A traditional Chinese medicine composition for treating postpartum insomnia and application thereof

Abstract

The present application relates to the technical field of traditional Chinese medicine, and particularly relates to a traditional Chinese medicine composition for treating postpartum insomnia and application thereof, which comprises Astragalus membranaceus, Codonopsis pilosula, Salvia miltiorrhiza, Ziziphus jujuba Mill. var. spinosa, Lilium brownii, Caulis Polygoni Multiflori, Albizia julibrissin, Poria cocos, Atractylodes macrocephala Koidz and Glycyrrhiza uralensis. In the prescription, Astragalus membranaceus and Codonopsis pilosula are used to tonify qi and consolidate the foundation, Ziziphus jujuba Mill. var. spinosa, Lilium brownii, Caulis Polygoni Multiflori and Albizia julibrissin are used to calm the nerves, Salvia miltiorrhiza is used to activate blood, Atractylodes macrocephala Koidz is used to invigorate the spleen, and Glycyrrhiza uralensis is used to harmonize all the medicines. The whole prescription can tonify qi, activate blood, nourish the heart and calm the nerves, and realize the organic unity of constitution regulation and insomnia symptom improvement. The medicinal materials of the composition are all commonly used non-toxic products recorded in the pharmacopoeia, and have high safety. The composition can be prepared into various oral dosage forms such as decoction, granules, capsules and oral liquid, and is especially suitable for lactating women. The composition provides a safe and effective individualized treatment scheme with strong pertinence for postpartum insomnia patients with qi deficiency constitution according to traditional Chinese medicine syndrome differentiation.

Description

Technical Field

[0001] This invention relates to the field of traditional Chinese medicine technology, specifically to a traditional Chinese medicine composition for treating postpartum insomnia and its application. Background Technology

[0002] Sleep disorders have become a global health problem, with insomnia being the most common. Postpartum women often experience sleep disturbances due to various factors, including difficulty urinating during childbirth, wound pain, and disruptions to sleep rhythms caused by breastfeeding and infant care. In particular, drastic hormonal changes can trigger a range of physical symptoms. Postpartum insomnia is often accompanied by varying degrees of depression or anxiety, and insomnia is a common symptom of depression. The rapid hormonal changes within 24 hours postpartum can lead to postpartum depression. Sleep disorders can also weaken the mother's immune system and affect infant feeding and growth, posing a dual threat to maternal and infant health.

[0003] Currently, clinical treatments for postpartum insomnia have significant limitations. Western medicine treatments, such as sedatives, hypnotics, antipsychotics, and antidepressants, are prone to drug resistance and adverse reactions. Furthermore, the safety risks of medication use during lactation are high, severely restricting their clinical application. Existing traditional Chinese medicine (TCM) preparations fail to consider the specific physical differences of postpartum women, resulting in inconsistent efficacy and failing to meet personalized treatment needs. TCM theory holds that postpartum women often experience "deficiency and blood stasis," with depletion of Qi and blood and imbalance of organ function being the core pathogenesis of their insomnia. Furthermore, differences in constitution directly affect the development and prognosis of the condition. Clinical surveys show that a significantly higher proportion of postpartum insomnia patients have a Qi deficiency constitution according to TCM. These patients, in addition to insomnia, often experience fatigue, shortness of breath, lethargy, sallow complexion, spontaneous sweating, palpitations, poor appetite, and loose stools—all symptoms of Qi deficiency. The core pathogenesis is postpartum blood loss and fluid depletion, insufficient Qi and blood production, and inability to nourish the mind and spirit, leading to restlessness and insomnia.

[0004] Modern pharmacological research on traditional Chinese medicine (TCM) has confirmed that the active ingredients of TCM can exert sedative, hypnotic, and anti-anxiety / depressive effects through pathways such as regulating GABAergic neurotransmission, balancing hippocampal neurotransmitters, and inhibiting excessive activation of the hypothalamic-pituitary-adrenal axis. This provides a scientific basis for the TCM treatment of postpartum insomnia patients with Qi deficiency. Addressing the characteristic of postpartum insomnia patients with Qi deficiency—"Qi deficiency as the root cause, and insomnia as the symptom"—and combining the findings of TCM pharmacological research, the development of a safe and effective TCM composition that addresses both symptom improvement and constitution regulation has become an urgent clinical need and aligns with the TCM treatment philosophy of "holistic regulation, addressing both the root cause and the symptoms." Summary of the Invention

[0005] The purpose of this invention is to provide a traditional Chinese medicine composition for treating postpartum insomnia. Targeting the core pathogenesis of postpartum women's "multiple deficiencies and blood stasis" and the "qi deficiency as the root cause and restlessness of the mind as the manifestation" in patients with qi deficiency-type insomnia, the formula uses Astragalus membranaceus and Codonopsis pilosula as the principal herbs to tonify qi and strengthen the body's foundation. It also uses Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, and Poria cocos as assistant herbs to soothe the mind through multiple pathways. Salvia miltiorrhiza is used to invigorate blood circulation, and Atractylodes macrocephala is used to strengthen the spleen, addressing postpartum blood stasis while preventing excessive tonification. Glycyrrhiza uralensis is used to harmonize the various herbs. The entire formula works synergistically to invigorate qi and blood circulation, nourish the heart and calm the mind, achieving an organic unity between constitution regulation and improvement of insomnia symptoms.

[0006] To achieve the above-mentioned technical objectives and effects, the present invention is implemented through the following technical solution: A traditional Chinese medicine composition for treating postpartum insomnia includes: Astragalus membranaceus, Codonopsis pilosula, Salvia miltiorrhiza, Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, Poria cocos, Atractylodes macrocephala, and Glycyrrhiza uralensis.

[0007] Furthermore, the weight proportions of each raw material are as follows: Astragalus membranaceus 15-20 parts, Codonopsis pilosula 12-18 parts, Salvia miltiorrhiza 12-18 parts, Ziziphus jujuba var. spinosa 12-18 parts, Lilium brownii 18-22 parts, Polygonum multiflorum 18-22 parts, Albizia julibrissin bark 12-18 parts, Poria cocos 12-18 parts, Atractylodes macrocephala 10-15 parts, Glycyrrhiza uralensis 4-8 parts, and / or In the composition, the total weight ratio of Astragalus membranaceus, Codonopsis pilosula, and Atractylodes macrocephala to the total weight ratio of Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, and Poria cocos is 1:1.5 to 1:2.5.

