Objective To observe and compare the therapeutic effect of different acupuncture methods for sleep disorder in depression with heart-spleen deficiency pattern.Methods Totally 177patients were randomized into the filiform needle+auricular pressure group（32cases）

electro-acupuncture（EA）+auricular pressure group（28cases）

warm needling+auricular pressure group（30cases）

filiform needle group（27cases）

EA group（29cases）and warm needling group（31cases）.Each group was treated once daily for 3weeks.The therapeutic effect and scores of Hamilton Depression Scale（HAMD）

SelfRating Depression Scale（SDS）and Pittsburgh Sleep Quality Index（PSQI）were observed.Results The total effective rate of the filiform needle+auricular pressure group

EA +auricular pressure group

warm needling+auricular pressure group

filiform needle group

EA group and warm needling group was 87.50%

92.86%

86.67%

77.78%

82.76%and 80.65% respectively

with no significant difference among groups（P>0.05）.There was no significant changes after treatment in the SDS score in all groups（P>0.05）.The scores of HAMD and PSQI were significantly decreased after treatment in all groups（P<0.01）

especially in the EA+auricular pressure group（P<0.05）.Conclusion EA

filiform needle

warm needling and auricular pressure can improve the sleep quality of sleep disorder patients in depression with heart-spleen deficiency pattern

especially EA combined with auricular pressure.