Objective To investigate the therapeutic effect of TCM pattern types differentiation-based acupuncture on cervical spondylotic arteriopathy（CSA） accompanied by dizziness

headache and insomnia. Methods A total of 126 patients with CSA admitted to a hospital in Shenyang from April 2019 to April 2021 were selected as the subjects and assigned to the control group and the observation group by the random number table

with 63 cases in each group. The patients in the control group received conventional acupuncture

and the patients in the observation group TCM pattern types differentiation-based acupuncture. Patients in both groups received continuous treatment for 15 days. The clinical efficacy was compared between the two groups. The Evaluation scale for cervical vertigo（ESCV） score

Pittsburgh sleep quality index（PSQI） score

mean blood flow velocity of right vertebral artery（RVA）

mean blood flow velocity of left vertebral artery（LVA）

mean blood flow velocity of the basilar artery（BA） and caliber of left and right vertebral arteries before and after treatment were compared between the two groups. Results The total effective rate of clinical treatment in the observation group was 93.65%

which was higher than that in the control group（80.95%）

with statistical significance（P<0.05）. After treatment

vertigo

shoulder and neck pain

headache

daily living and work

psychological and social adaptation scores and total scores in the ESCV scale in the two groups were higher than those before treatment

and the observation group was higher than the control group

and the differences were statistically significant（P<0.05）. After treatment

the sleep quality

sleep onset time

sleep duration

sleep efficiency

sleep disorders

hypnotic drugs

daytime dysfunction score

and total score in the PSQI scale in the two groups were lower than those before treatment

and the differences were statistically significant（P<0.05）. The sleep quality

sleep onset time

sleep time

sleep efficiency

sleep disorder

daytime dysfunction score

and total score in the PSQI scale in the observation group were lower than those in the control group

and the differences were statistically significant（P<0.05）. The mean blood flow velocity of LVA

RVA

and BA and the caliber of left and right vertebral arteries in the two groups were higher than those before treatment

and the observation group was higher than the control group

and the differences were statistically significant（P<0.05）. Conclusion TCM pattern types differentiationbased acupuncture can effectively relieve the clinical symptoms of patients with CSA accompanied by dizziness

headache

and insomnia

and improve the hemodynamic parameters of the vertebral artery. Its effectiveness and advantages justify a wider application of this procedure in clinical practice.