Abstract：Professor YANG Zhimin's clinical experience in treating insomnia complicated by anxiety with Taoling Decoction is presented. Professor YANG holds that insomnia is rooted in disharmony between nutritive qi and defensive qi， whereas anxiety is typically marked by yin deficiency with effulgent fire. Patients with insomnia complicated by anxiety often present a complex interplay of water-fire，cold-heat imbalance；internal fire scorches nutrient-blood and leads to impeded blood flow，while water-damp obstructs the circulation of nutritive qi and defensive qi and impairs qiblood movement. Over time，blood may stagnate locally and generate static blood，ultimately producing a complicated pathogenesis characterized by internal fire depression with intermingled phlegm， turbidity， dampness， and static blood. Administration of Taoling Decoction can effectively improve insomnia，anxiety，and related somatic symptoms.