Whether tinnitus is a deficiency of kidney yin or yang

Tinnitus is more common in patients with Kidney-Yin deficiency and Kidney-Essence deficiency, as well as in patients with liver and gallbladder fire, phlegm-fire stagnation, wind-heat upturning, and failure to elevate Qing Qi. Tinnitus in patients with Kidney-Yin deficiency may be accompanied by symptoms such as five heart-heat (heat in the heart of the two hands and the two feet, and self-consciousness of the heart and chest), hot flashes (a burst of heat), night sweating (abnormal sweating after going to sleep, and sweating stops after waking up), lumbar-knee pain, vertigo, and insomnia and dreaminess. If there is sudden tinnitus, accompanied by irritability, chest and hypochondrium (a collective term for the chest and ribcage area) swelling and stuffiness and other discomforts, it mostly belongs to the liver and gallbladder fire. If the tinnitus is like cicadas, sometimes light and sometimes heavy, and the mouth is bitter and phlegmatic, it may be phlegm and fire stagnation. If tinnitus is accompanied by external heat illness, it belongs to wind-heat upward disturbance. If tinnitus is accompanied by drowsiness of the limbs and fatigue (mental exhaustion and physical weakness), it may be due to the failure of Qing Qi to rise. Patients with tinnitus are advised to go to the hospital in a timely manner, after clarifying the condition, use medication under the guidance of a physician for treatment, and not blindly take medication on their own.