Abstract：Objective：To observe the clinical effect of the therapy of electroacupuncture at auricular points combined with Tiaoshen Yangxin needling on patients with primary insomnia. Methods： A total of 64 patients with primary insomnia were randomly divided into the control group and the treatment group， 32 cases in each group. The control group was given Tiaoshen Yangxin needling，and the treatment group was treated with the therapy of electroacupuncture at auricular points combined with Tiaoshen Yangxin needling. Before treatment，two weeks after treatment，four weeks after treatment and during the follow-up，the scores of sleep quality，sleep latency，sleep time，sleep efficiency，sleep disorder and daytime dysfunction as well as the total score of Pittsburgh Sleep Quality Index(PSQI) were calculated in the two groups. The clinical effect and safety were compared in the two groups. Results：Two weeks after treatment，four weeks after treatment and during the follow-up，the scores of sleep quality，sleep latency，sleep time，sleep efficiency，sleep disorder and daytime dysfunction as well as PSQI in the two groups were decreased when compared with those before treatment，the difference being significant(P＜0.05). Two weeks after treatment，the scores of sleep quality，sleep latency and PSQI in the treatment group were lower than those in the control group(P＜0.05). Four weeks after treatment，the scores of sleep quality，sleep latency，sleep time，sleep efficiency，sleep disorder and daytime dysfunction as well as PSQI in the treatment group were lower than those in the control group(P＜0.05). There was no statistically significant difference in the comparison of clinical effect between the two groups(P＞0.05). There were no obvious adverse reactions in the two gruops during treatment. Conclusion：The therapy of electroacupuncture at auricular points combined with Tiaoshen Yangxin needling has significant effect in treating patients with primary insomnia，which is safe and reliable.