Key points for diagnosis
1. It often shows low-tone tinnitus like blowing wind, the rhythm of which keeps in step with the respiration. The volume of this tinnitus is related to the depth and speed of respiration. The disease may abate or vanish when the patient is in a sitting position or lowers his head. Tinnitus may occur or worsen when the patient speaks, swallows, opens the mouth and gives a yawn.

2. Autophonia. The patient's voice is magnified when it passes through the audiotory tube. This makes the paitent uncomfortable. Because of this, some patients even feel too vexed to speak.

3. The patient has otic fullness, otalgia or valvular sensation of the nasal part. Some patients have stuffy sensation inside the ear. When taking deep breath or blowing his nose, the patient suffers from distending pain of the affected ear. Some patients have the sensation of valvular opening and closing in the nasopharyngeal portion while breathing.

4. Local examination may see the patient's auditory membrane flapping inwards and outwards during respiration, invaginating during inspiration and slightly evaginating during expiration. In mild cases, the examiner can see the membrane flapping only when the patient holds his nose between his fingers and closes his mouth to breathe. Nasopharyngeal examination shows cicatricial adhesion in the pharyngeal recess, thin eustachian cushion or enlarged pharyngeal opening of the eustachian tube.

5. Acoustic impedance examination sees abnormal pressure inside the tympanic cavity.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.