Tinnitus or tinnitus are sounds that occur inside the ear. Like ringing or clicking. What will help us most in the diagnosis is to differentiate if they are of the excess type or of the deficiency type. For this we can ask the person to cover their ears with their fingers and observe if the tinnitus sounds louder, weaker or the same.

Excess-type tinnitus

• A constant, loud noise is heard.
• It intensifies when covering the ear or doesn't change.
• Related to fire in Liver and Gall Bladder. For example: excess of Liver-Fire, heat in Gall Bladder or rising of Liver-Yang.
• TE-2; TE-4; GB-41; GB-43; PC-7; KI-3; LI-4

Deficiency-type tinnitus

• When covering the ear the noise decreases or disappears.
• It intensifies when tired.
• Related to deficiency of Kidney, with fire above. For example: deficiency of Kidney-Qi, Break of Heart and Kidney, Deficiency of Liver-Yin and Kidney-Yin.
• ST-36; LI-4; BL-23; GV-4; KI-3