Summary of case history ,The patient had regular menstruation in the past, menarche was 13 years old, 30 days cycle, 7 days period, low volume, dark red color, dysmenorrhea, last menstrual period (LMP): On october 19, 2014, she was more than 3 months pregnant. She had sleepless nights for nearly 3 days, fatigue, poor appetite, abdominal pain and low back acid, vaginal discharge, paroxysmal increase, loose stool, normal urine, dark red tongue, thin yellow moss, pulse slip number (92 times/minute).,TCM diagnosis ,Insomnia (spleen-kidney deficiency syndrome).,Western medicine diagnosis, Pregnancy complicated with insomnia.,Therapeutic methods ,For pregnant patients with insomnia, first distinguish deficiency and solid, second distinguish the affected viscera - spleen deficiency, disease differentiation and syndrome differentiation combined, invigorating the spleen, soothing the mind, tonifying the kidney and Guchong treatment.,Clinical outcomes ,The outcome was normal delivery in July 2015, and the child was healthy.