Abstract： Objective： To observe the clinical effect of the therapy of Shugan Tiaoshen auricular point scraping method combined with ear-apex blood-letting on patients with insomnia of liver constraint transforming into fire type. Methods： A total of 80 patients with insomnia of liver constraint transforming into fire type were selected as the study objects and divided into the control group and the observation group according to the random number table method，with 40 cases in each group. The control group was given routine treatment，and the observation group was additionally treated with Shugan Tiaoshen auricular point scraping method combined with ear-apex blood-letting based on the treatment of the control group， twice a week and eight weeks in total. The scores of Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) and levels of serum corticotropin releasing hormone (CRH)， adrenocor ticotropic hormone (ACTH) and corticosterone (CORT) before and after treatment， and the clinical effects were compared between the two groups. Results：After treatment，the scores of ISI and PSQI in the two groups were decreased (P＜0.05)，and the above two levels in the observation group were lower than those in the control group (P＜0.05). After treatment， the levels of serum CRH， ACTH and CORT in the two groups were decreased (P＜0.05)， and the above three levels in the observation group were lower than those in the control group (P＜0.05). The total effective rate was 95.00% in the observation group，higher than that of 77.50% in the control group (P＜0.05). Conclusion： The therapy of Shugan Tiaoshen auricular point scraping method combined with ear-apex blood-letting can effectively improve the subjective sleep quality of patients with insomnia and decrease the levels of hormones related to the hypothalamic-pituitaryadrenocortical (HPA) axis.