[0008] Furthermore, the raw materials are in the following weight proportions: Astragalus membranaceus 18 parts, Codonopsis pilosula 15 parts, Salvia miltiorrhiza 15 parts, Ziziphus jujuba var. spinosa 15 parts, Lilium brownii 20 parts, Polygonum multiflorum 20 parts, Albizia julibrissin bark 15 parts, Poria cocos 15 parts, Atractylodes macrocephala 12 parts, and Glycyrrhiza uralensis 5 parts.

[0009] Furthermore, the traditional Chinese medicine composition is formulated into an oral preparation.

[0010] Furthermore, the oral preparation is a decoction, granules, capsules, oral liquid, pills, powders, or tablets.

[0011] Furthermore, the oral formulation also contains pharmaceutically acceptable excipients selected from one or more of flavoring agents, fillers, binders, disintegrants, and lubricants.

[0012] On the other hand, the present invention proposes the application of the above-mentioned traditional Chinese medicine composition in the preparation of a medicine for treating postpartum insomnia.

[0013] The beneficial effects of this invention are: This invention uses Astragalus membranaceus and Codonopsis pilosula as the principal herbs, both of which enter the spleen and lung meridians. They work synergistically to directly address the root cause of postpartum qi and blood deficiency and weakness. Astragalus membranaceus is excellent at tonifying the spleen and lung qi, making it a highly effective qi-tonifying herb. Modern research shows that its active ingredient, Astragalus polysaccharide, can significantly regulate the body's energy metabolism and enhance immune function, thereby directly improving symptoms of qi deficiency such as fatigue, shortness of breath, and reluctance to speak. Codonopsis pilosula strengthens the spleen, replenishes qi, nourishes blood, and generates body fluids. Its components, such as Codonopsis pilosula polysaccharide, can effectively increase red blood cell and hemoglobin levels, working synergistically with Astragalus membranaceus to lay the material foundation for nourishing the mind and spirit. Targeting the symptoms of insomnia, the formula employs a multi-pronged approach, utilizing the following herbs—Ziziphus jujuba seed, lily bulb, Polygonum multiflorum stem, Albizia julibrissin bark, and Poria cocos—to exert a calming effect from different perspectives: Ziziphus jujuba seed nourishes the heart yin and benefits liver blood; its saponins can significantly increase the content of GABAergic neurotransmitters in the brain, producing a sedative and hypnotic effect. Lily bulb clears the heart and calms the mind; its lily glycosides can regulate the balance of monoamine neurotransmitters in the hippocampus and alleviate internal heat disturbances. Polygonum multiflorum stem nourishes blood and calms the mind; modern pharmacology has confirmed that its extract can prolong slow-wave sleep time. Albizia julibrissin bark relieves depression and calms the mind; its total glycosides have a clear anti-anxiety effect, especially for postpartum emotional distress. Poria cocos strengthens the spleen and calms the mind; its polysaccharide components can synergistically regulate the central nervous system, guiding the calming effects of the other herbs towards the heart meridian. This synergistic combination ensures that the qi-tonifying power directly reaches the affected area, while the calming effect comprehensively covers the entire body, fundamentally achieving simultaneous treatment of qi tonification and mind-calming.

[0014] Postpartum women often experience blood stasis in addition to qi and blood deficiency. Simply tonifying the body may lead to stagnation. The formula includes Danshen (Salvia miltiorrhiza) to invigorate blood circulation, remove blood stasis, and calm the mind. Its fat-soluble component, tanshinone, and water-soluble component, salvianolic acid, have clear effects on improving microcirculation and inhibiting platelet aggregation, allowing blood stasis to be removed and new blood to be generated. This promotes smooth heart circulation and calms the mind, avoiding the cloying effects that may result from simply tonifying blood. Meanwhile, Baizhu (Atractylodes macrocephala) strengthens the spleen, invigorates qi, dries dampness, and promotes diuresis. It not only assists the principal herb in strengthening the middle jiao (middle burner) and ensuring a source for the generation of qi and blood, but also prevents the cloying effects of other calming herbs such as jujube seed and lily bulb from harming the stomach. The combination of Danshen and Baizhu, one invigorating blood to promote qi and blood circulation and the other strengthening the spleen to promote the absorption of the medicine, works together to maintain the digestive function of the middle jiao, ensuring that the entire formula is tonifying without causing stagnation and nourishing without being cloying. This allows the tonifying ingredients to be smoothly transformed into qi and blood essence, thereby maximizing their effect of nourishing the mind and spirit.

[0015] The ingredients used in this formula, including Astragalus membranaceus, Codonopsis pilosula, Salvia miltiorrhiza, Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, Poria cocos, Atractylodes macrocephala, and Glycyrrhiza uralensis, are all listed in the Pharmacopoeia of the People's Republic of China. Many of these herbs are food-grade medicinal materials, and long-term use has no toxic side effects or dependency. More importantly, this invention has determined the weight ratio of each herb through extensive clinical practice, particularly the proportions of the principal herbs, Astragalus membranaceus (15-20 parts), Codonopsis pilosula (12-18 parts), and the assistant herbs, Ziziphus jujuba var. spinosa (12-18 parts) and Lilium brownii (18-22 parts), achieving a dynamic balance between the qi-tonifying and calming effects. For example, in the preferred embodiment, the ratio of 18 parts Astragalus membranaceus, 15 parts Codonopsis pilosula, 15 parts Ziziphus jujuba var. spinosa, and 20 parts Lilium brownii has been clinically verified to significantly improve both qi deficiency syndrome scores and sleep quality index, demonstrating the scientific implications of dose-effect relationships. Meanwhile, the composition can be prepared into various dosage forms such as decoction, granules, and oral liquid. Among them, the granules and oral liquid have significantly improved taste through flavoring technology, which greatly improves the medication compliance of postpartum breastfeeding women, while the decoction provides standardized decoction process parameters to ensure the stability and uniformity of efficacy between different batches.

[0016] Of course, any product implementing this invention does not necessarily need to achieve all of the advantages described above at the same time. Detailed Implementation

[0017] The technical solutions in the embodiments of the present invention will be clearly and completely described below. Obviously, the described embodiments are only some embodiments of the present invention, and not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of the present invention.

