Insomnia is one of the common complications after stroke. This paper summarized the nursing experience of moxibustion treatment in a patient with insomnia due to imbalance between heart-yang and kidney-yin after stroke. The Pittsburgh Sleep Quality Index Survey (PSQI) was used to evaluate sleep quality of the patient, and acupoints were selected by syndrome differentiation after determining the pattern of syndrome. In the meantime of moxibustion, targeted interventions such as nutrition support, emotional care and living guidance were carried out to improve the quality of sleep and life. (中风后失眠是中风常见并发症之一。本文总结1例艾灸治疗中风后心肾不交型失眠患者的护理体验, 首先科学评估, 确定证型, 辨证选穴; 然后在艾灸治疗的同时, 配合饮食调护、情志护理、生活指导等针对性干预, 改善患者睡眠质量, 提高生活质量。)