Abstract： Objective： To observe the clinical effect of Li's Hufu Tongbian scrapping therapy for insomnia with dual deficiency of the heart-spleen syndrome. Methods：A total of 60 cases of patients with insomnia with dual deficiency of the heart- spleen syndrome were randomly divided into the control group and the observation group， 30 cases in each group. Both groups were given Chenxia Liujunzi pills and other routine treatment and clinical nursing；the control group was given cutaneous scraping therapy，and the observation group was treated with Li's Hufu Tongbian scrapping method. Both groups were treated for four weeks. The clinical effect and the improvement of sleep quality[Pittsburgh Sleep Quality Index(PSQI) scores] in the two groups were observed and analyzed. Results： The total clinical effective rate was 86.67% in the observation group and 66.67% in the control group，there being no significant difference between the two groups(P＞0.05). Before treatment， there was no significant difference being found in the comparison of PSQI scores between the two groups(P＞0.05). After one，two，three and four weeks of treatment respectively，the PSQI scores in the two groups were decreased when compared with those before treatment(P＜0.05)， and at the third and fourth weeks of treatment respectively， the PSQI scores in the observation group were significantly lower than those in the control group(P＜0.05). Conclusion： Li's Hufu Tongbian scrapping therapy for insomnia with dual deficiency of the heart- spleen syndrome has definite clinical effect，and can significantly improve the sleep quality of patients.