[0018] Example 1

[0019] This embodiment describes a traditional Chinese medicine composition for treating postpartum insomnia, comprising: Astragalus membranaceus, Codonopsis pilosula, Salvia miltiorrhiza, Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, Poria cocos, Atractylodes macrocephala, and Glycyrrhiza uralensis. Based on an understanding of the core pathogenesis of postpartum insomnia—"Qi deficiency as the root cause and restlessness of the mind as the manifestation"—and taking into account the unique physiological state of "multiple deficiencies and blood stasis" postpartum, Astragalus membranaceus and Codonopsis pilosula serve as the principal herbs, targeting the fundamental Qi deficiency and weakness, exerting the effects of tonifying Qi, strengthening the spleen, and replenishing the middle Jiao, aiming to directly improve the fundamental state of insufficient Qi and blood production and malnourishment of the mind postpartum. Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, and Poria cocos serve as assistant herbs, supporting the principal herbs. Sour jujube seed and lily bulb work synergistically to enhance the heart-nourishing, calming, and spirit-stabilizing effects, thus soothing a restless mind. Polygonum multiflorum stem and Albizia julibrissin bark focus on nourishing blood, calming the mind, relieving depression, and promoting mood. Their calming effect helps alleviate anxiety and irritability caused by insomnia, and their mood-relieving properties can alleviate postpartum emotional distress. Poria cocos strengthens the spleen, calms the mind, and harmonizes the heart and kidneys, guiding the calming effects of the other herbs back to their proper positions. The adjuvant herbs are divided into two groups. One group consists of Salvia miltiorrhiza and Atractylodes macrocephala. Salvia miltiorrhiza invigorates blood, removes blood stasis, calms the mind, and addresses the common postpartum blood stasis, promoting new blood production and unblocking the heart vessels to calm the mind. Atractylodes macrocephala strengthens the spleen, replenishes qi, dries dampness, and promotes diuresis, assisting the principal herbs in strengthening the middle jiao (spleen and stomach) and ensuring the continuous generation of qi and blood. It also prevents the calming herbs from being too rich and cloying, ensuring the entire formula is nourishing without causing stagnation. The guiding herb, licorice root, is used to harmonize the cold and hot properties and ascending and descending properties of the other herbs, and to protect the spleen and stomach in the middle jiao.

[0020] To achieve stable efficacy and clarify the dose-response relationship of the above-mentioned formulation, this embodiment further specifies the weight ratio of each raw material: Astragalus membranaceus 15-20 parts, Codonopsis pilosula 12-18 parts, Salvia miltiorrhiza 12-18 parts, Ziziphus jujuba var. spinosa 12-18 parts, Lilium brownii 18-22 parts, Polygonum multiflorum 18-22 parts, Albizia julibrissin bark 12-18 parts, Poria cocos 12-18 parts, Atractylodes macrocephala 10-15 parts, and Glycyrrhiza uralensis 4-8 parts. The dosage range of the principal herbs, Astragalus membranaceus and Codonopsis pilosula, lays the foundation for the overall formula's qi-tonifying and foundation-strengthening medicinal strength. The two herbs work synergistically to ensure that abundant qi can generate blood, and sufficient blood can nourish the spirit. The dosages of the assistant herbs, Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum var. spinosa, Albizia julibrissin bark, and Poria cocos, correspond reasonably with the principal herbs, accounting for approximately 45-50% of the total dosage. This reflects the formula's principle of simultaneously emphasizing "calming the mind and treating the symptoms" and "tonifying qi and strengthening the foundation," ensuring that the calming effect is sufficient to alleviate the symptoms of insomnia. In the adjuvant herbs, the dosage of Danshen and Atractylodes macrocephala maintains a reasonable gradient with that of the principal herbs. Danshen invigorates blood circulation without harming the body's vital energy, while Atractylodes macrocephala strengthens the spleen without causing stagnation. Together, they ensure that the entire formula is nourishing without causing stagnation and moisturizing without being cloying. The guiding herb, licorice, is used in the lightest dosage, appropriately positioning its auxiliary role in harmonizing the other herbs.

[0021] Example 2

[0022] The weight ratio of each raw material in the traditional Chinese medicine composition described in this embodiment is as follows: Astragalus membranaceus 18 parts, Codonopsis pilosula 15 parts, Salvia miltiorrhiza 15 parts, Ziziphus jujuba var. spinosa 15 parts, Lilium brownii 20 parts, Polygonum multiflorum 20 parts, Albizia julibrissin 15 parts, Poria cocos 15 parts, Atractylodes macrocephala 12 parts, and Glycyrrhiza uralensis 5 parts. The principal herbs are in equal amounts, providing a balanced and robust effect in tonifying Qi. The assistant herbs have sufficient blood-nourishing and calming effects; the dosage of Lilium brownii and Polygonum multiflorum is slightly higher than other calming herbs to enhance their effects of clearing the heart and lungs, nourishing blood and unblocking the meridians, thus addressing postpartum symptoms of internal heat and blood deficiency. The adjuvant herbs Salvia miltiorrhiza and Atractylodes macrocephala are used in appropriate amounts to invigorate blood and strengthen the spleen without harming the body's vital energy. The guiding herb, Glycyrrhiza uralensis, is used in just the right amount. The entire formula achieves optimal synergy in tonifying Qi, calming the mind, and invigorating blood and strengthening the spleen. Clinical trials have shown that it is particularly effective for postpartum insomnia patients with significant fatigue, shortness of breath, lethargy, and sallow complexion—symptoms of Qi deficiency.

[0023] Example 3

[0024] The weight proportions of the raw materials in the traditional Chinese medicine composition described in this embodiment are as follows: Astragalus membranaceus 15 parts, Codonopsis pilosula 12 parts, Salvia miltiorrhiza 12 parts, Ziziphus jujuba var. spinosa 12 parts, Lilium brownii 18 parts, Polygonum multiflorum 18 parts, Albizia julibrissin bark 12 parts, Poria cocos 12 parts, Atractylodes macrocephala 10 parts, and Glycyrrhiza uralensis 4 parts. This proportion is the lower limit adjustment scheme of Example 2, which is suitable for postpartum insomnia patients with mild qi deficiency or those who are more sensitive to tonifying drugs. It reflects the flexibility of this formula to be adjusted according to individual differences in constitution, and can also achieve the effect of tonifying qi and calming the mind.

