Abstract： This article introduces Professor FENG Shulan's experience in treating refractory insomnia with deficiency of both heart and spleen using modified Guipi Decoction combined with acupotomy. Professor FENG，based on the theory of treating both heart and spleen and regulating tendons to treat viscera， employs oral administration of modified Guipi Decoction to benefit qi， replenish blood， strengthen spleen， and nourish heart as the fundamental approach. She combines this with acupotomy treatment on the head and neck，chest and ribs，and back-shu points to relieve abnormal tension in the soft tissues of the neck，chest，waist，and back，thereby alleviating dysfunction of the spleen and stomach caused by stimulation or compression leading to sympathetic and parasympathetic nervous system imbalance，achieving the effect of treating refractory insomnia with deficiency of both heart and spleen.