Insomnia is a chronic lack of sleep or poor sleep. In the light case, it is difficult to fall asleep, or wake up easily in the middle of sleep, or wake up when sleeping, and in the heavy case, it is difficult to sleep all night. 1, common causes 1, long-term mental tension, anxiety: damage to the heart and spleen, resulting in weakness of blood, mind and soul. 2, the vegetative body is not strong or weak after the disease: resulting in the lack of qi and blood, the heart and mind lose nourishment; or yin deficiency and fire, the heart and mind restless. 3, panic, depression and anger: prolonged or repeated stimulation by panic, or emotional depression, irritation, can lead to mental restlessness, mental unrest. Pathogenesis 1. Location: mainly in the heart, involving the liver, spleen and kidney. 2. Pathological changes: mainly in the loss of intercourse between yin and yang (fusion). One is the deficiency of Ying and Blood, Yin deficiency and Yang inability to receive; the other is the disturbance of evil Qi, Yang Sheng cannot enter Yin. 3. The pathological nature is divided into deficiency and actuality: deficiency is due to the loss of nourishment of the heart; actuality is due to the disturbance of the heart and mind by evil. Treatment 1. Commonly used acupuncture points For the treatment of insomnia, often take the hand Shaoyin meridian, foot Conjunctive Yin meridian, foot Taiyin meridian points. Main acupuncture points: Annmian point, Baihui, Shenmen, etc. Acupuncture: laxative method for real evidence, tonic method for deficiency evidence. Once a day, 30 minutes each time, best in the afternoon or before bedtime. (2) identification and treatment (1) deficiency of the heart and spleen: a, Annmian, Baihui, Shenmen, Neiguan, Feosanli b, Annmian, Baihui, Shenmen, Heart Yu, Spleen Yu (2) Yin deficiency and fire: Annmian, Baihui, Shenmen, Sanyinjiao, Taixi, Daling, Taichong (3) liver fire: Annmian, Baihui, Shenmen, Xingma, Foot orthodontic Yin (4) stomach and internal organs: Annmian, Baihui, Shenmen, Zhonbei, Fenglong, Yinlingquan, Neiguan 3. Acupuncture and moxibustion method: Heart and spleen deficiency type: use tonic method, acupuncture and moxibustion together. Yin deficiency and fire type: both tonics and diarrhea, tonics for Shen Men, Sanyinjiao and Tai Xi, diarrhea for Daling and Taichong. Liver fire type: diarrhea is the main method. Nei Guan and An Mian points can be used for both tonics and diarrhea. Stomach and internal organs disharmony: diarrhea is the main method. Nei Guan can be used as a flat tonic and flat diarrhea. 4, auricular acupuncture therapy: acupuncture points: sympathetic, heart, Shen Men, spleen, subcortical Stabbing: 2-3 points each time, light stimulation, once a day, stay for 30 minutes, ten times a course of treatment. Also available ear acupuncture pressure pill method.