Tinnitus is a common symptom in otolaryngology, and tinnitus symptoms arise in relation to the nucleus accumbens nucleus. Insomnia leading to ringing in the ears may have emergency causes, such as poor rest, with nucleus accumbens labyrinthine edema, and sterile inflammatory dysfunction leading to tinnitus production. Therefore, insomnia does not necessarily lead to tinnitus, and many insomnia patients simply have a certain amount of pain. If insomnia causes tinnitus, it is recommended to go to the ENT department for professional examination of tinnitus with or without auditory nerve problems and cochlear function problems, which may be caused by insomnia only after exclusion. In addition, insomnia does not cause tinnitus, but may aggravate tinnitus symptoms, and also cause functional nucleus accumbens disorders due to poor rest, and also vagus and mucosal edema around the cochlear nerve may produce similar auditory symptoms. Therefore, it is not common for tinnitus to be caused solely by insomnia. It is important to go to a specialist to rule out the problem, and if it is indeed insomnia that is causing a decrease in nucleus accumbens function, it may be necessary to evaluate nucleus accumbens function. If there is constant ringing in the ears and poor sleep at the same time, the two problems may not necessarily be related. Patients need to visit a specialist for tinnitus to rule out the problem and improve insomnia at the same time, as insomnia may aggravate the symptoms, but there may be other issues to consider if the ringing in the ears is due to insomnia alone.