Vascular tinnitus, which is vascular pulsatile tinnitus, is mainly caused by narrowing of the canal, accelerated blood flow, and disturbed blood flow caused by anatomical variations of blood vessels or other lesions of blood vessels. Lesions such as hemangiomas and arteriovenous malformations are generally not treated with medication, but mainly through surgical treatment and psychotherapy. Atherosclerosis caused by hypertension, hyperlipidemia, and diabetes mellitus needs to be treated for the original disease. 1. Surgery: Surgery can lower intracranial pressure, reduce cerebral blood accumulation, and relieve vascular tinnitus caused by idiopathic rise in intracranial pressure. 2. Psychotherapy: Psychotherapy can alleviate the negative emotions of tinnitus patients, including anxiety and depression. 3. Atherosclerosis treatment: hypertension, hyperlipidemia, diabetes mellitus caused by arterial atherosclerosis, should pay attention to diet, reasonable exercise, oral statin drugs, and actively control the primary disease treatment. Vascular pulsatile tinnitus is a chronic disease, will affect the normal life, it is recommended that patients in a timely manner in time to seek medical attention, improve the relevant examination, identify the cause of the disease, for the cause of standardized treatment.