one about the night. The year part is in the second chapter of the Suwen, which gives each season its hours. The night part is the organ clock, which gives each two-hour watch to an organ and explains why eleven, and not midnight, is the line.

四气调神

What the tradition calls it

The Suwen’s second chapter is a set of instructions for living through the four seasons, and each season’s paragraph contains a sleep instruction. Read together they say something a clock cannot: that the right bed hour in July is the wrong one in January.

Suwen, chapter 2Plain Questions, On Regulating the Spirit with the Four Seasonsc. 200 BCE

In the three months of spring, go to bed at night and rise early, and walk in the courtyard with loose hair. In the three months of autumn, go to bed early and rise early, rising with the cockerel. In the three months of winter, go to bed early and rise late, and wait for the light of the sun.

春三月……夜卧早起,广步于庭……秋三月……早卧早起,与鸡俱兴……冬三月……早卧晚起,必待日光

The Lingshu explains the night itself as a tide. When the yang is spent and the yin is full, the eyes close; when the yin is spent and the yang rises, a person wakes. Bedtime, in this picture, is not an appointment but the moment you stop fighting the tide.

Lingshu, chapter 28The Spiritual Pivot, Questions Asked by Mouthc. 200 BCE

When the yang qi is exhausted and the yin qi is full, the eyes close. When the yin qi is exhausted and the yang qi is full, one wakes.

阳气尽,阴气盛,则目瞑;阴气尽而阳气盛,则寤矣

子午流注

Why eleven, and why the rising hour

The Ming physicians laid the twelve channels over the twelve watches of the day, so that each organ had a two-hour turn. The three watches that matter for bedtime are the last three before dawn.

9 to 11 pm
Triple burner 三焦 — the watch for winding down, the last meal long finished
11 pm to 1 am
Gallbladder 胆 — the tradition wants you asleep before this watch begins
1 to 3 am
Liver 肝 — the blood returns to the liver only if you are lying down and under
5 to 7 am
Large intestine 大肠 — the watch the body is meant to wake in, and to empty in

Hence eleven. The Suwen says the blood returns to the liver when a person lies down, and the liver’s watch is one to three; a body still upright at one has missed its own appointment. And hence the rising hour: the large intestine’s watch is when the tradition expects the bowels to move and the day to start, and it expects it at the same time every day. A fixed rising hour is the only part of the sleep schedule you can actually command. The bed hour follows it within a fortnight.

起居

What tends to help

  • Choose a rising hour you can keep on Sunday, and keep it. Set nothing else first.
  • Count back seven and a half to eight hours from it, and that is the hour to be under, not the hour to go upstairs.
  • Move the bed hour by half an hour, not two, when the season turns. The Suwen’s winter is early to bed and late to rise; its summer is the reverse.
  • A rest at noon, in the heart’s watch, of twenty minutes at most. Longer, and the tradition says you borrow it back from the night.
  • The last meal three hours before the bed hour, and no ginger, alcohol or strong tea in the evening.
  • Light in the morning, dark in the evening. Screens are light.

None of that is a promise, and we make none. It is the floor, and the rising hour is the plank under all of it.

慎

When this is not the right frame

Questions

Common questions about this

Is it bad to go to bed after midnight?

The tradition would say you have missed the gallbladder’s watch and are about to miss the liver’s, and that if you do it every night the blood that should return to the liver at one will not. In plain terms: the occasional late night is nothing; the habitual one is what the three o’clock waking is usually built on.

What if I am a night owl?

The classics were written for farmers, and a body that is genuinely alert at midnight and asleep at nine is not one they describe. What they do insist on, and what still applies, is regularity: the same rising hour daily and the bed hour counted back from it. A late but fixed schedule is closer to the tradition than an early but ragged one.

How long should a nap be?

Twenty minutes, in the heart’s watch between eleven and one, sitting or lying. The tradition prizes the noon rest and distrusts the long one, which it says is borrowed from the night. If you wake from a nap groggy, it was too long.

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