Shortness of breath and insomnia may be caused by neurasthenia. Patients can take some oral medications to regulate the nerves, such as tranquilizer, blood and brain granules, heart and mind tablets and glutamate. It can also be regulated by physical methods, listening to soothing music before bed, soaking feet in water, drinking a glass of hot milk or doing aerobic exercises before bed, such as running or walking outdoors half an hour before bed, playing tai chi, practicing tai chi sword may improve, and in severe cases, small doses of sedative drugs can be applied. If the patient has heart disease, it may cause palpitations, chest tightness, shortness of breath, and may also lead to insomnia. The main thing is to actively treat the primary disease, for example, patients with heart rate failure may have symptoms of shortness of breath when lying down at night, and the main thing is to treat heart failure, which includes the application of diuretics and, if necessary, consultation with cardiology.