Cicada sounds in the ear are mostly caused by neurological tinnitus. Neurological tinnitus is the most common type of tinnitus, which is caused by abnormal sound sensation due to lesions in any part of the auditory conduction pathway, such as the sensation of cicadas, buzzing and hissing sounds in the ear; these sounds are mainly subjective feelings of the patient, and no corresponding sound source exists in the outside world. The etiology and pathogenesis of neurogenic tinnitus are complex, and the causes of tinnitus vary greatly from person to person. Therefore, the treatment of neurogenic tinnitus is different for different causes. Neurological tinnitus is currently one of the world’s most difficult medical problems. The reason why it is a puzzle is that the pathogenesis of tinnitus has not been understood so far. According to the current opinion of most scholars, the etiology of tinnitus is probably considered to be caused by: vascular origin, injury, trauma, infection, and other causes. Therefore, there are many ways to treat neurological tinnitus, but there is no one specific treatment, yet many patients have been cured clinically. If the tinnitus is caused by vascular disease, the treatment should be targeted at vascular disease; if the tympanic membrane is perforated, tympanic membrane repair is feasible; if the tinnitus is caused by otitis media or ear infection, anti-infective treatment should be given; if the tinnitus is caused by congenital injury, medication for blood vessel expansion and nerve nutrition should be given to improve the symptoms. For the treatment of neurogenic tinnitus, in addition to the treatment of the cause, the following treatment modalities can also be adopted: i. improve microcirculation by using drugs such as vasodilating and nerve-nourishing drugs; ii. apply targeted herbal treatment after identification and treatment; iii. acupuncture treatment, which routinely takes the three points in front of the ear, the ear gate, the hearing palace and the hearing session together with the points on the fingers, arms and lower limbs, has good effect. Any method that can effectively relieve the symptoms of deafness, stuffy ears and breath-holding caused by neurogenic tinnitus is a good method.