〔Abstract〕 Objective To explore the clinical value of shumuyanggui decoction combined with ear point burying beans in the treatment of perimenopausal insomnia patients with liver stagnation and kidney deficiency. Methods A total of 68 perimenopausal insomnia patients with liver stagnation and kidney deficiency who were admitted to Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine from April 2018 to January 2020 were randomly divided into observation group and control group, with 34 patients in each group. The observation group was treated with Shumuyanggui decoction combined with ear point burying beans, and the control group was treated with Shumuyanggui decoction. The differences in TCM syndrome score, clinical efficacy and Pittsburgh sleep quality index (PSQI) score between the two groups were observed. Results After treatment, the TCM syndrome score of the observation group (8.85 ± 1.27) was lower than that of the control group (14.74 ± 1.48), the difference was statistically significant (P < 0.05). After treatment, the PSQI scale score of the observation group (8.47 ± 1.69) was lower than that of the control group (12.06 ± 2.63), and the difference was statistically significant (P < 0.05). The total effective rate in the observation group was 88.24%, which was higher than 73.53% of the control group, and the difference was statistically significant (P < 0.05). Conclusion Shumuyanggui decoction can reduce the TCM syndrome score of patients with perimenopausal insomnia, improve the PSQI score, effectively treat perimenopenopausal insomnia of liver stagnation and kidney deficiency, combined with ear point burying beans can further improve the clinical efficacy of Shumuyanggui decoction.