〔Abstract〕 Objective To study the effect of light music combined with Tianmen in the treatment of insomnia patients with stroke. Methods A total of 60 patients with post-stroke insomnia admitted to Guangzhou Panyu District Rehabilitation Hospital from January 2022 to March 2023 were selected and divided into an observation group and a control group according to different treatment methods, with 30 cases in each group.Among them, patients in the control group received routine treatment and nursing, and patients in the observation group were treated with light music combined with Tianmen therapy on the basis of the control group, and the therapeutic effect of the two groups was compared. Results The total effective rate of the observation group was 93.33 %, higher than that of the control group (73.33 %), the difference was statistically significant (P < 0.05). After treatment, the scores of Pittsburgh sleep quality index (PSQI) and social support rating scale (SSRS) in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). The sleep time of the observation group was shorter than that of the control group, and the total sleep time was longer than that of the control group, the differences were statistically significant (P < 0.05). Conclusion The use of light music combined with Tianmen therapy can play a good effect in the treatment of stroke insomnia patients, which is conducive to patients to maintain stable sleep.