It is difficult to fall asleep with rambling thoughts, considering that it may be caused by liver-qi stagnation, insufficiency of heart-blood and heart-kidney disorders, etc. Patients can take Chinese medicines such as Chaihu Shuohe Pill and Zhuzha Tranquilizing Pill as prescribed by the doctor to regulate the condition. 1. Liver qi stagnation (poor transportation of qi and blood in the liver, emotional depression): this syndrome is mainly caused by long-term emotional disorders, resulting in depression, insomnia and other symptoms. Patients can take Chinese patent medicines that have the effect of dredging the liver and regulating qi (regulating the stagnation of liver qi), such as Chai Hu Shuo Liver Pill, to regulate the condition. 2. Cardiac blood insufficiency (insufficient blood in the heart): this disease is mainly due to the patient’s weakness after a long period of illness, prolonged over-exertion of thought or over-exertion of the brain, which leads to insomnia, dreaminess, palpitations (rapid heartbeat, often accompanied by panic) and other symptoms. Patients can take Chinese medicines that have the effect of nourishing blood and calming the mind, such as Nourishing Blood and Calming the Mind Pill, to regulate the patient. 3. Lack of communication between the heart and kidney (heart fire, kidney yin deficiency, dysfunction of the heart and kidney physiology): If the patient does not have regular sexual intercourse, overuse of the brain for a long period of time, or long-term depression, it may cause lack of communication between the heart and kidney, and it is difficult to sleep due to rambling thoughts. Patients can take Zhu Sha An Shen Pill, Qi Ju Di Huang Pill, and other proprietary Chinese medicines that have the effects of nourishing the blood and benefiting the qi, calming the mind (using medicines that are heavy in nature to stabilize the mind), and nourishing the kidneys and nourishing the liver to regulate the patient’s condition. Clinically, there are many reasons why patients have trouble sleeping, so it is recommended that they seek medical advice first, and choose the appropriate medication under the doctor’s diagnosis and treatment.