Insomnia belongs to spiritual diseases in traditional Chinese medicine，and the disease site is mainly in heart and brain. The author thinks we should distinguish asthenia and sthenia firstly. Asthenia syndrome belongs to deficiency of yin-blood, the heart and brain losing its nourishments; Sthenia syndrome belongs to excess heat within inside or internal disturbance of phlegm-heat or blood stasis etc. Certainly its pathogenesis lies in disturbance of heart and spirit, so the basic treatment is to calm down the spirit. The commonly used Chinese medicine are spine date seed、fleece-flower stem、lilium、mother-of-pearl、calcined longmu etc.