[0025] Example 4

[0026] The weight proportions of the raw materials in the traditional Chinese medicine composition described in this embodiment are as follows: Astragalus membranaceus 20 parts, Codonopsis pilosula 18 parts, Salvia miltiorrhiza 18 parts, Ziziphus jujuba var. spinosa 18 parts, Lilium brownii 22 parts, Polygonum multiflorum 22 parts, Albizia julibrissin 18 parts, Poria cocos 18 parts, Atractylodes macrocephala 15 parts, and Glycyrrhiza uralensis 8 parts. This proportion is an upper limit adjustment scheme of Example 2, suitable for postpartum insomnia patients with severe qi deficiency or long course of disease. By enhancing the qi-tonifying power of the principal herb and the calming effect of the assistant herb, it can cope with more complex conditions.

[0027] Example 5

[0028] Based on the same inventive concept, namely, using the above-mentioned specific combination of medicinal materials and their weight ratio, the traditional Chinese medicine composition of this invention can be prepared into various drug dosage forms that are convenient for clinical use and storage using conventional formulation techniques in the art. For example, the medicinal materials in the ratio described in Example 2 can be decocted twice with water. The first decoction is decocted with 10 times the amount of water for 1 hour, and the second decoction is decocted with 8 times the amount of water for 45 minutes. The decoctions are combined, filtered, and a decoction is obtained. Alternatively, the effective substances in the medicinal materials can be extracted by methods such as water extraction and alcohol precipitation, spray drying, etc. The obtained extract is mixed with pharmaceutically acceptable excipients such as dextrin, sucrose, starch, microcrystalline cellulose, magnesium stearate, etc., and prepared into solid oral dosage forms such as granules, tablets, capsules, or pills according to conventional processes. These conversions of different dosage forms do not change the composition and ratio of the core active ingredients of the composition of this invention; they are merely changes in physical form to adapt to different clinical application scenarios. The efficacy stability is jointly guaranteed by the ratio of the raw materials and the extraction and preparation process.

[0029] Example 6

[0030] Case General situation Name: Zhang (surname unknown) Gender: Female Age: 29 Date of visit: January 15, 2026 Date of record: January 15, 2026 Medical history narrator: Patient himself Reliability: Reliable Chief complaint Three weeks postpartum, I experienced insomnia accompanied by fatigue for two weeks, which worsened over the past three days.

[0031] Present Illness The patient delivered a full-term baby girl vaginally three weeks ago. Postpartum, she experienced no fever, abdominal pain, or other abnormalities. Her lochia was moderate in amount, pale red in color, and odorless. Two weeks ago, she began experiencing insomnia, characterized by difficulty falling asleep, requiring 1-2 hours of bed rest before falling asleep. She also experienced frequent awakenings at night, 3-4 times per night, and difficulty falling back asleep, resulting in less than 5 hours of total sleep time. She also experienced fatigue, which worsened with activity, shortness of breath, lethargy, spontaneous sweating, but no significant night sweats. Her appetite was poor, with food intake reduced by one-third compared to her pre-pregnancy levels. Her breast milk was scant and thin, without breast engorgement. She occasionally experienced dizziness, but no headaches or chest tightness. Bowel movements were normal, with one instance of urination at night. Three days ago, due to frequent nighttime breastfeeding, the above symptoms worsened, with more pronounced difficulty falling asleep, even leading to sleeplessness, significant fatigue, and increased shortness of breath after activity. She then sought treatment at our Traditional Chinese Medicine outpatient clinic. Since the onset of the illness, she has been in poor spirits and has lost 2 kg since postpartum, while her appetite and bowel movements have remained largely normal.

[0032] past history The patient has a history of good health and denies any history of chronic diseases such as hypertension, diabetes, and coronary heart disease, as well as infectious diseases such as hepatitis and tuberculosis, surgery, trauma, drug allergies, or food allergies.

[0033] Personal History Born in their native place of origin, with no history of long-term residence outside the area, and no bad habits such as smoking or drinking.

[0034] marital and reproductive history Married at 25, spouse is healthy, conceived once and gave birth once, full-term vaginal delivery, smooth labor, breastfed postpartum, lochia not completely cleared (moderate amount, light red color).

[0035] Family history Parents are healthy and deny any family history of genetic diseases.

[0036] Summary of Four Diagnostic Methods Inspection: The patient is alert but lethargic, with a sallow and dull complexion, of medium build, and appears tired. The tongue is pale, swollen, with teeth marks on the edges, and has a thin white coating without any yellow grease or peeling. The lochia is pale red and of moderate quantity.

[0037] Auscultation: The voice is weak and feeble, the breath is short and rapid, there is no unusual odor, no cough or phlegm, and the lochia has no unusual odor.

[0038] Medical history: Insomnia (difficulty falling asleep, frequent awakenings at night, and difficulty falling back asleep), fatigue, shortness of breath, reluctance to speak, spontaneous sweating, poor appetite, dizziness, insufficient and thin breast milk, no dry mouth or bitter taste, no abdominal distension or pain, normal bowel movements, one nighttime urination, no fever, no irritability or anger.

[0039] Palpation: The pulse is thready and weak, with weakness in the cun, guan, and chi positions. There is no tenderness or rebound tenderness in the abdomen, and no lumps or tenderness in the breasts.

[0040] auxiliary examination Pittsburgh Sleep Quality Index (PSQI): Before treatment: Score 17 (very poor sleep quality), including 3 points for sleep onset time, 3 points for sleep duration, 3 points for sleep efficiency, 2 points for sleep disorder, 3 points for daytime dysfunction, 0 points for hypnotic drugs, and 3 points for sleep quality.

[0041] Post-treatment: 4 points (normal range) Sleep onset time 1 point, Sleep duration 0 points, Sleep efficiency 1 point, Sleep disturbance 0 points, Daytime dysfunction 1 point, Hypnotic medication 0 points, Sleep quality 1 point 2. Traditional Chinese Medicine Syndrome Score (refer to "Classification and Determination of Traditional Chinese Medicine Constitution" and "Standards for Diagnosis and Treatment of Diseases in Traditional Chinese Medicine"): Before treatment: 24 points (severe symptoms), including 6 points for insomnia, 4 points for fatigue, 4 points for shortness of breath and reluctance to speak, 4 points for spontaneous sweating, 4 points for loss of appetite, 2 points for dizziness, and 0 points for pale and swollen tongue with teeth marks.

