Why Do We Abruptly Wake Or Feel ill At Certain Time Of The Day ?


The 24 hour clock is divided into 12 two-hour intervals of the Qi (vital force) moving through the organ system. During sleep, Qi is drawn inward to restore the body. This phase is completed between 1 and 3 A.M., when the liver cleanses the blood and performs a myriad of functions that prepare the body for the Qi to move outward again.


The 12 hours after the prime functioning of the liver (which would be from 3 A.M. to 3 P.M.) include the energy cycles of the organs associated with daily activity: digestion and elimination. These organs include the lungs, large intestine, stomach, spleen/pancreas, heart and small intestine.


After 3 P.M., the flow of energy again moves inward to support internal organs associated with repairing the system. The purpose of this is to circulate fluids and heat, as well as to filter and cleanse. This time affects the pericardium, triple burner (coordinates water functions and temperature), bladder, kidneys, circulation/sex and the liver.


When one organ is at its peak energy, the organ at the opposite side of the clock, 12 hours away, is at its lowest ebb. For example, between 1-3 A.M., the liver reaches its peak, doing its work to cleanse the blood. At the same time, the small intestine (the organ responsible for the absorption and assimilation of many key nutrients) is at its lowest function.


What does this mean in real life application? For starters, it logically explains why you are taxing the system when it has to deal with late night meals and snacking. The body is not programmed to accommodate the modern habit of late-night eating habits and stimulation. When we eat late at night, food is not well absorbed by the small intestine (since it is resting) and the liver has little opportunity to do its job of housekeeping.


Why do we abruptly wake or feel ill at certain times of day?


The other morning I woke up at 5:26 A.M. from a nightmare about my teeth crumbling out of my mouth! Yes, I know that’s incredibly strange – a fun fact about me is that I have insane dreams that feel real, ALL the time. Once I had a dream that I was a horse. Literally. I was walking down the avenue by my house, just trotting on by, totally fine with the fact that I had four legs. Another time I had a dream that a teacher microwaved my tongue. I’ve never been normal, per say, so I suppose it comes with the territory?!


Anyway — the night I had the teeth dream I was a) dehydrated (drinking water is SO important) and b) constipated. TMI, but it happens to the best of us. I’m pretty sure (b) was caused by (a) because warm water with ginger and lemon upon waking did the trick. Regardless, both dehydration and constipation deal with the large intestine, which correctly lines up with the hours of 5-7 A.M. How fabulous is the human body? It is always leaving us clues in the forms of symptoms. Our symptoms are our friends; they are the language in which our body speaks. That’s why I love Chinese medicine… there are always charts and guides that allow you to translate these clues into the underlying issue.


As we discussed above, each “meridian” or organ system has a two hour period where they are the primary meridian. The meridians, however, are not just related to organs. They are linked to thoughts and emotions, color, sound, seasons and other spiritual aspects as well. When the energy of a meridian is not flowing well due to a block (like stress or toxicity), you’ll find that you’ll experience a sign or symptom from the meridian involved (just like my nightmare/abrupt waking).


If you also find you are waking up at the same time each night, or falling into a slump around 3 P.M., you can look at the meridian at work and what may be happening with you.


Here is a detailed list of the function of each meridian/organ system as well as the emotions that go with it. This is very important. Sometimes if we wake up at 3 A.M., it’s simply because we have a purely physical issue, i.e. the liver is not processing waste correctly or is hindered by gallstones. However, sometimes, the physical symptoms are manifesting because of an underlying emotion. The liver is heavily associated with anger, frustration, and rage; so if you’re waking up at 3 it might be because you’re holding onto toxic emotions that you must work through.


List of meridian functions from


3am – 5am : Lung Time


Early stirring gentle breathing




The toxic waste from your lungs becomes loosened between 3 to 5 am, and when you awaken, this is why you cough sometimes. Your lungs are trying to expel the loosened waste. If you are coughing in the morning, this indicates that your diet and lifestyle needs tweaking in order to reduce mucus and toxicity. Feeling ill at this time can also be an indication of deep grief that must be dealt with.


5am – 7am : Large Intestine Time


Rising and defecating





To get the day off to a good start, give yourself enough time early in the morning to honor the normal elimination function of the large intestine. The morning is the most important time to drink plenty of water and the worst time to have caffeine. Caffeine is a diuretic and takes water away from your colon to the kidneys and bladder for evacuation, but your body need water in the morning to keep up its repair and maintenance of the large intestine and colon. If you are feeling bad at this time, drink lots of water. Drinking plenty of water at this time keeps you from getting constipated, gaining weight, looking and feeling older and improves your overall health. From an emotional perspective, you may need to let go of guilt.


