Objective：Under the guidance of symptom management theory(SMT), to explore the qualitative study of patients" symptom experience, in order to provide the basis for medical staff to fully grasp the symptoms of insomnia patients with palpitation, and SMT for patients to promote cardiac rehabilitation. Methods：23 patients with insomnia with palpitation were interviewed by phenomenological method. Colaizzi 7-step analysis was used to analyze the interview data. Results：The symptom perception, symptom evaluation and symptom response of insomnia patients with palpitation were analyzed. Perception consists of three themes: somatic symptom perception (fatigue; Chest tightness and palpitation, shortness of breath, palpitation and forgetfulness, dizziness and headache, numbness of limbs, headache of head and body, weakness of waist and knee, tinnitus, fear of cold limbs cold; Pain, chest pain; Loss of appetite; And frequent nocturia), perception of psychological symptoms (nervousness, anxiety, depression, emotional hangover), and changes in social adaptation. Evaluation consists of two themes: subjective and objective. Objective reasons (including disease factors, nature of work, living environment, sudden life events, etc.). Subjective reasons (including personality factors, electronic product use, sleep perception). Symptoms response: including three themes: body and behavior (body and medication behavior, body and eating behavior, body and exercise, body and traditional Chinese medicine (TCM) nursing technology); Psychology and behavior; Social culture and behavior. Conclusions：The insomnia patients with palpitation have a variety of symptoms and many influencing factors, but most patients are worried about the adverse reactions of western medicine, are not willing to take western medicine to treat insomnia, it is difficult to adhere to the use of TCM decoction, and willing to try TCM nursing technology to promote sleep. Under the guidance of SMT, with self-assessment of symptom experience of insomnia patients as the center, medical staff can construct TCM nursing technology plan and effectively intervene their symptoms, so as to improve the double-heart health of patients with palpitation and improve patients" self-management ability.