1. Syndrome of pathogenic wind attacking the lung
Main symptoms and signs: The patient has distension or slight pain inside the ear and hypoacusis. But  when the patient hears his own voice which is louder than the actual voice at ordinary times. Tinnitus looks like hearing wind. The patient often presses the tragus gently to relieve the discomfort of the ear. Examination sees clean auditory canal, slightly red tympanic membrane, mild invagination or a horizontal shadow behind the tympanic membrane which can move as the head moves. Audiometry finds conduction deafness. Possibly, accompanying symptoms exist such as headache, nasal obstruction, nasal discharge, sore throat, fever and aversion to cold. The tongue tip is red and the pulse floating and rapid.

2. Syndrome of blood stasis due to qi stagnation
Main symptoms and signs: Fullness, obstruction and discomfort inside the ear last long without recovery, which is like being blocked by an object in severe cases. Hearing declines, and worsens gradually. Tinnitus is like hearing a cicada's singing, or with murmur. Examination finds marked invagination of the tympanic membrane, even adhesion and declined activity. There exists the pale sedimental plaque on the tympanic membrane. Audiometry proves conduction deafness. The tongue is deep purple with thin and white fur. The pulse is taut and unsmooth.