7am – 9am : Stomach Time


Healthy eating




Now the flow of energy moves to the stomach stimulating hunger. You are encouraged to eat a hearty, healthy breakfast and thereby producing good amounts of long-lasting energy. Eating larger meals of the day early delivers nourishment to the small intestine when it is strongest, which aids absorption and assimilation. Issues during this time may mean that your stomach is too cold (especially since we as a Western society love salads, ice water, and smoothies!) Be sure to drink ginger tea to nourish the stomach.


9am – 11am : Pancreas/Spleen Time


Thinking and working


Low Self-esteem


TCM considers the Spleen the most important digestive organ, so even a late breakfast will be digested easily. On the other hand, this is also the time when allergies can show up the strongest because the Spleen is busy working with the Liver and your immune system. A healthy spleen produces antibodies when there is an infection and constantly watches the blood for invaders. Illness during this time can mean your spleen is deficient, or you are worrying/having self esteem issues. The spleen is also aided by ginger tea (Lily’s solution to everything!)


11am – 1pm : Heart Time


Meeting talking and eating


Frightfully Sad


Don’t overtax your heart at this time. You may sometimes notice a rapid heartbeat, double beats and/or skipping beats during this time period. Research shows that seventy percent of heart attacks occur during this time frame. Being full of joy, enthusiastic and restful makes the heart stronger, whereas the opposite emotions of saddness and gloom weaken the heart. Doing anything heat inducing during this time is not good for optimal heart health as the heart has an aversion to heat according to the TCM.


1pm – 3pm : Small Intestine Time


Sorting and organizing


Vulnerable / Gullible

Feelings of Abandonment


Have you noticed that between 1 to 3 pm you are more apt to have indigestion, pain and bloating? This shows a problem with your small intestine. Are you feeling insecure, self doubt, or abandoned? Do you have leaky gut? Bone broth soup can work wonders for gut issues and malabsorption.


3pm – 5pm : Bladder Time


Storing and reserving

associated with the Skin




At this time you may notice that you are tired and want a nap. Salty foods strengthen the Bladder, so drinking a cup of savory miso soup or nutrient-rich broth would be beneficial at this time.


5pm – 7pm : Kidney Time


Driving and consolidating




The feeling of being tired and wanting a nap could continue into this time frame. On the other hand when the Kidneys are healthy and working properly, you will feel energetic at this time and not tired. The kidneys are aligned with the adrenals, the glands that produce cortisol to help us spring out of bed in the morning. Early morning, from 5-7 am, is when kidney energy is weakest—a reason that people with depleted kidney energy often have trouble waking up to a new day.


7pm – 9pm : Pericardium, Circulation Sex Time


Associated with the brain, including the pituitary and hypothalamus and the reproductive organs

Socializing and flirting


Hurt/Extreme Joy

Inability to Express Emotions



Between 7 to 9 pm do you have intense cravings for sweets or processed carbohydrates that turn to sugar immediately in the system? The reason is because the Kidneys regulate the Pancreas, and if you do consume sweets during that period, you may notice lower back pain, which is a kidney symptom. The kidneys, bladder and pancreas are all parts of the same whole. If you need a nap early in the evening it is just your pancreas, as directed by your kidneys, putting you out so it can do its repairs.


9pm – 11pm : Triple Warmer Time


Associated with the Thyroid and Adrenals

Controls Metabolism

Energy Transfer and Regulates Temperature

Relaxing and Chilling


Confusion, Paranoia


The Triple Warmer governs Blood Vessels and Arteries. From 9 to 11 pm the blood vessels go into repair mode. If you get headaches, feel abnormally tired or weak, this means that the blood vessels are in heavy repair.


11pm – 1am : Gall Bladder Time


Sleeping and regenerating




(Related to liver, see below)


1am – 3 am: Liver Time


Deep resting and dreaming





The Liver and Gallbladder spring into action between 11 pm to 3 am. Do you ever have nights when you can’t sleep at this time? This means that waste is not being processed by your liver and it acts as an irritant to your body causing insomnia and frayed nerves. Your brain just won’t stop. You may need to deal with unresolved anger and grudges towards others.

Understanding that every organ has a repair/maintenance schedule to keep on a daily basis offers you the opportunity to learn how to treat yourself for improved health and well-being. It also allows you to identify exactly which organ system or emotion needs strengthening/resolving. Always use your symptoms and body cues as a guide, and if you make a connection above, such as that you get sleepy between 5-7pm, don’t hesitate to research what you can do to strengthen that meridian (which would be the Kidneys). A great solution to deficient kidneys is having a sweet potato for breakfast!


Make sure to look at the emotional aspect too. If you’re sleepy during kidney time, do you have any fears holding you back from reaching your true potential? Are you afraid of rejection? Failure? Addressing this emotion will strengthen the organ and improve your physical health forever.


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Arogyam Panchkarma Centre & Ayurvedic Hospital, Opp. Police Station, Mehatpur (Una), Una
Himachal Pradesh, India