Tinnitus is a common refractory disease in otolaryngology. There is no effective treatment in Western medicine for tinnitus currently, and most treatments only promote patient adapt to tinnitus rather than make tinnitus disappear. However, serious tinnitus often causes anxiety, insomnia, and affects daily life and work. The case study application of treatments is based on syndrome differentiation of traditional Chinese medicine theory,treated patients with concentrated Chinese herb powder to significant improvement in symptoms. Results can provide clinical reference.