To explore the effect of traditional prescriptions combined with acupuncture for the treatment of neurogenic tinnitus. Methods:Eighty patients with tinnitus of live-fire flaring-up pattern were randomly divided into control group and treatment group, with 40 cases in each group. Patients in the control group were given prescriptions of traditional Chinese medicine therapy, while patients in the treatment group additionally received acupuncture at Shang er gen (R1), Xia er gen (R3), Er men (SJ21), Ting gong (SI19), Ting hui (GB2), Yi feng (SJ17) and He gu (LI4). Curative effects after one course treatment were compared between the two groups. Results:The ringing frequency of the two groups after treatment was still mainly in low, but that of the treatment group reduced significantly than that of the control group (P<0.05). The degree of tinnitus of both groups was significantly improved (P<0.05), and the treatment group had more obvious curative effect (P<0.05). There was significant difference in depression scale scores between the two groups (P<0.05). The total effectiveness of the treatment group was 91.9%, which was better than that of the control group (78.9%) with statistically significant difference (P<0.05). Conclusion:Acupuncture combined with Chinese medicine on tinnitus of live-fire flaring-up pattern may receive good therapeutic effect and significantly improve patients depression and irritation from tinnitus, which is worthy of clinical popularization and application.