Long-term tinnitus such as cicadas, the common causes of Meniere’s disease, neurogenic tinnitus, etc., need to be based on different causes and the degree of symptoms to choose the targeted medication, often including glucocorticosteroids, nutritive nerve medications, and so on. 1. Meniere’s disease: typical manifestations include episodic vertigo, progressive hearing loss and tinnitus. Tinnitus usually occurs before vertigo and starts as a persistent low-pitched running water sound, then changes to a high-pitched cicadas sound. Patients can take glucocorticosteroids such as dexamethasone and hydrocortisone to reduce tinnitus. 2. Neurogenic tinnitus: prolonged exposure to noise can lead to auditory neuropathy, causing tinnitus like the sound of cicadas, often light during the day and heavy at night. Patients can follow the doctor’s instructions to use nutritive drugs such as methylcobalamin, glutamine, etc. for treatment. Long-term tinnitus such as cicadas continue to symptoms are not relieved, we should actively seek medical systematic examination to clarify the diagnosis, follow the doctor’s instructions standardized medication and diagnosis and treatment.