The causes of difficulty in falling asleep, insomnia, dreaminess, and waking up with numb hands include autonomic dysfunction, sympathetic cervical spondylosis, depression, and ischemic cerebrovascular disease. 1. Autonomic nerve dysfunction. Difficulty in falling asleep for a long time, insomnia, dreaming and so on will cause autonomic dysfunction, and the patient will have self-conscious symptoms, such as numbness of the hands, dizziness, headache, chest tightness, etc. The patient can take oral glutathione as prescribed by the doctor. Oral glutamine, vitamin B₁, etc. can be prescribed to regulate the nerves. If there is psychological disorder, it can be treated by behavioral cognitive therapy. 2. Sympathetic type cervical spondylosis. This disease is mainly caused by cervical spine degenerative disease, which can be manifested as insomnia, dreamy, waking up hand numbness and other symptoms. It is recommended to take oral methylcobalamin, adenosylcobalamin and other nutritive nerves as prescribed by the doctor, or improve the symptoms through massage therapy, intermediate-frequency electrotherapy, and acupuncture therapy. 3. Depression. At the onset of the patient’s self-conscious numbness of the hands and feet and other symptoms, can be prescribed oral sertraline, paroxetine, etc. to improve the condition. 4. Ischemic cerebrovascular disease. Ischemic cerebrovascular disease due to cerebral atherosclerosis, can cause difficulty in sleeping, insomnia, dreaming, waking up hand numbness and so on. Difficulty in sleeping, insomnia, dreaming, waking up hand numbness may also be caused by other reasons, it is recommended to consult a doctor in time and follow the doctor’s instructions for treatment.