Liver Qi Constraint: Tinnitus and Hearing Loss

The practice of Chinese medicine is based on the principles of balance and harmony within the body. It is not intended to diagnose or treat specific diseases, but rather to address patterns of disharmony that may be contributing to health problems. The information provided by this website or by any of our practitioners is not intended to replace the advice of a qualified medical doctor. Please consult with your doctor or healthcare provider before making any decisions about your health and well-being.


If there is a restriction in the flow of energy (qi) in the liver, it can cause occasional tinnitus, but not usually hearing loss. However, severe stress can sometimes cause sudden hearing loss. This is thought to be due to a disruption in the normal flow of qi and its distribution, which causes the obstructed qi to try to find another path through the Gallbladder channel. This can interfere with the function of the ears and, in severe cases, is known as ascendant yang. Chronic restrictions in the flow of qi are often accompanied by blood deficiency, heat, and/or ascendant yang.

Signs and symptoms

  • Tinnitus that comes and goes and is triggered by emotional stress, but improves with rest and relaxation
  • Women may experience hearing loss before their period
  • A feeling of pressure or fullness in the ears, but no pain or discharge
  • Frequent sighing, tightness in the chest or difficulty breathing, pain in the lower abdomen
  • Stiff neck or jaw, headaches, teeth grinding
  • Irritability, depression
  • Occasional fatigue that improves with exercise
  • Dizziness when standing up
  • Irregular periods, premenstrual syndrome, and breast tenderness
  • Tongue may be mauve or dark with pale or orange edges, with slightly red edges if there is heat
  • Pulse may be wiry and fine

Healing approach

Improve the flow of energy (qi) in the liver and regulate its flow. Remove any restrictions on the flow of qi and improve the function of the ears.

Base Formula

Modifications