Neuropsychiatric diseases are a large group of diseases that are different from general internal medicine diseases. In general hospitals, neurology is often separate from internal medicine, and its treatment thinking and approach are different. With the development of science, internal medicine pays more attention to the results of corresponding auxiliary examinations to determine the changes and diagnosis of diseases. Neurology, on the other hand, is different. Although it has more advanced neuroimaging technology, electrophysiological technology and various testing methods, the most fundamental thing is neurological examination, through which localization can be performed and the scope of diagnosis can be greatly narrowed. In terms of treatment, neurological diseases tend to be dominated by the three major elements: hormones, antibiotics, and vitamins, and other drugs are broadly symptomatic. The treatment of psychiatric disorders is still dominated by communication and observation with the patient, supplemented by neuropsychological assessment. Treatment is also based on symptom control, requiring long-term medication, and there is no cure. Chinese medicine has obvious characteristics and advantages for these diseases, and its treatment is mainly reflected in controlling symptoms, improving side effects of therapeutic drugs, and preventing relapse. 1, a case of sleep disorder, the patient insomnia more than 30 years, repeatedly taking zopiclone, eszopiclone, clonazepam and other drugs, gradually become dependent on the effect, came to the clinic, Chinese medicine identified as the heart and liver blood deficiency, heart and liver fire, given to the four substances Tang plus reduction, to nourish liver blood, clear liver heat, diarrhea heart fire, calm the mind as the method, with Chinese medicine free decoction granules, 7 doses and effect. After consolidation for more than 1 month, the symptoms have not recurred for 1 month. Although the onset of effect of Chinese herbal medicine is slightly slow, its efficacy is stable and not easy to be repeated, and it is not necessary to take medicine for a long time. The patient did not want to take such drugs for a long time and came to the clinic. The Chinese medicine doctor identified the symptoms as wind-cold attacking the surface, depression and heat, and gave Chuanxiong Chajiao San to clear the wind and heat, which was effective. There are no pain-relieving drugs in Chinese medicine, but why does it have a good effect on headache? It is worth studying. Acupuncture is also more effective in this kind of disease. 3, a patient in the acute stage of stroke, the left limb movement is unfavorable, 3 days to muscle strength level 1, hospitalized after acupuncture treatment, 2 days after the upper limb muscle strength is restored to level 4 -, 5 days after the muscle strength restored to level 4, 1 week later, can get down to support walking. The improvement of acupuncture for post-stroke hemiplegia is well known and is a characteristic and advantage of TCM for neurological diseases. Our clinical treatment for patients with anxiety and depression is the same. Most of the treatment for mild and moderate patients relies only on Chinese herbal soup or decoction-free granules, while slightly severe cases can be supplemented with antidepressant and anti-anxiety drugs to control symptoms, with fast onset and appreciable efficacy. Therefore, Chinese medicine does have some advantages in the treatment of neuropsychiatric diseases, the key is to use it, use it well, and bring out the efficacy of its application to add to its treatment.