Women’s legs are sore and sleepy for the following common reasons: First, muscle strain of the lower limbs: the patient will show clinical symptoms of sore and sleepy legs, accompanied by weakness of the leg muscles and difficulty in walking, usually after a short rest and hot compress treatment, the clinical symptoms will be quickly relieved. Second, lower limb vascular lesions: such as varicose veins, will cause the leg muscle metabolism level to drop, acidic metabolites accumulation, the patient will also have the clinical manifestation of lower limb soreness and sleepiness, through the ultrasound examination, will find the lower limb vascular lesions. Early rehabilitation or the use of surgical treatment can bring significant relief to the sore and sleepy legs. Generally, after active treatment, the clinical symptoms of sore and sleepy legs in women can be controlled. Patients should strengthen the strength training of lower limb leg muscles to promote blood circulation in the lower limbs to avoid clinical symptoms of sore legs.