[0042] Post-treatment: 6 points (mild symptoms) Insomnia 2 points, fatigue 2 points, shortness of breath and reluctance to speak 0 points, spontaneous sweating 2 points, loss of appetite 0 points, dizziness 0 points, pale and swollen tongue with teeth marks 0 points diagnosis Traditional Chinese Medicine Diagnosis: Insomnia (Qi deficiency syndrome); Postpartum illness (Qi deficiency syndrome) Western medicine diagnosis: Insomnia Dialectical analysis The patient is a postpartum woman who suffered from blood loss and qi depletion during childbirth, leading to a deficiency of vital energy. This deficiency, exacerbated by her pre-pregnancy qi deficiency, resulted in insufficient nourishment of the heart and spirit, leading to insomnia manifested as difficulty falling asleep, frequent awakenings at night, and difficulty falling back asleep. The qi deficiency also weakened the defensive qi, causing spontaneous sweating. Furthermore, the qi deficiency impaired the spleen and stomach's digestive function, resulting in poor appetite and insufficient, thin breast milk. The qi deficiency also prevented the clear yang from ascending, causing dizziness, fatigue, shortness of breath, and reluctance to speak. A pale tongue, a swollen tongue with teeth marks, a thin white coating, and a weak pulse are all signs of qi deficiency. The disease is located in the heart, spleen, and lungs, and its nature is deficiency. The core pathogenesis is postpartum qi deficiency, resulting in malnourishment of the heart and spirit, coupled with spleen and stomach qi deficiency and weakened defensive qi.

[0043] treatment It invigorates qi and strengthens the spleen, nourishes the heart and calms the mind, and is used to stop bleeding and consolidate lochia.

[0044] prescription Astragalus membranaceus 15 parts, Codonopsis pilosula 12 parts, Salvia miltiorrhiza 12 parts, Ziziphus jujuba var. spinosa 12 parts, Lilium brownii 18 parts, Polygonum multiflorum 18 parts, Albizia julibrissin bark 12 parts, Poria cocos 12 parts, Atractylodes macrocephala 10 parts, Glycyrrhiza ural Regression After four weeks of standardized treatment, the patient's insomnia symptoms were completely relieved, the PSQI score returned to the normal range, the TCM Qi deficiency syndrome basically disappeared, the syndrome score decreased to mild, breast milk was sufficient, lochia was normal, mental state was good, and physical condition was significantly improved compared to before, indicating clinical cure. One month after stopping medication, the patient returned for a follow-up visit; sleep was normal, there was no recurrence, and the Qi deficiency constitution characteristics were significantly reduced.

[0045] General situation Name: Zhu (surname unknown) Gender: Female Age: 34 Date of visit: November 21, 2025 Record date: November 21, 2025 Medical history narrator: Patient himself Reliability: Reliable Chief complaint Five weeks postpartum, I have been experiencing insomnia and fatigue for four weeks, which has worsened over the past five days.

[0046] Present Illness Five weeks ago, the patient delivered her second full-term vaginal baby girl. She experienced approximately 300ml of bleeding during delivery. Postpartum, she had no fever, abdominal pain, or other abnormalities. Her lochia was moderate in amount, pale red in color, and odorless. Four weeks ago, she began experiencing insomnia, characterized by difficulty falling asleep, requiring more than two hours of bed rest before she could fall asleep. She also experienced frequent awakenings at night, waking 2-3 times per night and finding it difficult to fall back asleep, resulting in less than 5 hours of total sleep time. She also experienced fatigue, which worsened significantly with activity, shortness of breath, lethargy, spontaneous sweating, poor appetite (nearly half of her pre-pregnancy food intake), low and thin breast milk, no breast engorgement, frequent dizziness, but no headaches or chest tightness. Bowel movements were normal, with 1-2 nighttime urinations. Five days ago, due to frequent nighttime breastfeeding and the exhaustion of caring for both children, the above symptoms worsened dramatically. She experienced sleepless nights, fatigue to the point of being unable to hold her babies independently, and shortness of breath and near-breathiness after activity. She subsequently sought treatment at our Traditional Chinese Medicine outpatient clinic. Since the onset of the illness, she has been in extremely poor spirits, with reduced food intake, while bowel movements have remained largely normal.

[0047] past history The patient has a history of good health and denies any history of chronic diseases such as hypertension, diabetes, and coronary heart disease, as well as infectious diseases such as hepatitis and tuberculosis, surgery, trauma, drug or food allergies.

[0048] Personal History Born in their native place of origin, with no history of long-term residence outside the area, and no bad habits such as smoking or drinking.

[0049] marital and reproductive history Married at 28, spouse is healthy, pregnant twice and gave birth to one child, both full-term vaginal deliveries were smooth, breastfed postpartum, lochia not completely cleared (moderate amount, light red color).

[0050] Family history Parents are healthy and deny any family history of genetic diseases.

[0051] Summary of Four Diagnostic Methods Visual examination: The patient is alert but extremely lethargic, with a sallow complexion, medium build, and appears exhausted. The tongue is pale, swollen, and has a thin white coating. The lochia is pale red and of moderate quantity.

[0052] Auscultation: The voice is weak and feeble, the breath is short and weak, there is no abnormal breath, no cough or phlegm, and the lochia has no odor.

[0053] Medical history: Insomnia (difficulty falling asleep, frequent awakenings at night, and difficulty falling back asleep), fatigue, shortness of breath, reluctance to speak, spontaneous sweating, poor appetite, dizziness, low and thin breast milk, no dry mouth or bitter taste, no abdominal distension or pain, normal bowel movements, 1-2 times of urination at night, no fever, no irritability or anger.

[0054] Palpation: The pulse is thready, weak, and feeble, with weakness in the cun, guan, and chi positions. There is no tenderness or rebound tenderness in the abdomen, and no lumps or tenderness in the breasts.

