Main research objectives: To observe and compare the effects of head rhythmic massage with five-tone rhythmic massage on the improvement of insomnia patients. Method: The sources of the cases are all from May 2020 to May 2021 in our hospital's Tuina ward, 60 patients with insomnia symptoms were selected. Randomly divided into two groups: Group A is treated with head rhythmic hand massage therapy consistent with the five-tone rhythm. The treatment group B is a traditional head massage method combined with five-line music therapy. Each treatment is 15 minutes, two times per day, five times per week, two weeks and one course of treatment, and one course of treatment. The Hamilton Anxiety Scale HAMA, the Bisborg Sleep Quality Index Scale PSQI and the Insomnia Severe Index Scale ISI were compared for all patients before and after treatment. The therapeutic effect of two groups was observed and the mechanism of action was discussed. Conclusion: Insomnia in both groups improved. But the head hand massage therapy which is consistent with the five-tone rhythm can relieve and improve the insomnia symptoms, and the curative effect is obviously better than the traditional massage therapy combined with the five-line music therapy in the treatment group B, which is worth clinical promotion.