Objective To compare the clinical efficacy of scraping needling technique combined with western medication and simple western medication for neurogenic tinnitus of kidney essence deficiency.Methods A total of 68 patients with neurogenic tinnitus of kidney essence deficiency were randomly divided into an observation group and a control group

34 cases in each group.In the control group

oral methylcobalamin tablets were given

0.5 mg each time

3 times a day;oral flunarizine hydrochloride capsules were given before bed

5 mg each time

once a day

4 weeks in total.On the basis of the treatment as the control group

scraping needling technique was applied at Tinghui（GB 2）

Yifeng（TE 17）

Yangchi（TE 4） on the affected side and Shenshu（BL 23）

Lieque（LU 7）

5 min each acupoint

once a day

5 times a week for 4 weeks.Before treatment

2

4 weeks into treatment and 4 weeks after treatment（follow-up）

the tinnitus severity score

tinnitus visual analogue scale（VAS） score and pure tone average（PTA） were observed

and the clinical efficacy was evaluated in the two groups.Results The tinnitus severity scores

VAS scores and PTA of each time point after treatment in the two groups were lower than those before treatment（P<0.05）

and those in the observation group were lower than the control group（P<0.05）.The total effective rates of each time point after treatment in the observation group were 50.0%（17/34）

79.4%（27/34）

79.4%（27/34）

which were higher than 26.5%（9/34）

64.7%（22/34）

61.8%（21/34） in the control group（P<0.05）.Conclusion Scraping needling technique combined with western medication could improve tinnitus severity

tinnitus volume and hearing in patients with neurogenic tinnitus of kidney essence deficiency

and its curative effect is better than simple western medication.