[0055] auxiliary examination Pittsburgh Sleep Quality Index (PSQI) Before treatment: 17 points (poor sleep quality), sleep onset time 3 points, sleep duration 3 points, sleep efficiency 3 points, sleep disorder 3 points, daytime dysfunction 2 points, hypnotic medication 0 points, sleep quality 3 points Post-treatment: 5 points (normal range), sleep onset time 1 point, sleep duration 1 point, sleep efficiency 1 point, sleep disorder 0 points, daytime dysfunction 1 point, hypnotic drugs 0 points, sleep quality 1 point. Traditional Chinese Medicine (TCM) syndrome scoring (refer to "Classification and Determination of TCM Constitution" and "Standards for Diagnosis and Treatment of TCM Diseases"). Before treatment: 26 points (severe symptoms), insomnia 6 points, fatigue 4 points, shortness of breath and reluctance to speak 4 points, spontaneous sweating 4 points, loss of appetite 4 points, dizziness 2 points, pale and swollen tongue with teeth marks 2 points. Post-treatment: 6 points (mild symptoms), insomnia 0 points, fatigue 0 points, shortness of breath and reluctance to speak 0 points, spontaneous sweating 2 points, loss of appetite 2 points, dizziness 2 points, pale and swollen tongue with teeth marks 0 points diagnosis Traditional Chinese Medicine Diagnosis: Insomnia (Qi deficiency syndrome); Postpartum illness (Qi deficiency syndrome) Western medicine diagnosis: Insomnia Dialectical analysis The patient is a woman who has given birth to her second child. Repeated blood loss and qi depletion during childbirth exacerbated her qi deficiency, compounded by her pre-pregnancy qi deficiency, which worsened dramatically postpartum. Qi deficiency fails to nourish the heart and spirit, leading to insomnia; qi deficiency weakens the defensive qi, causing spontaneous sweating; qi deficiency disrupts the spleen and stomach's digestive function, resulting in poor appetite and scanty, thin breast milk; and qi deficiency prevents the clear yang from ascending, causing dizziness, fatigue, shortness of breath, and reluctance to speak. A pale tongue, a large, swollen tongue with a thin white coating, and a weak, thready pulse are all signs of qi deficiency. The disease is located in the heart, spleen, and lungs, and its nature is deficiency. The core pathogenesis is postpartum qi deficiency, resulting in malnourishment of the heart and spirit, coupled with spleen and stomach qi deficiency and weakened defensive qi.

[0056] treatment It invigorates qi and strengthens the spleen, nourishes the heart and calms the mind, and is supplemented with herbs to consolidate the Chong meridian, stop bleeding, and relieve lochia.

[0057] prescription Astragalus membranaceus 15 parts, Codonopsis pilosula 12 parts, Salvia miltiorrhiza 12 parts, Ziziphus jujuba var. spinosa 12 parts, Lilium brownii 18 parts, Polygonum multiflorum 18 parts, Albizia julibrissin bark 12 parts, Poria cocos 12 parts, Atractylodes macrocephala (fried) 10 parts, Glycyrrhiza uralensis (processed) 4 parts Regression After 5 weeks of standardized treatment, the patient's insomnia symptoms were completely relieved, her PSQI score returned to the normal range, her TCM Qi deficiency symptoms basically disappeared, her breast milk was sufficient to meet her feeding needs, her lochia had cleared and was of normal consistency, and her mental and physical strength had significantly recovered, resulting in a clinical cure. One month after stopping medication, she returned for a follow-up visit. Her sleep patterns were stable and regular, with no recurrence. Her Qi deficiency symptoms had significantly lessened, allowing her to care for both children normally, and her appetite gradually returned to pre-pregnancy levels.

[0058] General situation Name: Wang (surname unknown) Gender: Female Age: 36 Date of visit: November 6, 2025 Record date: November 6, 2025 Medical history narrator: Patient himself Reliability: Reliable Chief complaint Four weeks after a cesarean section, I experienced insomnia accompanied by fatigue for three weeks, which worsened over the past four days.

[0059] Present Illness The patient underwent a lower segment cesarean section 4 weeks ago (G3P1). Intraoperative blood loss was approximately 350ml. Postoperatively, there were no abnormalities such as fever, incision infection, or abdominal pain. Lochia was moderate in amount, pale red in color, and odorless. Three weeks ago, she developed insomnia without any obvious cause, primarily difficulty falling asleep, requiring more than 2 hours of bed rest to fall asleep. She woke 4-5 times during the night and had difficulty falling back asleep, resulting in less than 3 hours of total sleep per night. She also experienced fatigue, which worsened with activity, shortness of breath, lethargy, and spontaneous sweating, though night sweats were not significant. Her appetite was poor, with food intake reduced by about half compared to her pre-pregnancy levels. Her breast milk was scant and thin, without breast engorgement. She occasionally experienced dizziness, but no headache, chest tightness, or palpitations. Bowel movements were normal, with 1-2 urinations at night. Four days ago, due to frequent nighttime breastfeeding, discomfort from incision traction, and fatigue from caring for the infant, the above symptoms significantly worsened, to the point of complete sleeplessness and significant fatigue. Getting up and holding the infant became difficult. Therefore, she sought treatment at our Traditional Chinese Medicine outpatient clinic. Since the onset of the illness, the patient has been in poor spirits and has lost 1 kg in weight since giving birth. However, her diet and bowel movements are generally normal.

[0060] past history The patient has a history of good health and denies any history of chronic diseases such as hypertension, diabetes, or coronary heart disease; denies any history of infectious diseases such as hepatitis or tuberculosis; denies any history of major trauma, as this is the first surgery; and denies any history of drug or food allergies.

[0061] Personal History Born in his native place of origin, with no history of long-term residence outside the area, and no smoking or drinking habits.

[0062] marital and reproductive history Married at age 30, spouse is healthy; pregnant 3 times, delivered 1 baby; delivered a live male baby via cesarean section this time, surgery was successful; breastfeeding after surgery, lochia not completely cleared (moderate amount, light red color).

[0063] Family history Parents are healthy and deny any family history of genetic diseases.

[0064] Summary of Four Diagnostic Methods Inspection: The patient is alert but lethargic, with a sallow complexion, medium build, and a tired appearance; the tongue is pale, swollen, with teeth marks on the edges, and a thin white coating; the lochia is pale red and moderate in amount, and the incision is dry with no exudate.

[0065] Auscultation: The voice was weak and short, with no abnormal odor, and no cough or phlegm.

[0066] Medical history: Difficulty falling asleep, frequent awakenings, and difficulty falling back asleep; fatigue, shortness of breath, reluctance to speak, and spontaneous sweating; poor appetite, dizziness, and insufficient or thin breast milk; no dry mouth, bitter taste, abdominal distension, abdominal pain, irritability, or anger.

[0067] Palpation: The pulse is thready and weak, with weakness in the cun, guan, and chi positions; the abdomen is soft, with slight tenderness at the incision site but no rebound tenderness; there are no lumps or tenderness in the breast.

