Patient Zhang, female, 61 years old, was first seen on January 28, 2016. She presented to the clinic with the main reason of “tinnitus in the brain for several months”. The patient began to have tinnitus in the brain with a high-pitched sound several months ago, especially at night when it was quiet. He came to the clinic today. At the time of consultation, Su Qiaozhen of the Department of Brain Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine saw the following symptoms: clear mind, good spirits, easily ringing in the left ear when swinging the head to the left side, dry mouth and desire to drink, fear of heat, easy sweating, nano-accommodation, sleep, heavy tinnitus at night before falling asleep, and diphtheria. The tongue is dark red with thin white coating and the pulse is smooth and strong. Diagnosis: cerebral tinnitus (heat incandescence) prescription: Huanglian 3 Scutellaria 10 rhubarb 5 with boiling water 500ml for 10 minutes, discard the dregs as tea, 7 doses. February 4, 2016 second diagnosis: the patient cerebral tinnitus symptoms significantly reduced, dry mouth and fear of heat, easy sweating and other symptoms than before significantly relieved, followed by the above taking, and asked if dry mouth, fear of heat symptoms relief, then stop taking. According to: cerebral tinnitus a disease, modern medicine is really difficult to give a reasonable explanation, mostly in patients after 50 years of age easy to appear, check the head imaging more or less cerebral arteriosclerosis, and then told the patient cerebral arteriosclerosis caused by, but to improve the circulation of drugs more than no significant effect. In Chinese medicine, most of the views are that the deficiency is caused by yin deficiency, therefore, treatment is mostly given to nourish yin and clear heat, but the effect is mostly general. In this patient, the symptoms and tongue and pulse were consistent with the signs of internal incandescence of fire and heat.