Difficulty in falling asleep and early awakening are typical manifestations of insomnia, which are sleep disorders, often related to psychological factors, biological factors, environmental factors and other factors related to disease factors. Clinically, insomnia leading to difficult sleep and early awakening are mainly simple insomnia and co-morbid insomnia. I. Simple insomnia: It is divided into acute insomnia and chronic insomnia.1. Acute insomnia: It refers to being in a suitable sleep time and sleep environment, but still having difficulty falling asleep, resulting in waking up physically unwell or waking up early the next day, but this happens only occasionally and is called acute insomnia. Acute insomnia does not belong to the category of disease, so there is no need to pay special attention to it. Pay attention to adjusting your mindset and not to create frustration due to insomnia. After getting up, you can drink coffee or tea to refresh yourself, but do not over-supplement your sleep time and do not take more than 30 minutes to catch up on your sleep. In addition, you can do proper exercise during the day, do not over-activate before bedtime, and create a quiet, comfortable and dimly lit sleeping environment. You should go to bed when you feel sleepy, and you can also divert your attention before going to bed, such as listening to music, which can eliminate nervous bad mood and relieve anxiety, which in turn can promote entering the sleep state, prolong the patient’s sleep time and avoid early awakening insomnia; 2. Chronic insomnia: insomnia state for more than 3 months and more than 15 days per month is called chronic insomnia. Patients can show long time sleep difficulty and early awakening. In this case, patients are advised to go to the hospital to find out the cause. If it is due to psychological causes, such as depression, it can be treated with antidepressant medication under the guidance of a doctor. If psychological factors are ruled out, oral medications to help sleep, such as benzodiazepines, can be taken under the guidance of a doctor for relief, to improve the patient’s difficulty in falling asleep and early awakening insomnia, and to prevent co-morbid insomnia from occurring. Second, co-morbid insomnia: for example, restless legs syndrome, sleep apnea syndrome, episodic sleeping sickness, cardiopulmonary disease, anxiety disorder, depression, etc., can directly or indirectly cause patients to have symptoms of difficulty falling asleep and waking up early, and these conditions require active treatment of the primary disease to relieve the symptoms of difficulty falling asleep and waking up early insomnia.