(1) Aim: finding the scientific evidence to comparison effect of herbal formulation 'Salvia hydrangea, Citrus aurantium,Lipiacitriodora,and elmbark' with Cinnarizine on amount and severity of tinnitus. (2) Design: this single-blind clinical trial of patients visiting the ear clinic with tinnitus problem more than 4 months, enrolled after physical examination, laboratory diagnosis, biochemistry and cell counting and audiogram definitive diagnosis mind tinnitus (pure tone). (3) Methods: the sample randomly divided into three groups: intervention with herbal formulation, intervention and treatment with placebo tablets and Cinnarizine. Before entering the study, forty people besides, during and after the intervention were evaluated clinically. Universal criteria and standards as well as those by the VAS and THI were evaluated. (4) Participant: all patients that visiting ear clinic with inclusion and exclusion criteria and past at least 4 month their tinnitus problem. (5) Interventions: after randomized, patients divided into 3 groups: group A (get Cinnarizine), group B (get herbal formulation) and group C (get placebo). All patients receive their treatment. The placebo in this study was Amidon that place in gelatin capsule. Dosage and mode of administration was educated. All people assessment before, 28 days and 56 days after the schedule has been developed and complete the VAS and THI with physical examination. (6) Main outcome measures variables: tinnitus