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Objective: To observe the effect of insomnia patients with deficiency of heart and spleen in Germany by the therapy of ear points pressing with bean. Methods: A total of 80 cases of insomnia with deficiency of heart and spleen in Germany were divided into the observation group and the control group, with 40 cases in each group. The patients in the control group were treated with oral modified Guipi Decoction (归脾汤), while the patients in the observation group were treated with oral traditional Chinese medicine (TCM) and the therapy of ear points pressing with bean. The efficacy, sleep quality, the TCM syndromes score and the incidence of adverse reactions were compared between the two groups. Results: The effective rate in the observation group was higher than that in the control group, and there was statistical difference between the two group (P<0.05). After treatment, the Pittsburgh sleep quality index scale (PSQI) score, insomnia severity index (ISI) score and the TCM syndromes score in the two groups were decreased sharply (P<0.01), and those scores in the observation group were lower than that in the control group (P<0.05). There was no adverse reaction between the two groups. Conclusion: The therapy of ear points pressing with bean is effective on insomnia in Germany, which is worth further study and promotion.