Why do I experience tinnitus whenever I “get overheated”?
Aug 24, 2022
Source: Cainiu Health
Dr. Xu Gang
Introduction
Tinnitus triggered by “excessive internal heat” (a TCM concept)
If the tinnitus resembles the sound of cicadas—i.e., high-pitched tinnitus—it is typically sensorineural in origin. It is recommended to promptly visit the Department of Otolaryngology at a reputable hospital for pure-tone audiometry and tympanometry. In most cases, these tests enable a definitive diagnosis. In Traditional Chinese Medicine (TCM), heat-induced tinnitus is commonly attributed to liver fire excess or liver fire blazing.
Autumn is typically the driest season of the year, making individuals more susceptible to irritability and tinnitus.
Especially for white-collar workers, whose lifestyles are often irregular, why does tinnitus occur so readily with “internal heat” (a traditional Chinese medicine concept referring to excessive internal fire or inflammation)?
Why does tinnitus occur so readily with “internal heat”?
If the tinnitus presents as a high-pitched, cicada-like sound, it is usually classified as a high-frequency tinnitus, most commonly caused by sensorineural hearing disorders. It is recommended to promptly visit the otolaryngology department of a reputable hospital for pure-tone audiometry and tympanometry. These tests generally allow for accurate diagnosis. In traditional Chinese medicine (TCM), tinnitus triggered by “internal heat” is commonly attributed to liver-fire excess or liver-fire inflammation. Individuals with this condition often display irritable temperaments, quickness to anger, and emotional volatility. According to TCM theory, the liver “opens into the ears,” and governs emotions; thus, chronic anger or failure to regulate one’s emotions may impair the liver’s function of smoothing and dispersing Qi, ultimately leading to tinnitus.
Tinnitus induced by “internal heat” requires careful identification of its underlying cause. Treatment should be tailored accordingly—such as antibiotics for infection, antihypertensives for elevated blood pressure, hypoglycemic agents for diabetes, or high-dose corticosteroid therapy in certain cases. While “anger” is described in TCM as a contributing factor, modern medicine suggests that tinnitus may stem from various etiologies—including infection, hypertension, or other pathophysiological conditions. Given the wide range of clinical causes, identifying the precise trigger is essential before initiating treatment.
In daily life, it is important to manage emotions effectively and avoid excessive tension or anxiety, which may exacerbate tinnitus. We hope this information proves helpful to you.
