Abstract：Objective：To observe the clinical effect of modified Wendan tang combined with auricular point pressing with beans for insomnia of internal harassment of phlegm-heat type. Methods：A total of 86 cases of patients with sleep disorder of internal harassment of phlegm- heat type were selected and divided into the control group and the observation group according to the random number table method，43 cases in each group. The control group was given the oral administration of esazolam，and the observation group was treated with modified Wendan tang combined with auricular point pressing with beans. The changes of sleep quality and sleep time before and after treatment as well as the clinical effect in the two groups were compared； the adverse reactions during treatment were observed. Results： The clinical efficacy of the observation group was better than that of the control group. By rank sum test，the difference was statistically significant(P＜0.05). Before treatment， there was no significant difference being found in the comparison of pittsbugh sleep quality(PSQI) scores and sleep time per night between the two groups(P＞0.05). After treatment， PSQI scores in the two groups were decreased when compared with those before treatment(P＜0.05)，and sleep time per night was increased(P＜0.05)；the PSQI score in the observation group was lower than that in the control group(P＜0.05)， and the sleep time was longer(P＜0.05). The incidence of adverse reactions was 9.30% in the observation group， lower than that of 51.16% in the control group， the difference being significant(P＜0.05). Conclusion： The therapy of modified Wendan tang combined with auricular point pressing with beans for insomnia of internal harassment of phlegm-heat type can improve the clinical effect and sleep quality with good safety.