Rheumatic diseases are a group of diseases that affect bones, joints and their surrounding soft tissues, such as muscles, bursae, tendons, fascia, and nerves. Rheumatic diseases include rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, desiccation syndrome, systemic sclerosis, polymyositis, vasculitis syndrome, mixed connective tissue disease and many other diseases. In addition to the symptoms and signs associated with rheumatic diseases, patients with rheumatic diseases often suffer from pain that affects their sleep and even leads to insomnia. Insomnia usually refers to a subjective experience that patients are not satisfied with the time and or quality of sleep, and affects the social function during the day, including difficulty in falling asleep, waking up frequently during sleep or waking up too early in the morning. Insomnia can cause fatigue, feelings of restlessness, general discomfort, often listlessness, unresponsiveness, poor memory, sometimes headaches, and other discomforts. The common clinical types are: primary insomnia, secondary insomnia, and pseudo-insomnia. There are many causes of insomnia, the common ones are somatic pain disorders, anxiety, depression, phobias, drugs, cardiopulmonary insufficiency, etc. Insomnia caused by psychological, physical or environmental factors is called secondary insomnia; there are also some insomnia for which no definite cause can be found, called primary insomnia. Since rheumatism patients commonly suffer from somatic and joint pain, and some patients also need to take hormonal drugs, which are the causes of insomnia, the combined insomnia of rheumatism patients is secondary insomnia. Insomnia, in Chinese medicine is called “sleeplessness”, “the difficult scriptures – forty-six difficult” “forty-six difficult said: the old man sleeps but does not sleep, the young and strong sleep but does not wake up, why?” The Inner Classic has the night not close, such as “the old man’s not close at night, what gas makes? …… the old man’s qi and blood decay, its muscles withered, astringent airway, the five viscera of the qi phase Bo, its Ying Qi decay less and Wei Qi within the fracture, so the day is not fine, the night does not close.” There are also the eyes do not close, “Wei Qi shall not enter the yin, often stay in the Yang. Stay in the Yang is full of Yang Qi, Yang Qi is full of Yang F Sheng, not into the Yin is Yin Qi deficiency, so it is not close.” Treatment is mostly from the perspective of identification and treatment, because of the heart and spleen deficiency, the treatment should be to supplement the heart and spleen, the formula is used to add and subtract the spleen. For those with deficiency of yin and blood and yin deficiency and fire, the treatment is to nourish yin and lower fire, nourish the heart and calm the mind. For those with deficiency of heart and gallbladder Qi, the treatment is to benefit Qi, calm down fright, and tranquilize the mind. For those with internal disturbance of phlegm and heat, the treatment is to clear the phlegm and heat, harmonize the middle and tranquilize the mind. In cases of liver stagnation and fire, the treatment is to clear the fire from the liver and to calm the mind.