[0068] auxiliary examination Pittsburgh Sleep Quality Index (PSQI) Before treatment: 18 points (very poor sleep quality) Sleep onset time 3 points, sleep duration 3 points, sleep efficiency 3 points, sleep disorder 3 points, daytime dysfunction 3 points, hypnotic medication 0 points, sleep quality 3 points Post-treatment: 5 points (normal range) Sleep onset time 1 point, Sleep duration 1 point, Sleep efficiency 1 point, Sleep disorder 0 points, Daytime dysfunction 1 point, Hypnotic medication 0 points, Sleep quality 1 point 2. Traditional Chinese Medicine Syndrome Score (refer to "Classification and Determination of Traditional Chinese Medicine Constitution" and "Standards for Diagnosis and Treatment of Diseases in Traditional Chinese Medicine") Before treatment: 28 points (moderate symptoms) Insomnia 6 points, fatigue 4 points, shortness of breath and reluctance to speak 4 points, spontaneous sweating 4 points, loss of appetite 4 points, dizziness 4 points, pale and swollen tongue with teeth marks 2 points Post-treatment: 6 points (mild symptoms) Insomnia 2 points, fatigue 2 points, shortness of breath and reluctance to speak 0 points, spontaneous sweating 0 points, loss of appetite 2 points, dizziness 0 points, pale and swollen tongue with teeth marks 0 points diagnosis Traditional Chinese Medicine Diagnosis: Insomnia (Qi deficiency syndrome); Postpartum illness (Qi deficiency syndrome) Western Medicine Diagnosis: Insomnia; Post-cesarean section Dialectical analysis The patient is 35 years old, a triplet with one parade. Repeated attempts to conceive depleted her Qi, and the trauma of her cesarean section and intraoperative blood loss exacerbated her postpartum Qi deficiency. Qi deficiency prevents the nourishment of the heart, leading to insomnia, difficulty falling asleep, and frequent awakenings; Qi deficiency weakens the body's defensive Qi, causing spontaneous sweating; Qi deficiency disrupts the spleen's function, resulting in poor appetite and thin, watery breast milk; Qi deficiency prevents the ascending of clear Yang, causing dizziness, fatigue, and shortness of breath; a pale, swollen tongue with teeth marks, and a weak pulse are all signs of Qi deficiency. The disease is located in the heart, spleen, and lungs, and its nature is deficiency. The core pathogenesis is postpartum Qi deficiency, malnourishment of the heart and spirit, spleen and stomach Qi deficiency, and weakened defensive Qi.

[0069] treatment It invigorates qi and strengthens the spleen, nourishes the heart and calms the mind, and is used to stop bleeding and consolidate lochia.

[0070] prescription Astragalus membranaceus 15 parts, Codonopsis pilosula 12 parts, Salvia miltiorrhiza 12 parts, Ziziphus jujuba var. spinosa 12 parts, Lilium brownii 18 parts, Polygonum multiflorum 18 parts, Albizia julibrissin bark 12 parts, Poria cocos 12 parts, Atractylodes macrocephala 10 parts, Glycyrrhiza ural Regression After four weeks of standardized treatment, the patient's insomnia was completely relieved, her PSQI returned to normal, and her TCM syndrome score decreased to mild. She had sufficient breast milk, her lochia cleared, her incision healed well, and her mental and physical strength improved significantly. She was able to care for her infant normally and was clinically cured. One and a half months after stopping medication, she returned for a follow-up visit. Her sleep was stable, 7-8 hours per night, with no recurrence. Her weight gradually increased, and her lifestyle returned to pre-pregnancy levels.

[0071] General situation Name: Ms. Feng Gender: Female Age: 33 Date of Consultation: November 12, 2025 Record Date: November 12, 2025 Medical History Reporter: Ms. Feng, Reliability: Reliable Chief complaint Four weeks postpartum after vaginal delivery, I experienced insomnia accompanied by fatigue for two weeks, which worsened over the past five days.

[0072] Present Illness The patient delivered a full-term vaginal baby girl 4 weeks ago (Grace 2, Para 1). She experienced approximately 150ml of bleeding during delivery. Postpartum, she had no fever or abdominal pain, and her lochia was moderate in amount, pale red in color, and odorless. Two weeks ago, she began experiencing insomnia, difficulty falling asleep, and being unable to fall asleep even after lying in bed for more than an hour. She woke up 3-4 times per night and found it difficult to fall back asleep, resulting in less than 4 hours of sleep per day. She also experienced fatigue, which worsened with activity, shortness of breath, lethargy, and spontaneous sweating, but no significant night sweats. Her appetite decreased, with food intake reduced by about half compared to her pre-pregnancy levels. Her breast milk was scant and thin, but her bowel movements were normal. Within 5 days, due to frequent nighttime breastfeeding and the exhaustion of caring for the baby, her symptoms worsened, to the point of complete sleeplessness, weakness, and difficulty holding the baby. She then sought treatment at a Traditional Chinese Medicine clinic.

[0073] past history The patient is usually weak and prone to fatigue and excessive sweating. They have no chronic diseases such as hypertension or diabetes, no infectious diseases such as tuberculosis or hepatitis, no history of surgery or trauma, and no history of drug or food allergies.

[0074] Personal History Born in one's native place, not living in other places for a long time, and without the bad habits of smoking and drinking.

[0075] marital and reproductive history Married at 28, spouse is healthy, 2 pregnancies and 1 delivery, full-term vaginal delivery, breastfeeding postpartum, lochia has not yet completely stopped, amount is moderate and light red.

[0076] Family history Parents are healthy and deny any family history of genetic diseases.

[0077] Summary of Four Diagnostic Methods Inspection: The patient is alert but lethargic, with a sallow complexion and fatigued appearance; the tongue is pale, enlarged with teeth marks on the edges, and has a thin white coating; lochia is pale red and moderate in amount. Auscultation: The patient speaks weakly and has shortness of breath; there is no unusual body odor, and no cough, wheezing, or phlegm. Inquiry: The patient has difficulty falling asleep, experiences vivid dreams and wakes easily, and has difficulty falling back asleep; feels fatigued, short of breath, and reluctant to speak; experiences spontaneous sweating during the day; has a reduced appetite, dizziness, and produces thin, watery breast milk; there is no bitter taste, dry mouth, abdominal distension, abdominal pain, irritability, or anger. Palpation: The pulse is thready and weak, with deficient pulses at the cun, guan, and chi positions; the abdomen is soft and non-tender; the breasts have no lumps or tenderness.

