Finding the cause of insomnia: This is the first, active, imperative thing for the doctor and patient to do, otherwise the right remedy cannot be given. Find out whether it is environmental, psychological or taking central stimulants, or whether it is unprovoked. This is very important for the treatment of insomnia. 1. Try to eliminate the causes of insomnia: After finding these causes, try to eliminate them as much as possible so that insomnia can be treated at the root. 2, if treatment should be taken first non-pharmacological treatment: ① sleep hygiene education: such as creating a warm sleep environment, avoiding circadian rhythm disorders, minimizing the time spent in bed, doing regular exercise every day, but not too strong, at least two hours before bedtime to keep quiet and emotionally stable, thus enhancing the desire to sleep; pay attention to dietary regulation, eat more brown rice and other unrefined food, nutritional intake mainly in the morning The intake of nutrition is mainly in the morning, lunch, and evening with foods containing high sugar content, avoiding excessive abundance, and avoiding the intake of stimulants such as caffeine and alcohol. ②Cognitive therapy: correct psychological guidance and health education are very important to eliminate the deviation of patients’ sleep cognition and minimize the impact of their tension on sleep. ③Behavioral therapy: such as sleep restriction therapy, thus increasing the patient’s desire for sleep; stimulus control therapy, limiting the patient to do things other than sleep in bed; relaxation therapy, etc. 3, pay attention to the important role of Chinese medicine in the treatment of insomnia: Chinese medicine has a regulatory effect, with few side effects, can be used formulas, Chinese medicine, acupuncture, massage, etc. 4, the choice of drugs: commonly used sedative-hypnotic drugs are divided into three generations – the first generation includes phenobarbital, chloral hydrate, tribromine and hydroxyzine, etc., they have a low therapeutic index, easy to produce tolerance and dependence, drug interactions are relatively large, a medium dose can inhibit breathing; the second generation is benzodiazepine sedative-hypnotic drugs. They have a high therapeutic index, low toxicity to internal organs and are safe to use, and are the most commonly used drugs for insomnia, but they have a certain degree of dependence and are usually difficult to withdraw after a month of use; the third category is non-benzodiazepine sedative-hypnotics, such as zolpidem, zopiclone and zaleplon, which have a high therapeutic index, high safety, and are not easy to produce tolerance and dependence. Generally, for the difficulty in falling asleep, more drugs with fast sleep-inducing effects are used; those who are prone to wake up at night should choose sedative-hypnotic drugs with medium or long half-life that can prolong sleep time; while early waking is mostly seen in patients with depression, antidepressants should be taken at the same time; if accompanied by anxiety symptoms, it is more suitable for sedative-hypnotic drugs with long or medium half-life. 5, long-term need to use sleeping pills: no special circumstances should not suddenly stop the drug to avoid rebound, should gradually reduce the dosage.