Abstract： Objective： To observe the curative effect of head scraping combined with Kai Tianmen massage on insomnia. Methods：A total of 90 patients with insomnia admitted to The Second Hospital of Jiaxing from May 2022 to October 2023 were selected and divided into the study group and the control group according to the random number table method，with 45 cases in each group. The control group was given the oral administration of Diazepam，and the study group was treated with head scraping combined with Kai Tianmen massage based on the treatment in the control group. Both groups were treated for seven days continuously. The clinical efficacy and incidence of adverse reactions，and the changes in traditional Chinese medicine syndrome scores，sleep quality [Pittsburgh Sleep Quality Index （PSQI）]，and psychological status [Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS）] before and after treatment were compared between the two groups. Results： The total effective rate was 93.33% （42/45） in the study group and 75.56% （34/45） in the control group， the difference being significant （P＜0.05）. After treatment， the traditional Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment （P＜0.05），and the above scores in the study group were lower than those in the control group （P＜0.05）. After treatment，the scores of each dimension and total score of PSQI in the two groups were reduced when compared with those before treatment （P＜0.05）， and the above scores in the study group were lower than those in the control group （P＜0.05）. After treatment，the scores of SAS and SDS in the two groups were down-regulated when compared with those before treatment （P＜0.05），and the above two scores in the study group were lower than those in the control group （P＜0.05）. The incidence of adverse reactions was 8.89% （4/45） in the study group and 13.33% （6/45） in the control group， there being no significance in the difference （P＞0.05）. Conclusion： The therapy of head scraping combined with Kai Tianmen massage can improve the sleep quality of insomnia patients，relieve the clinical symptoms， and reduce the negative emotions with great safety.