Abstract： Objective： To observe the clinical effect of heat-sensitive moxibustion at Sihua points on insomnia of heart-gallbladder qi deficiency type. Methods： A total of 80 patients with insomnia of heartgallbladder qi deficiency type were selected and divided into the trial group and the control group according to the random number table method，with 40 cases in each group. The trial group was treated with heatsensitive moxibustion at Sihua points， and the control group was given oral administration of Estazolam Tablets. The two groups were treated once a day，five times as a course of treatment，with an interval of two days between courses of treatment，and four courses of treatment in total. The clinical effects，scores of Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were compared between the two groups， and the adverse reactions were recorded. Results： After treatment， the total effective rate was 90.00% in the trial group，higher than that of 75.00% in the control group，the difference being significant (P＜0.05). The scores of PSQI and ISI in the two groups were decreased when compared with those before treatment， and the scores of PSQI and ISI in the trial group were lower than those in the control group， differences being significant (P＜0.05). No adverse reactions occurred in both groups. Conclusion： Heatsensitive moxibustion at Sihua points has a significant curative effect on insomnia of heart-gallbladder qi deficiency type，which can improve the sleep quality of patients.