Insomnia is a common sleep disorder. There are many causes of insomnia, such as environmental changes, drug use, mental-emotional, and somatic disease factors that can lead to insomnia. Among them, intractable insomnia is related to the misalignment of the upper cervical spine and paravertebral soft tissue injury. [Anatomy and physiology] It is generally believed that the wake-sleep center is in the lower part of the optic thalamus, and there are centers of the facilitative system in the lower posterior part of the optic thalamus and centers of the inhibitory system in the lower anterior part of the optic thalamus, and due to the influence of both, the rhythm of wakefulness and sleep is formed. The lower thalamus is supplied by the thalamic penetrating artery, which emanates from the terminal branch of the vertebrobasilar artery, and thus the impaired blood supply of the vertebral artery can affect the physiological function of the lower thalamus. The postganglionic fibers of the cervical sympathetic ganglion travel with the vertebral artery on the one hand, and enter the cervical nerve on the other hand, and also enter the meningeal return branch into the spinal canal after innervating the spinal membrane, posterior longitudinal ligament, intervertebral joint and joint capsule. 2.When C1-3 dislocation is changed from upright or sitting position to lying position, the upper cervical segment is suddenly changed, so that the upper cervical sympathetic ganglion is stimulated and excited, leading to insomnia. Symptom characteristics] Insomnia caused by upper cervical subluxation and surrounding soft tissue injury is characterized by the following: the patient has sleepiness or can fall asleep when sitting or taking a sitting position, but has difficulty falling asleep or waking up easily and dreaming a lot when lying down. Treatment principle】 1.Tendon relaxation: needle and knife release, local ironing, massage and tui-na. 2.Bone setting: correcting the displacement of cervical vertebrae 1-4 by manipulation. 3.Pulse circulation: benefit Qi and nourish Blood.