Insomnia may trigger tinnitus hearing loss. Insomnia in patients may cause autonomic dysfunction, and sleep is related to the function of the emotional system and neural network in the brain. Insomnia will increase the nerve excitability of the brain and increase the sensitivity to the surrounding information and trigger tinnitus and hearing loss. Medications such as methylcobalamin tablets, ginkgo biloba extract tablets and vitamin B12 tablets can be taken as prescribed to improve symptoms. Insomnia patients need to avoid smoking and alcohol, adjust their own work and rest time, pay attention to moderate exercise. At the same time, they should relax and avoid excessive tension. You can do some aerobic exercise in daily life to regulate the endocrine system. Diet should be vegetables and coarse grains with some benefits to sleep. When patients with insomnia caused by tinnitus, it is recommended that patients go to the hospital in time for relevant examinations to clarify the cause of the disease, and then follow the doctor’s instructions for medication and treatment.