Objective To study the TCM pattern distribution and characteristics of menopause insomnia（MI）.Methods The symptoms

signs

tongue and pulse manifestations in 487 MI patients were investigated with methods of clinical epidemiological study.A mathematical statistical analysis of survey results was conducted by cluster analysis.Results There were 84symptoms

signs

tongue and pulse manifestations in MI patients.The top 5symptoms and signs were lack of energy（75.6%）

difficulty in falling asleep（72.3%）

morning somnolence（62.8%）

lassitude（62.8%）and early awakening（58.5%）.The common tongue and pulse manifestations were red tongue（43.5%）

yellow tongue fur（47.0%）

fine pulse（51.7%）and string-like pulse（44.4%）.There were 296patients with kidney-deficiency liver-depression pattern

117patients with liver-depression spleen-deficiency pattern

21patients with spleen-kidney yang deficiency pattern

21patients with kidney yin-yang deficiency pattern

18patients with heart-gallbladder qi deficiency pattern

and 14patients with heart-spleen deficiency pattern in 487patients.The common patterns in patients with menstrual disorders were liver-depression spleen-deficiency pattern

heart-spleen deficiency pattern and kidney-deficiency liver-depression pattern.The common patterns in menopausal patients were spleen-kidney yang deficiency pattern and kidney yin-yang deficiency pattern.The main symptom in patients with liver-depression spleen-deficiency pattern and kidney-deficiency liver-depression pattern was difficulty in falling asleep.The common symptoms in patients with spleen-kidney yang deficiency pattern and kidney yin-yang deficiency pattern were dreams

easy to wake up and early awaking.The common symptoms in patients with heart-gallbladder qi deficiency pattern were nightmares

dreams

easy to wake up and early awaking.The common symptoms in patients with heart-spleen deficiency pattern were dreams and easy to wake up.Conclusion The basic TCM patterns of MI are liver-depression spleen-deficiency pattern

spleen-kidney yang deficiency pattern

kidney-deficiency liver-depression pattern

kidney yin-yang deficiency pattern

heart-gallbladder qi deficiency pattern and heart-spleen deficiency pattern.Each TCM pattern has its own characteristics in the symptoms of insomnia and menstruation.