Clinically, this symptom is called vascular pulsatile tinnitus.1 The common causes of this symptom are related to the patient’s own mental factors. For example, tension, fatigue, lack of sleep, poor rest or anger, stress, etc., can appear this situation. Generally speaking, first of all, adjust the routine of work and rest, maintain a good sleep state, you can use drugs to activate blood and improve circulation, together with the joint treatment of nerve-nourishing drugs. The symptoms will gradually subside or disappear. 2. The patient should be checked for hypertension and diabetes. 3. tumor-induced pulsatile tinnitus. 4. vascular origin pulsatile tinnitus. There are many causes of pulsatile tinnitus, so it is necessary to improve the imaging examination and then visit the department of vascular surgery and otorhinolaryngology.