What are the characteristics of tinnitus caused by kidney deficiency?

Dec 10, 2025 Source: Cainiu Health

Dr. Sun Lianqing

Introduction

In general, tinnitus caused by kidney deficiency—a common manifestation in traditional Chinese medicine—is typically characterized by a buzzing or ringing sound resembling the chirping of cicadas, persistent episodes, worsening symptoms after physical exertion, frequent accompaniment of soreness and weakness in the lower back and knees, and more pronounced symptoms at night. Tinnitus due to kidney deficiency requires targeted regulation based on individual constitution, and symptoms can often be alleviated through nourishing kidney essence and reinforcing kidney qi.

Generally, tinnitus caused by kidney deficiency is a common manifestation in traditional Chinese medicine (TCM), characterized primarily by a cricket-like sound, persistent episodes, worsening symptoms after physical exertion, frequent accompaniment of soreness and weakness in the lower back and knees, and more pronounced symptoms at night. A detailed analysis is as follows:

1. Cricket-like sound: Tinnitus due to kidney deficiency often presents as a faint, cricket-like or buzzing sound—similar to the chirping of cicadas commonly heard in summer. This differs from the loud, roaring tinnitus caused by conditions such as excessive liver fire, being higher in pitch yet softer in quality.

2. Persistent onset: This type of tinnitus is typically continuous and does not resolve easily on its own. Symptoms become more noticeable in quiet environments, and some individuals may experience difficulty concentrating, which can interfere with daily work and life.

3. Worsening after exertion: According to TCM theory, the kidneys store essence (jing), and excessive fatigue depletes kidney essence, thereby exacerbating kidney deficiency and making tinnitus more severe. With adequate rest and partial recovery of kidney essence, tinnitus symptoms may slightly improve.

4. Frequently accompanied by soreness and weakness in the lower back and knees: As kidney deficiency is the root cause of this tinnitus, it commonly coexists with typical signs of kidney deficiency. Soreness and weakness in the lumbar region and knees are most prevalent, along with possible associated symptoms such as dizziness, fatigue, poor memory, and general lack of energy.

5. More noticeable at night: At night, the body’s yang energy turns inward, weakening the nourishing effect of kidney essence. The ears thus receive insufficient vital nourishment, causing tinnitus to become more prominent than during the day. Some individuals may consequently experience disrupted sleep quality.

Treatment for tinnitus caused by kidney deficiency should be individualized based on constitution, focusing on nourishing kidney essence and reinforcing kidney qi. In most cases, symptoms can be alleviated and normal hearing function restored through appropriate regulation.

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