Abstract：Objective：To observe the clinical effect of aromatherapy combined with point application for primary insomnia. Methods： A total of 82 cases of patients with primary insomnia were selected and divided into the control group and the observation group according to the random number table method，41 cases in each group. The control group was treated with estazolam tablets and given basic nursing such as dietary guidance，and the observation group was additionally treated with aromatherapy combined with point application based on the treatment of the control group. Both groups were treated for two weeks. Before and after treatment，the scores of Pittsburgh Sleep Quality Index(PSQI)，Hyperarousal Scale(HAS) and Fatigue Scale(FS-14) in the two groups were compared. The clinical effect and adverse reactions in the two groups were compared. Results： After treatment， the scores of subjective sleep quality， fall asleep time， sleep time， sleep efficiency， sleep disorders， hypnotic drugs and daytime dysfunction in the two groups were decreased when compared with those before treatment(P＜0.05)，and the scores of the above seven detailed rules in PSQI in the observation group were lower than those in control group(P＜0.05). After treatment，the scores of HAS and FS-14 in the two groups were decreased when compared with those before treatment，and the scores in the observation group were lower than those in the control group(P＜0.05). The total effective rate was 95.12% in the observation group， higher than that of 80.49% in the control group(P＜0.05). Conclusion：Aromatherapy combined with point application for primary insomnia can significantly improve the sleep quality of patients with good safety.