Abstract： Objective:To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency.Methods:Sixty patients were randomized into an acupuncture group and a thread-embedding group,30 in each.The acupuncture group was managed by acupuncture therapy,and the thread-embedding group was treated by thread-embedding therapy.Pittsburgh Sleep Quality Index (PSQI) was adopted for evaluation before and after treatments.Results:The total effective rate was 86.7％ in the acupuncture group versus 96.7％ in the thread-embedding group.After treatment,the PSQI scores were significantly different from those before treatment in both groups (P＜0.01); the scores in both two groups were markedly different from each other after treatment (P＜0.01).Conclusion:Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients,while thread-embedding therapy is comparatively less time-consuming,more convenient and with longer stimulation.