A four-character set phrase rather than a canonical chengyu — it isn't found in 《
新华成语词典》 but functions exactly like one in modern writing. Always describes wakefulness driven by an emotion (worry, anxiety, anticipation, grief) — never a medical insomnia complaint. Compare with
辗转反侧 (zhǎnzhuǎn fǎncè, 'tossing and turning,' from 《
诗经》) which emphasizes the physical restlessness.