When tinnitus causes sleeplessness, it is necessary to first identify the cause of the disease, and then treat the cause according to the cause. Common causes of tinnitus include cerumen impaction, secretory otitis media, otosclerosis, etc., which need to be treated accordingly. 1. Cerumen impaction compressing the tympanic membrane: ear pain, occlusion of the ear, tinnitus, dizziness and other symptoms may occur. It is recommended that a specialist remove the cerumen from the ear or soften it and rinse it with saline. Tinnitus may be relieved after the cerumen is removed. 2. Secretory otitis media: It may be characterized by hearing loss, ear pain, low-pitched intermittent tinnitus, and a feeling of occlusion in the ear. The fluid in the middle ear can be removed by tympanic membrane puncture, incision, etc., with erythromycin, cefuroxime, dexamethasone, prednisone and other anti-inflammatory drugs. After the elimination of tinnitus, sleep disorders can be improved. 3. Otosclerosis: mainly manifested as progressive hearing loss, tinnitus, Weiss mishearing phenomenon, self-hearing enhancement. At present, surgical treatment is the mainstay, mostly stapes foot plate opening surgery, artificial hearing bone implantation. It is recommended that patients go to the hospital in time, after the systematic examination to clarify the cause of the disease, and follow the doctor’s instructions to standardize the use of medication and treatment.