Objective：To observe the clinical effect of acupuncture combined with Tianwang Buxin pills for insomnia of yin deficiency with effulgent fire type.Methods：Divided 66 cases of patients with insomnia of yin deficiency with effulgent fire type randomly into the observation group and the control group，33 cases in each group.The control group received Tianwang Buxin pills for treatment，while the observation group additionally received acupuncture based on the treatment of the control group.Observed the changes of scores of Pittsburgh sleep quality index(PSQI)and Athens insomnia scale(AIS)before and after treatment and compared the clinical effect in both groups.Results：Before treatment， no significant difference was found in the comparisons of scores of PSQI and AIS between the two groups(P ＞ 0.05).After treatment，scores of PSQI and AIS in both groups were decreased when compared with those before treatment，differences being significant(P ＜ 0.05).Scores of PSQI and AIS in the observation group were lower than those in the control group，differences being significant(P＜0.05).The total effective rate was 90.91%in the observation group and was 69.70%in the control group，the difference being significant(P＜0.05).Conclusion：The therapy of acupuncture combined with Tianwang Buxin pills has significant effect in treating patients with insomnia of yin deficiency with effulgent fire type.