Often patients with brain metastases have insomnia at night when they sleep poorly during brain radiotherapy. In this case, we will communicate with the patient in detail and ask him about his previous sleep. If his previous sleep is poor, we may use drugs to treat the symptoms, but the dose of this drug is relatively small, mainly to help the patient sleep. We also do psychological counseling for some patients, such as patient anxiety and tension, after doing psychological counseling patients will be psychologically relaxed, which is also conducive to improving the patient’s sleep. In addition, there are also Chinese medicine methods, such as physical therapy or other rare programs, such as music therapy or family companionship, which can help relieve insomnia in brain metastases patients during radiotherapy.