Abstract：Sensorineural deafness is characterized by an underlying deficiency and manifesting excess，where the underlying deficiency refers to the depletion of qi and blood， which serves as the internal basis for the onset of the disease. The manifesting excess involves phlegm-damp and blood stasis as pathological products that obstruct the circulation of qi and blood in the vessels. Additionally，poor emotional states due to imbalance of daily life and work can cause liver depression and qi stagnation，further exacerbating the condition. The interplay between deafness and liver qi stagnation can worsen the condition of deafness. Throughout the course of the disease， deficiency， phlegm， blood stasis，and depression are consistently present. In treatment，it is essential to focus on replenishing the deficiency as the foundation，combining acupuncture with herbal medicine. The depletion of qi and blood is attributed to spleen and kidney deficiency. Herbal treatment should aim to tonify the spleen and kidney to replenish qi and blood， resolve phlegm，remove blood stasis，and soothe the liver to relieve depression. Acupuncture should be used to regulate qi and blood，remove blood stasis，and harmonize emotions，thereby promoting the circulation of qi and blood within the ear. In clinical practice，the use of pure Chinese medicine methods has proven to be highly effective.