Summary of case history,　patient Tang, female, 78 years old, sought medical attention on September 19, 2021 due to difficulty falling asleep and difficulty falling asleep for more than 40 years after waking up. More than 40 years ago, patients had difficulty falling asleep without obvious causes, were prone to waking up in the middle of the night, and had difficulty falling asleep after waking up. They were diagnosed with "insomnia" at a local hospital, but the treatment effect of diazepam and zopiclone was not satisfactory. The patient's difficulty in falling asleep has worsened, and they cannot fall asleep after taking sleeping pills. Therefore, they seek medical attention from us. Symptoms and signs: Patients have difficulty falling asleep and sometimes cannot fall asleep even after taking sleeping pills; It's easy to wake up while sleeping. Chest tightness with occasional needle like pain in the chest. At midnight, I feel a knot in my heart. Usually, the soles of the feet are cold, but in the middle of the night, one feels uncomfortable with foot heat, sweats easily, feels weak, and is not responsible for heavy objects. There is often hiccup, with one bowel movement per day, and the texture is acceptable. Urination is acceptable, and the appetite is acceptable. The tongue is slightly red, the coating is thin and slightly yellow, the sublingual collaterals are stagnant and purple, and the two veins are astringent but lack strength.,TCM diagnosis,　insomnia(Weakness of the spleen and the stomach, Yang failing to enter Yin).,Western medicine diagnosis,　insomnia.,Therapeutic methods,　traditional Chinese medicine treatment is based on tonifying the spleen and stomach, nourishing yang to aid sleep, and is treated with modified Xuanfu Daizhe Decoction.,Clinical outcomes,　the symptoms such as difficulty in falling asleep, easy to wake up, chest distress, chest pain, fatigue, and painful urination disappeared.