Description of the disease (onset, main symptoms, hospital visited, etc.): After a traumatic perforation of the eardrum in the left ear, the same symptoms as in the left ear appeared in the right ear 22 days later. It has been more than 3 months today. The first time I went to the hospital, the doctor just told me to go home and recuperate, saying that there was nothing serious wrong with it and that the eardrum would be intact after a long time of maintenance. I. Analysis of tinnitus The patient has a history of traumatic eardrum perforation, and now he has tinnitus in both ears, with the left ear being the heaviest, making it difficult to sleep. This is a typical case of tinnitus caused by traumatic eardrum damage. In addition to hearing, the human ear has other functions such as balance. Among them, tinnitus is only one of the manifestations of hearing abnormality, which is related to the pressure imbalance of eardrum on both sides. Analysis of tinnitus pathogenesis The functional status of many systems can also affect the hearing of the ear. For example, nerve function, vascular function and overall function will affect the auditory system. You are now 45 years old, the human body’s function is also gradually degenerating, and the vascular function and nerve function are also degenerating, so there is also a certain relationship with the overall function decline. This is what Chinese medicine says, “When a person is 40 years old, his yin energy is halfway. The “yin qi” here refers mainly to the organ qi, especially the liver and kidneys. The deficiency of liver blood and kidney yin and essence is also an important factor in tinnitus. After middle age, the liver and kidneys, especially the kidney qi, become deficient, resulting in the loss of nourishment in the ears and aggravating tinnitus. After the onset of the disease, emotional changes are also an important aspect of aggravating the symptoms. According to Chinese medicine, “tinnitus is the beginning of deafness”, and “deafness is the gradual of tinnitus”. Patients who have tinnitus for a long time must have hearing loss. Therefore, over time, their hearing will also decline. Third, tinnitus treatment analysis 1, mainly acupuncture. At present, it should be treated as soon as possible. Acupuncture can be the main. Acupuncture is generally more to drain the wind and fire of Shaoyang, and also to adjust the body, which also has a better effect on this disease. 2, appropriate with Chinese medicine. Chinese medicine and acupuncture combined with the application of acupuncture, can promote the improvement of the curative effect. 3, appropriate with neurotrophic agents. Mainly refers to the application of some vitamins and other western drugs. 3, sounding the sky drum to open the sky window. As a self, you can also knock the mastoid process of the ear; rub your hands together to heat while covering both ears, and then suddenly pull your hands outward with force to release. In Chinese medicine, the former is called “sounding the drum of heaven” and the latter is called “opening the window of heaven”, which have certain effect on tinnitus or ear hearing abnormalities. 4. Drain the liver and gallbladder qi. Ear disease, in Chinese medicine, is mainly related to Shaoyang meridian, especially related to the bile meridian. In the internal organs of the genus, the liver and gallbladder are each other. Therefore, if you are in a bad mood, especially agitated, or have excessive emotional changes, it will cause the liver and gallbladder fire to be exuberant and fire along the meridian, and aggravate the symptoms, i.e., increase the difficulty of treatment. The liver and gallbladder qi stagnation, can be combined with some plus flavored free and clear pills to serve, in order to dredge the liver and qi, clear the gallbladder fire. 5, pay attention to the regulation of emotions. The usual mood must be good, do not be bad mood because of the disease. A good mood can avoid liver qi stagnation, fire on the inflammation, but also conducive to the bile meridian dredging, in order to facilitate the treatment of the disease. Therefore, if you are in a bad mood, pay attention to the regimen. 6, must adhere to the treatment. It should be reminded that this disease is very difficult to treat and must have a longer period of persistent treatment before it can be effective or maintained without continuing to make the tinnitus aggravated and the hearing diminished.