Objective:To observe the clinical efficacy of Professor Cao Renfa’s three-step massage in treating insomnia. Methods90 insomnia patients were randomly divided into the estazolam group, tuina group and combination group, 30 cases in each group. The patients were treated with estazolam tablets and /or Cao Renfa’s three-step massage respectively,with a course of 12 days. The clinical efficacy and the changes of pittsburgh sleep quality index(PSQI)score,athens insomnia scale(AIS)score and polysomnogram in the three groups before and after treatment were observed.  Results:①The total effective rate was 83.3% in the estazolam group,80.0% in the tuina group and 93.3% in the combination group；the clinical efficacy of the combination group was better than that of the estazolam and tuina group(P<0.05). ②After treatment,the scores of PSQI and AIS in all groups were obviously decreased compared with treatment before(P<0.05),and the scores of the combination group were lower than those of the estazolam and tuina group(P<0.05). ③After treatment,the light and deep sleep time in all groups were significantly prolonged compared with treatment before(P<0.05),and the time of the combination group was longer than that of the estazolam and tuina group(P<0.05).  Conclusion:Cao Renfa’s three-step massage can significantly improve the sleep quality of patients with insomnia.