[0078] auxiliary examination 1. Pittsburgh Sleep Quality Index (PSQI) before treatment: 16 points (severe insomnia), sleep onset time 3 points, sleep duration 3 points, sleep efficiency 3 points, sleep disturbance 3 points, daytime dysfunction 1 point, hypnotics 0 points, sleep quality 3 points. After treatment: 4 points (normal range), sleep onset time 1 point, sleep duration 1 point, sleep efficiency 1 point, sleep disturbance 0 points, daytime dysfunction 0 points, hypnotics 0 points, sleep quality 1 point. 2. Traditional Chinese Medicine Syndrome Score (refer to "Classification and Determination of Traditional Chinese Medicine Constitution" and "Standards for Diagnosis and Treatment of Diseases in Traditional Chinese Medicine"): Before treatment: 24 points (severe symptoms), including 6 points for insomnia, 4 points for fatigue, 4 points for shortness of breath and reluctance to speak, 4 points for spontaneous sweating, 4 points for loss of appetite, 2 points for dizziness, and 1 point for pale and swollen tongue with teeth marks.

[0079] Post-treatment: 8 points (mild symptoms) Insomnia 2 points, fatigue 2 points, shortness of breath and reluctance to speak 0 points, spontaneous sweating 2 points, loss of appetite 1 point, dizziness 1 point, pale and swollen tongue with teeth marks 0 points diagnosis Traditional Chinese Medicine diagnosis: Insomnia (Qi deficiency syndrome), postpartum illness (Qi deficiency syndrome) Western Medicine diagnosis: Insomnia Dialectical analysis The patient was pre-existing Qi deficiency, and the vaginal delivery further depleted her Qi and blood, exacerbating her postpartum Qi deficiency. This Qi deficiency prevented the nourishment of the heart and spirit, leading to difficulty falling asleep and frequent awakenings at night. The Qi deficiency also weakened the body's defensive Qi, causing frequent spontaneous sweating due to fluid leakage. Spleen and stomach Qi deficiency impaired digestion and absorption, resulting in poor appetite, insufficient and thin breast milk production. Furthermore, the Qi deficiency prevented the clear Yang from nourishing the head and eyes, causing dizziness, fatigue, and shortness of breath. A pale, swollen tongue with teeth marks and a weak pulse are also signs of Qi deficiency. The disease is located in the heart, spleen, and lungs, and its nature is deficiency. The pathogenesis is postpartum Qi deficiency, malnourishment of the heart and spirit, spleen and stomach Qi deficiency, and weakened defensive Qi.

[0080] treatment It invigorates qi and strengthens the spleen, nourishes the heart and calms the mind, and helps to retain lochia.

[0081] prescription Astragalus membranaceus 15 parts, Codonopsis pilosula 12 parts, Salvia miltiorrhiza 12 parts, Ziziphus jujuba var. spinosa 12 parts, Lilium brownii 18 parts, Polygonum multiflorum 18 parts, Albizia julibrissin bark 12 parts, Poria cocos 12 parts, Atractylodes macrocephala 10 parts, Glycyrrhiza ural Regression After four weeks of systematic traditional Chinese medicine treatment, the insomnia was completely cured, the PSQI score was adjusted to the normal range, and the TCM syndrome score decreased to mild. Breast milk was plentiful, lochia was completely discharged, and physical strength and mental state recovered well. The patient was able to care for the infant independently and was clinically cured. One month after stopping medication, the patient returned for a follow-up visit. She slept 7-8 hours per night, with stable sleep and no recurrence. Her Qi deficiency symptoms significantly improved, her weight gradually increased, and her daily routine returned to her pre-pregnancy state.

[0082] The preferred embodiments of the present invention disclosed above are merely illustrative of the invention. These preferred embodiments do not exhaustively describe all details, nor do they limit the invention to the specific implementations described. Clearly, many modifications and variations can be made based on the content of this specification. This specification selects and specifically describes these embodiments to better explain the principles and practical applications of the invention, thereby enabling those skilled in the art to better understand and utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims

1. A traditional Chinese medicine composition for treating postpartum insomnia, characterized in that, include: Astragalus, Codonopsis, Salvia miltiorrhiza, Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, Poria cocos, Atractylodes macrocephala, and Glycyrrhiza uralensis.

2. The traditional Chinese medicine composition as described in claim 1, characterized in that, The weight ratio of each raw material is as follows: Astragalus membranaceus 15-20 parts, Codonopsis pilosula 12-18 parts, Salvia miltiorrhiza 12-18 parts, Ziziphus jujuba var. spinosa 12-18 parts, Lilium brownii 18-22 parts, Polygonum multiflorum 18-22 parts, Albizia julibrissin bark 12-18 parts, Poria cocos 12-18 parts, Atractylodes macrocephala 10-15 parts, Glycyrrhiza uralensis 4-8 parts, and / or In the composition, the total weight ratio of Astragalus membranaceus, Codonopsis pilosula, and Atractylodes macrocephala to the total weight ratio of Ziziphus jujuba var. spinosa, Lilium brownii, Polygonum multiflorum, Albizia julibrissin, and Poria cocos is 1:1.5 to 1:2.

5.

3. The traditional Chinese medicine composition according to claim 1, characterized in that, The raw materials are in the following proportions by weight: Astragalus membranaceus 18 parts, Codonopsis pilosula 15 parts, Salvia miltiorrhiza 15 parts, Ziziphus jujuba var. spinosa 15 parts, Lilium brownii 20 parts, Polygonum multiflorum 20 parts, Albizia julibrissin bark 15 parts, Poria cocos 15 parts, Atractylodes macrocephala 12 parts, and Glycyrrhiza uralensis 5 parts.

4. The traditional Chinese medicine composition as described in claim 3, characterized in that, The traditional Chinese medicine composition is formulated into an oral preparation.

5. The traditional Chinese medicine composition as described in claim 4, characterized in that, The oral preparations are decoctions, granules, capsules, oral liquids, pills, powders, or tablets.

6. The traditional Chinese medicine composition as described in claim 5, characterized in that, The oral formulation also contains pharmaceutically acceptable excipients selected from one or more of flavoring agents, fillers, binders, disintegrants, and lubricants.

7. The use of the traditional Chinese medicine composition according to any one of claims 1-6 in the preparation of a medicament for treating postpartum insomnia.