Patients with insomnia are often encountered in outpatient clinics, and some of them suffer from insomnia for as long as 20-30 years. Poor sleep can trigger many physical discomforts – fatigue, dizziness and headache, lack of concentration, irritability …… deeply affects the patient’s study, work and daily family life. If insomnia accompanies women during the perimenopausal period, it is even worse, as I believe the majority of patients and their families know well. There are many causes of insomnia, such as insomnia caused by emotional disorders, which is the most common among patients. In daily life, such as after anger, work tension, study pressure, the death of friends and relatives or the joy of success, etc., may bring sleepless nights, the light one lasts a day to a few days, serious ones may last for years to decades, the former is a transient, normal people will occasionally appear, if through their own regulation, can soon return, there is no need to use drugs to intervene. In severe cases, it is necessary to use appropriate methods to regulate, including the use of drugs. There are also insomnia caused by other diseases, for example, patients often say, “I used to sleep well, but I can’t sleep anymore after xxx surgery. This is the result of a major disease that leads to a loss of harmony between the body’s qi, blood, yin and yang, making it difficult for people to sleep at night. Some patients are usually sedentary and lazy, and their qi is not smooth, which can also lead to insomnia. Many patients are afraid to sleep at night because they are worried about insomnia, and as a result, the more they worry, the more they can’t sleep, and the more they can’t sleep, the more they worry, forming a vicious circle. In the treatment of insomnia, first of all, patients must have confidence in themselves, treat insomnia correctly, do not blindly exaggerate its harm, and do not belittle the treatment of it. Actively cooperate with the doctor, adhere to the conditioning, or have a very good effect. Many patients who have been suffering from insomnia for many years, they are anxious to seek medical help and take medicines indiscriminately, on the one hand, they take sedative and sleeping Western medicines indiscriminately; on the other hand, because insomnia makes people fatigued and weak, and they have no energy, many patients feel that they are either this or that deficiency, and then neighbors, friends and relatives communicate, they start to eat some tonic medicines on their own. The clinical condition of patients is often mixed with the real and the virtual, and taking tonic drugs may aggravate insomnia. These are undesirable and very detrimental to the doctor’s treatment. Patients must be under the guidance of a professional doctor and use medication in a standardized and reasonable manner. I suggest that patients prefer non-pharmaceutical treatment in the treatment, choose suitable for their own regulation methods, such as listening to soothing music, do exercise, soothe the body and mind, many methods can be used. There is also the need to develop good habits, sleep at regular intervals every day, stay up as little as possible, and change some bad habits. For some taboos of sleep, I have also made some elaboration in the previous article “Ten taboos of sleep”. In the process of clinical treatment, I think that the use of Chinese medicine to treat insomnia has a great advantage, such as the use of gardenia black bean soup for the type of heat in the upper jiao, the use of Huanglian Agaricus Chicken Zi Huang Tang for the type of heart and kidney disorder, and the use of Chai Hu type of formula for the type of liver qi discomfort, etc., the effect is still very good. For taking sleeping Western medicine, many patients are apprehensive about addiction. Patients should look at this issue correctly and do not have to be overly concerned about the side effects of drugs. For some patients who have been suffering from insomnia for a long time, taking some western drugs along with Chinese herbal medicine will help them recover from their condition, like Shule Valium, which is still relatively safe. Some patients with insomnia and depression will be treated with antidepressant drugs, such as Dextran, which are required to be taken, so don’t stop taking them or reduce them when you feel better. There are also some over-the-counter Chinese medicines in pharmacies that patients sometimes buy on their own, or ask their doctors to prescribe, these drugs also have indications, patients should consult their doctors first, when eaten, eat, don’t eat, spend money and not work, it’s not good.