Tinnitus in the elderly is caused by two factors, both of which can co-exist. First, chronic cerebral blood supply deficiency. Patients with this condition have risk factors for cerebrovascular disease, such as hypertension, hyperglycemia, hyperlipidemia, and patients often have stenosis or occlusion of blood vessels in the brain, and vascular examination can reveal atherosclerosis or plaque formation. Treatment should be based on improving circulation and restoring blood supply and oxygen to the brain, commonly used nimergoline, 10mg, 3 times a day, or 30mg, 1 time a day; or nimodipine, 30mg once, 2-3 times a day; you can also use Idebenone, 1 tablet once, 3 times a day; you can also add coenzyme q10, 10mg once, 3 times a day. Second, anxiety disorder. Patients often have too much thinking, think too much, can not control themselves, irritable, easy to lose their temper, and accompanied by sleep disorders, you can add anti-anxiety drugs, commonly used doxepin, you can also use bidirectional anti-anxiety and antidepressant, such as fluperzine melittin, duloxetine and so on.