This article summarizes the clinical experience in treatment of refractory tinnitus with

He

's

santong

therapy of acupuncture (three techniques of acupuncture to remove the blockage and promote circulation). Refractory tinnitus is characterized by a mixture of deficiency and excess

which is implicated in the dysfunction of

zangfu

organs

resulting in physical and mental injuries. In association with the complicated conditions of the diseases and etiology

He

's

santong

therapy of acupuncture is adopted. The needling with filiform needles acts directly on the affected site to regulate the mind and improve the hearing

the fire needling works on removing the refractory illness and blockage through heating up

and bloodletting on activating blood circulation and promoting

qi

flowing to eliminate the pathogens. The three techniques of acupuncture co-work on harmonizing the mind

promoting the circulations in the ear to stop tinnitus.