Objective To explore the rule of acupoint selection in the treatment of deafness and tinnitus by acupuncture in ancient and modern clinical literature. Methods Acupuncture and moxibustion clinical literature in CNKI, WF and Weipu database systems were searched and screened comprehensively. Acupoint-based databases were established. Data mining technology was used to describe the selected acupoints, meridian tropism and specific acupoints. Secondary and third-order association rules of high-frequency acupoints were analyzed and phase was made. Closed network diagram. Results Acupuncture and moxibustion treatment of deafness and tinnitus is characterized by distant and near cooperation and acupoint selection along meridians. Among them, the most frequently used acupoints are Yingfeng and Hearing Palace. The acupoints selected by this research are all over 14 meridians, of which the most frequently used are the Sanjiao Meridian of Hand Shaoyang, and the five acupoints are often used in specific acupoints. Conclusion Acupuncture and moxibustion treatment of tinnitus and deafness is based on syndrome differentiation and meridian selection, combined with local acupoint selection and distal acupoint allocation. Clinical alternation of Yinfeng, ear gate, auditory palace and auditory meeting can improve local inner ear circulation and restore hearing; Taixi, Taichong, Zhongzhu, Sanyinjiao, Fenglong and other acupoints can play the role of tonifying kidney, soothing liver and relieving fire, strengthening spleen and resolving phlegm wind.