Post-stroke insomnia(PSI)，with a high incidence，impacts the physical and mental health and the rehabilitation effects of patients to varying degrees，which is often ignored in rehabilitation treatment.PSI is mainly treated by taking sleeping pills before going to bed in clinical practice，but long-term administration is prone to drug resistance and side effects，which fails to solve the problem fundamentally.Auricular points and five notes are representative non-drug and non-invasive therapies with distinctive classical traditional Chinese medicine(TCM) characteristics.By summarizing related research in recent years，this paper made a comprehensive analysis from three major aspects：modern medicine mechanism and TCM etiology and pathogenesis of PSI，theoretical mechanism and clinical application progress of auricular point and five notes therapies，and prospect and deficiencies of the combination therapy.It was found that this combination therapy had the characteristics of simplicity，saving time，low cost，painlessness，no adverse reaction，etc.，and achieved significant clinical effect，which was worthy of promotion.Moreover，the method could prevent PSI.This paper aimed to provide a certain reference for the prevention and treatment of PSI with auricular points combined with five notes.