Patients with pulsating sounds in the ears are mainly considered to be caused by vascular abnormalities. The main symptom of the patient is often a tinnitus sound that is the same as the pulsation of the heart or blood vessels, sometimes intermittent and sometimes persistent, which seriously affects the patient’s life. The pulse sound may become more pronounced after the patient exercises. In terms of treatment, tinnitus masking devices can be used and can also be combined with acupuncture treatment. But first, patients need to be clear that there are no medications that can relieve the pulsatile tinnitus caused by anatomical abnormalities. Patients must be relieved of psychological stress. If sleeping at night affects sleep, they can take oral sedative medication, such as Bailout Sleep Capsules or Sweet Dreams Oral Liquid. If it seriously affects the patient’s normal work and life, surgery can be considered if necessary, but there are risks associated with surgery.