Ears thumping like a drum and like the sound of heartbeat, may be neurogenic tinnitus, acoustic neuroma or hypertension and other diseases caused by tinnitus symptoms, the treatment includes drug therapy, adjuvant therapy, etiological treatment, and so on. 1. Medication: Nutritional nerve, improve circulation treatment, such as methylcobalamin, betahistine, etc.; long-term sound in the ear, can be used with lidocaine, etc.; rest is not good, as appropriate, the application of alprazolam and other sleep-aiding drugs. 2. Auxiliary treatment: available masking therapy, such as tinnitus treatment instrument, music therapy, etc., is through the external sound to inhibit or mask the tinnitus sound, in order to reduce the impact of tinnitus. 3. Etiological treatment: some patients have an acoustic neuroma, which can cause the sound in the ear, and need to choose surgery and other treatments according to the situation; long-term hypertension, atherosclerosis and other patients with thumping ears, the need to apply antihypertensive, lipid-lowering and other targeted medication and treatment. In conclusion, it is recommended to consult a doctor for systematic examination and diagnosis, and follow the doctor’s instructions for standardized medication and treatment.