Etiology and Pathogenesis Fire flaring-up along the meridians due to the Undernourishment of the ears stagnation of liver qi Excess type Obstruction of qi passage due to the stagnation of phlegm Tinnitus in a mild case,deafness in Deficiency of kidney a severe case essence failing to nourish the ears Deficiency type Lucid Yang failing to ascend due to deficiency of the spleen Failure of essence qi and stomach to ascend Etiology and Pathogenesis Fire flaring-up along the meridians due to the stagnation of liver qi Obstruction of qi passage due to the stagnation of phlegm Deficiency of kidney essence failing to nourish the ears Lucid Yang failing to ascend due to deficiency of the spleen and stomach Excess type Deficiency type Failure of essence qi to ascend Undernourishment of the ears Tinnitus in a mild case,deafness in a severe case