What is the best medicine for insomnia due to kidney yin deficiency?

Dec 12, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
In general, insomnia due to kidney yin deficiency is often caused by insufficiency of kidney yin and disturbance of the heart by deficient fire. Patients may follow medical advice to use medications such as Liuwei Dihuang Pills, Zhibai Dihuang Pills, Tianwang Buxin Dan, Qiju Dihuang Pills, and Jiaotai Pills for treatment. It is important in daily life to develop healthy habits, avoid staying up late and excessive fatigue, and reduce intake of spicy or stimulating foods. Before bedtime, relaxation techniques such as foot soaking or meditation can help relax both body and mind.

Generally, insomnia due to kidney yin deficiency is mainly caused by insufficiency of kidney yin and ascending deficient fire disturbing the heart. Patients may follow medical advice to use traditional Chinese medicine formulas such as Liuwei Dihuang Pills, Zhibai Dihuang Pills, Tianwang Buxin Dan, Qiju Dihuang Pills, and Jiaotai Pills for treatment. The specific analysis is as follows:

1. Liuwei Dihuang Pills (Six-Ingredient Rehmannia Pills)

Liuwei Dihuang Pills consist of herbs such as Rehmannia glutinosa (prepared) and Cornus officinalis, which nourish kidney yin. When kidney yin is sufficient, the deficient fire naturally subsides, calming the mind and improving symptoms such as insomnia with vivid dreams, dizziness, tinnitus, soreness and weakness in the lower back and knees—commonly seen in kidney yin deficiency. It serves as a fundamental formula for constitutional regulation.

2. Zhibai Dihuang Pills

Zhibai Dihuang Pills are based on Liuwei Dihuang Pills with the addition of Anemarrhena rhizome (Zhimu) and Phellodendron bark (Huangbai), enhancing the effect of nourishing yin and reducing deficient fire. This formula is suitable for individuals with pronounced internal heat due to severe kidney yin deficiency. By clearing away the false fire that disturbs the heart, it effectively relieves insomnia accompanied by symptoms such as night sweats, tidal fever, and hot palms and soles.

3. Tianwang Buxin Dan (King of Heaven's Heart-Nourishing Pill)

Tianwang Buxin Dan contains yin-nourishing ingredients like raw Rehmannia and Scrophularia, combined with sedative herbs such as sour jujube seed (Ziziphus spinosa) and Polygala root. It nourishes yin and blood, enriches the heart, and calms the spirit. It is particularly effective for treating insomnia, forgetfulness, palpitations, and anxiety caused by kidney yin deficiency and insufficient heart blood.

4. Qiju Dihuang Pills

Qiju Dihuang Pills are derived from Liuwei Dihuang Pills with added Lycium fruit (Gouqizi) and chrysanthemum flowers. These additions enhance its ability to nourish both the kidneys and liver. Since the liver and kidneys share a common source in TCM theory, nourishing liver yin supports the recovery of kidney yin. This formula is ideal for insomnia caused by kidney yin deficiency associated with upward flare-up of liver fire, especially when accompanied by dry eyes, blurred vision, and other visual disturbances.

5. Jiaotai Pills

Jiaotai Pills contain Coptis rhizome (Huanglian) and cinnamon bark (Rougui), promoting communication between the heart and kidneys. In kidney yin deficiency, heart fire tends to become hyperactive, leading to disharmony between the heart and kidneys and resulting in insomnia. This formula balances the two organs by clearing heart fire and warming kidney yang, thus improving insomnia associated with irritability, cold pain in the lower back and knees, and other related symptoms.

In daily life, it's important to develop healthy habits: avoid staying up late and overexertion, reduce intake of spicy and stimulating foods. Before bedtime, practices such as foot soaking and meditation can help relax the body and mind, minimize emotional fluctuations, and support medication in improving sleep quality.

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