The difference between virtual tinnitus and real tinnitus is mainly manifested in different causes, different symptoms, different treatments and medications. 1. Different etiology and evidence: tinnitus deficiency is mostly caused by visceral deficiency, loss of nourishment of the orifices, commonly seen in kidney essence loss, qi and blood deficiency and other certificates. Tinnitus solid evidence is mostly due to external evil or internal organs of the real fire on the disturbance of the ear orifices, or blood stasis, phlegm (water metabolism disorders in the formation of pathological products) obscuring the clear orifices (obscuring the mouth, eyes, nose and ears of the 7 orifices) caused by the common wind-heat invasion, the liver fire on the disturbance of the evidence. 2. Symptoms are different: tinnitus deficiency manifests itself as tinnitus that stops when it starts and stops when it stops, the sound is thin and low-toned, and the sound is weakened by pressing, and intensifies after exertion, accompanied by dizziness, lumbago, and spermatorrhea, among other symptoms. Tinnitus solid manifestation of tinnitus is mostly explosive, with ear distension, ear pain, accompanied by headache, face red, bitter mouth and dry throat, irritability, constipation and other symptoms. 3. Different medications: Tinnitus deficiency such as kidney essence deficiency, can be used to deafness Zuo Ci Pill and other treatments. Tinnitus solid evidence such as wind-heat invasion evidence, can be used Yin Qiao San and other medicines; liver fire on the disturbing evidence can be used gentian liver soup and other medicines. When tinnitus occurs, it is recommended that the patient consult a doctor in a timely manner, and the doctor will guide the treatment after identifying the symptoms.