↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Soft, high-pitched, cicada-like tinnitus that is worse at night; soreness and weakness in the lower back and knees; dizziness; dry eyes and blurred vision; brought on by ageing, chronic overwork, excessive sexual activity, or lack of sleep; eased by rest, avoiding stimulants in the evening, or a calm quiet environment before bed.
Tongue: Red, thin, cracked body, little or no coating, dry. Pulse: Thin, Rapid, Wiry, weak in the left Chi (Kidney) position.
Treatment principle: Nourish Kidney and Liver Yin, subdue Empty-Heat, open the ear orifices.
Note: no moxa (Yin deficiency).
Clinical manifestations: Loud ringing like rushing water or a roaring tide; worse with anger and frustration; a bitter taste in the mouth; a flushed red face and bloodshot eyes; irritability and a quick temper; a throbbing headache at the temples or crown; brought on by anger and frustration, alcohol, spicy or greasy food, or overwork and lack of sleep; eased by cooling food and drinks, a calm environment, avoiding alcohol, or deep breathing.
Tongue: Red body, redder at the sides, dry yellow coating, sometimes red prickles. Pulse: Wiry, Rapid, Forceful, especially at the left middle position.
Treatment principle: Drain excess Liver and Gall Bladder Fire, clear Damp-Heat, quiet the ears.
Note: no moxa.
Clinical manifestations: A fine, low-pitched, mosquito-like humming; worse with fatigue and after eating; poor appetite and bloating after meals; a sallow or pale complexion; weak limbs; loose, poorly-formed stools; brought on by irregular meals or overeating, cold raw food and drinks, overthinking and worry, or overwork; eased by warm cooked food, regular mealtimes, rest after meals, or gentle exercise.
Tongue: Pale, slightly puffy body with tooth marks on the edges, thin white coating. Pulse: Weak, Soft, Empty at the right middle (Guan) position.
Treatment principle: Tonify Spleen and Stomach, augment Qi, lift clear Yang to the head.
Note: moxa applicable.
4. Qi Stagnation in Gallbladder and Stomach with Phlegm-Heat
Clinical manifestations: Muffled, heavy tinnitus with a sense of fullness in the ear; the ear feels stuffed, full, or blocked; a bitter taste, nausea, or vomiting; restless sleep with vivid, disturbing dreams; easily startled or frightened; chest tightness and frequent sighing; brought on by spicy or greasy food, alcohol, stress and suppressed emotions, or a diet heavy in sweet or fatty food; eased by cooling food and drinks, avoiding alcohol and greasy food, gentle exercise, or a calm environment.
Tongue: Red body, yellow greasy coating, sometimes redder at the sides. Pulse: Wiry, Slippery, possibly Rapid.
Treatment principle: Regulate Qi, transform Phlegm, clear Gall Bladder and Stomach Heat, dry Dampness.
Note: no moxa. No deck slide combines this exact Gallbladder-Stomach Phlegm-Heat picture, so no pattern link is given here.
Clinical manifestations: Tinnitus that is worse with anger, frustration, or emotional stress; distension or bloating in the chest and along the ribs; frequent sighing; irritability, a quick temper, or mood swings; brought on by stress and frustration, suppressed emotions, a sedentary lifestyle, or overwork; eased by gentle exercise, deep breathing, talking through emotions, or a calm environment.
Tongue: Normal or slightly dark body, red or slightly purple sides, thin white coating. Pulse: Wiry, taut like a guitar string, especially at the left middle position.
Treatment principle: Course the Liver, resolve constraint, move Qi, alleviate pain.
Note: no moxa.
6. Wind-Heat
Clinical manifestations: Acute onset after catching a cold; the ear feels stuffed, full, or blocked; a sore throat and mildly red eyes; nasal congestion with yellow or thick discharge; a mild fever or aversion to wind; slight sweating that doesn't relieve the fever; brought on by sudden exposure to Wind-Heat, a weakened immune state, or close contact with someone unwell; eased by rest, cool drinks, fresh air, or a light diaphoretic tea.
Tongue: Red tip and edges, thin yellow or early-stage white coating. Pulse: Floating, Rapid.
Treatment principle: Disperse Wind-Heat, clear Heat, resolve toxicity.
Note: no moxa. The site's "Wind-Heat Invading the Lungs" slide is built around cough and respiratory symptoms with no ear involvement, so it isn't a close enough match to link here.