Tinnitus is a common disease and can also be a symptom caused by many diseases. Patients feel that their ears are ringing in a high or low tone, continuously or intermittently, which seriously affects their life and work. From the point of view of Chinese medicine etiology and pathogenesis, the head is the inner organ of the essence, the brain is the inner organ of the spirit, the ear and other five organs are the external orifice of the brain, the ear orifice lives in the lateral position of the head and needs to be nourished by qi, blood and essence, any evidence of deficiency of qi, blood and essence can cause tinnitus, this is a deficiency; fire is said to be inflammation, diet, emotion, medicine and poison, the fire of the five organs and six bowels can be directly or indirectly disturbed by the Sanjiao, bile and small intestine meridians and cause tinnitus, this is a real evidence; The tinnitus caused by clear qi not ascending and turbid qi not descending, resulting in the disorder of clear qi and phlegm stasis clouding the orifices, is classified as a mixed evidence of deficiency and reality. Acupuncture points: Ear Gate, Hearing Palace and Hearing Society are referred to as the “three points in front of the ear”, which have the function of opening the orifices of the ear, and are effective in treating tinnitus caused by deficiency, actual and mixed deficiency and actual. Operation: Use stainless steel milli-needle to pierce 0.5~1.3 inch directly, in order to obtain qi, the needle sensation can be transmitted to the ear or brain. When acupuncture, pay attention to the accurate positioning, and let the patient open his mouth so that the acupuncture point can have a local depression gap to facilitate acupuncture point entry. Summary: “Three points in front of the ear song” – three points in front of the ear Jiao Xiaobiao, ear door hearing palace and hearing will, the main treatment of deafness, deafness, tinnitus, point nature flat, tonic, diarrhea. Song meaning: three points in front of the ear, the ear door belongs to the hand three Yang Sanjiao meridian, point nature is flat, the main treatment of tinnitus deafness; hearing Gong belongs to the hand Sun small intestine meridian, point nature is partial tonic, the main treatment of deafness; hearing will belong to the foot Shaoyang bile meridian, point nature is partial diarrhea, the main treatment of tinnitus. The song of the three points in front of the ear has strong clinical guidance for the understanding and application of the ear gate, the hearing palace and the hearing session and for the treatment of ear diseases. Adding and subtracting: taking the three points in front of the ear as the basic points, focusing on yin and yang, qi and blood, and meridian discrimination, for deficiency, combining Tai Xi, Fuyao, Hand San Li, and Foot San Li to benefit qi and nourish yin and fill essence; for actual evidence of lowering turbid qi, using Guan Chong, Zhi Gou, and He Gu to clear Yang Ming heat and San Jiao fire; for mixed evidence of deficiency and reality, taking Li Gou, Zhao Hai, Xing Ma, Nei Ting, and San Yin Jiao to ascend and lower turbidity, and both tonifying and diarrhea; for deficiency of the Governor’s Vessel, taking the Governor’s Vessel and Jiao Ji points; The use of bloodletting can be effective in cases of hyperactivity of real fire.