This paper summarized the clinical experience of ZHANG Zhiyuan in treating tinnitus from liver， spleen and kidney. It is believed that the pathogenesis of tinnitus is the dysfunction of the liver， spleen， and kidneys leading to the loss of nourishment of the ear orifice， which is mostly related to factors such as liver constraint， liver fire， liver

yang

， liver and gallbladder damp-heat， spleen deficiency and phlegm coagulation， and kidney essence depletion. The method of regulating the liver， fortifying the spleen and nourishing the kidney is recommended. For tinnitus with specific syndrome of liver

qi

constraint， it is advised to use

Xian Nyu Beverage

（仙女饮） to soothe the liver， move

qi

， open constraint and dissipate masses. In terms of intense liver fire syndrome，

Tongxuan Xieqing Decoction

（通玄泻青汤） can be used to clear the liver and drain fire， unblock sweat pores and dissipate constraint. For liver and gallbladder damp-heat syndrome，

Xiegan Chushi Decoction

（泻肝除湿汤） should be used to clear liver and promote gallbladder function， eliminate dampness and unblock the orifices. For ascendant hyperactivity of liver

yang

syndrome， it is recommended to use

Xifeng Qianyang Beverage

（熄风潜阳饮） to calm the liver and subdue

yang

， clear the liver and extinguish wind. Regarding spleen deficiency and phlegm obstruction syndrome，

Dingxuan Xuming Decoction

（定眩除鸣汤） is suggested to fortify the spleen and drain dampness， dissolve phlegm and relieve dizziness.

Zishen Qinghuo Decoction

（滋肾清火汤） can be used to treat tinnitus with kidney essence depletion syndrome by nourishing kidney and boosting essence， clearing heat and opening orifices， while

Bushui Zhimu Fangfeng Decoction

（补水制木防风汤） is recommended for liver and kidney depletion syndrome by nourishing liver and kidney， calming liver and extinguishing wind.