Insomnia is a type of disease characterized by the failure to get normal sleep due to the loss of mind and spirit or restlessness, mainly due to the lack of sleep time and depth, as well as the inability to eliminate fatigue and restore physical strength and energy, the lighter the difficulty in falling asleep, shallow sleep or waking up at times, or unable to fall back asleep after waking up, or dreamy, the more serious cases are sleepless and sleepless all night. Due to the lack of sleep time or depth, waking up is often accompanied by dry eyes, fatigue, dizziness and headache, palpitation and forgetfulness or restlessness. (I) Etiology and pathogenesis: Insomnia in patients with liver disease is mostly caused by the liver not collecting blood, deficiency of blood in the heart and liver, loss of nourishment for the heart and mind or emotional and mental disorders, liver depression and fire, disturbing the heart and mind. The former is a deficiency evidence, while the latter is a real evidence or mixed evidence of deficiency and reality. The common clinical evidence related to liver disease are two: one is deficiency of blood in the heart and liver, often manifested as dreamy and easy to wake up, or difficulty in sleeping, accompanied by palpitations and forgetfulness, dull complexion, dizziness and tinnitus, laziness and laziness, light tongue with white fur, sunken and weak left inch and Guan pulse; the second is liver stagnation and fire, often manifested as impatience and irritability, insomnia and dreaminess, or even sleeplessness, accompanied by dizziness and swelling, deafness and tinnitus, dry mouth and bitterness, dry and red stool, red tongue with yellow fur, sunken and slippery pulse. sunken and slippery pulse. (2) Treatment: The actual symptoms should focus on eliminating the evil and dipping its surplus, and the treatment should be to clear the liver and diarrhea the fire and relieve the depression and calm the mind; the deficiency symptoms should emphasize helping the righteous and replenishing its deficiency, and the treatment should be to replenish the qi and blood and nourish the mind and calm the mind. (C) prescription: liver stagnation and fire can be treated with gentian diarrhea liver soup plus reduction: gentian 9-12 grams, scutellaria 9-15 grams, raw gardenia 9 grams, Chai Hu 9-12 grams, Che Qian Zi 15-30 grams (decoction), angelica 9-15 grams, raw earth 9-15 grams, yujin 9-15 grams, raw keel 30 grams, raw oyster 30 grams, licorice 6 grams. For the treatment of deficiency of blood in the heart and liver, the author often uses the self-developed “An Shen Tang”: 30~45 grams of fried jujube seeds, 30~45 grams of cypress seeds, 15 grams of Hedychium, 30 grams of nightshade, 15~30 grams of Astragalus, 15~30 grams of Atractylodes, 6 grams of Yuan Zhi, 9~15 grams of Angelica, 9~15 grams of Peony, 9 grams of Semen, 9 grams of Pericarpium, 15~30 grams of Fu Shen, 6 grams of Radix et Rhizoma. 15-30 grams, 30 grams of raw keel, 15 grams of shamrock, 6 grams of raw licorice. For those who have mixed dreams, add 12-15 grams of ground bone bark, 9-15 grams of Artemisia annua and 9-12 grams of peony bark. Decoction: Take 1 dose daily with water decoction 2 times, total 400 ml, divided into 3 warm doses. (IV) Precautions: 1. In addition to the above common types, insomnia is also associated with poor diet, liver and kidney deficiency, deficiency of fire, heart deficiency, internal disturbance of phlegm and heat, etc. Attention should be paid to the medical history, detailed identification, and clear identification before dispensing the medicine. 2, adequate rest is vital to the recovery of liver disease patients, liver disease process is prone to insomnia, the two are often mutual cause and effect, affecting each other. Insomnia in patients with chronic liver disease is mostly a deficiency, and Chinese medicine treatment has certain advantages. The prescription for the treatment of the primary disease can be combined with drugs to nourish the heart and tranquilize the mind, such as: sour date palm, cypress kernel, nightshade vine, acacia, etc. After the sleep improves, followed by drugs to strengthen the spleen, nourish the kidney, nourish blood and soften the liver, so that the liver blood is abundant, the drainage is moderate, the heart and mind can be nourished, and sleep will naturally return to normal.