”Insomnia” is a common sleep disorder, mainly manifested as difficulty in falling asleep, waking up at night, reduced sleep time or poor sleep quality. The main causes of insomnia are psychological and environmental factors, called emotional insomnia and situational insomnia respectively, which are mainly caused by mood swings or changes in the objective environment. Minimally invasive buried thread uses disposable minimally invasive buried thread needles and PGLA polymer threads for treatment, which is easy to operate and gently stimulated to achieve satisfactory results. Treatment: Main points: Heart Yu, Shen Men, Foot San Li, San Yin Jiao Supporting points: Heart and Spleen deficiency: Spleen Yu; Heart and Kidney disconnection: Kidney Yu, Tai Xi; Heart and Gallbladder Qi deficiency: Xingma, Yangling Quan; Phlegm and Heat internal disturbance: Fenglong, Neiting. Case presentation: Kong, female, 48 years old. Complaint: insomnia with dizziness for 7 months. History: 7 months ago, the patient developed insomnia with less than 3 hours of sleep at night, disrupted menstrual cycle, occasional dizziness, paroxysmal facial redness and heat, night sweats, anxiety, palpitations, irritability, etc. The tongue is reddish, the fur is thin, and the pulse is fine. Electrocardiogram: normal. Blood pressure is 130/75 mmHg and heart rate is 85 beats/min. The diagnosis is heart-kidney disconnection and yin deficiency and fire. Minimally invasive buried wire treatment was performed with Heart Yu, Shen Men, Foot San Li, San Yin Jiao, Kidney Yu and Tai Xi, all on both sides. After 3 times of treatment, the symptoms gradually improved. After another 5 times of treatment, dizziness and insomnia disappeared. There are many causes of insomnia, but they are always related to deficiency of heart, liver, spleen, kidney and yin and blood, and the pathogenesis is always Yang and Yin, and Yang does not enter Yin. In the treatment, we should supplement the deficiencies and diarrhea the real ones, adjust the yin and yang, and nourish the heart and calm the mind. Minimally invasive buried wire treatment for insomnia is based on dialectical treatment. The main acupuncture points are those related to the heart, liver, spleen and kidney, and some extra-meridian odd points can also be applied, such as Annmian 1, and Annmian 2. However, it should be noted that too many points should not be taken and the intensity of stimulation should not be too strong, so as not to be counterproductive. pgla thread body stimulation is gentle and very suitable for insomnia buried thread treatment. In the case of long-standing deficiency, the original points of the meridians or dorsal points should be selected. For example, if the heart and spleen are deficient, take Heart Yu and Spleen Yu to nourish the heart and spleen; if the heart and kidneys are not intertwined, take Heart Yu and Kidney Yu to nourish the heart and kidneys so that the water and fire can be mutually beneficial. In addition, Shen Men and San Yin Jiao can nourish the heart and calm the mind. Generally speaking, patients can feel improvement in sleep after 1-3 times of PGLA minimally invasive buried thread treatment. In addition to the dysfunction of the internal organs, there are still many objective factors such as life and work environment that affect the patient’s sleep. Timely psychological guidance or appropriate improvement of the environment will help the condition to heal.