Insomnia, also known as “sleeplessness” in Chinese medicine, is always caused by the failure of yang and yin, and the loss of intercourse between yin and yang. The actual symptoms mainly include liver stagnation and fire, phlegm-heat disturbing the heart, etc.; the deficiency symptoms mainly include yin deficiency and fire, heart and spleen deficiency, qi and blood deficiency, etc. The general principle of treatment is to remedy deficiency and relieve actuality, and adjust yin and yang. If insomnia due to heart fire is due to liver stagnation and fire disturbing the heart, treatment can be applied to gentian and liver diarrhea soup to clear liver heat and heart fire. If the insomnia is caused by phlegm-heat disturbing the heart and mind due to uncontrolled diet, treatment can be given with Wenzhi Tang to clear heat and phlegm, and to calm the mind. If the insomnia is caused by deficiency of yin and fire, it can be treated with Zhu Sha An Shen Wan or Tian Wang Tonic Heart Dan to nourish yin and lower fire, clear the heart and calm the mind. In summary, insomnia caused by heart fire includes three types of evidence, so the treatment cannot be generalized, but must be distinguished from which type of evidence, in order to use the right medicine. Chinese medicine treatment of insomnia is about identification and treatment, if the patient has insomnia, or go to a regular hospital to find a Chinese doctor for identification and typing, combined with their own situation to choose the medication, do not use their own random medication, so as not to delay the disease.