Abstract：Objective：To observe the clinical effect of auricular point pressing for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with insomnia. Methods：A total of 92 cases of patients with AECOPD complicated with insomnia were selected and divided into the control group and the study group according to the random number table method，with 46 cases in each group. The control group was treated with specific nursing and Estazolam Tablets， and the study group was additionally treated with auricular point pressing based on the treatment of the control group. Both groups were treated for 4 weeks and followed up for 4 weeks. The incidence of adverse reactions during treatment and within 4 weeks of follow-up，the scores of Pittsburgh Sleep Quality Index (PSQI)，the sleep time at night，the time for falling asleep and the sleep latency before and after treatment， and the clinical effects were compared between the two groups. Results： After treatment， PSQI scores in the two groups were decreased when compared with those before treatment (P＜0.05)，and PSQI score in the study group was lower than that in the control group (P＜0.05). After treatment，the sleep time at night in the two groups were increased when compared with those before treatment (P＜0.05)，the time for falling asleep and the sleep latency were decreased when compared with those before treatment (P＜0.05). The sleep time at night in the study group was longer than that in the control group (P＜0.05)，and the time for falling asleep and the sleep latency were shorter than those in the control group (P＜0.05). After treatment， the total clinical effective rate was 91.30% in the study group，higher than that of 71.74% in the control group (P＜ 0.05). During the treatment and in 4 weeks of follow-up，the incidence of adverse reactions was 4.35% in the study group， lower than that of 19.57% in the control group (P＜0.05). Conclusion： Auricular point pressing can effectively relieve the insomnia symptoms of patients with AECOPD complicated with insomnia，and improve the sleep quality with good safety.