Objectives: The purpose of this study is to report the three cases of pulsatile tinnitus without any cause improved by acupotomy and acupuncture. Methods: Three patients diagnosed with pulsatile tinnitus with no abnormalities detected on examination were treated with acupotomy and acupuncture. The improvement of symptoms was evaluated by visual analogue scale(VAS). Results: The visual analogue scale has decreased from 7 to 0, from 5 to 1, and from 6 to 0, respectively. Conclusions: Acupotomy had shown a positive clinical effect in the treatment of the pulsatile tinnitus without any cause in this case reports.