Hi,
I assume that you have checked for leaky caps on the card also not just only the motherboard.
There are some other things that can be checked according to the symptoms:
1. Bad solder joints on the components related to digital output on the card, making intermittent connection(Explaining why the sound goes from non-existent to distorted to actually working good. Checking every solder joint is a bit of pain though.)
2. Maybe an overheating issue, compare the temperature of the card's main ICs when the issue happens and when it doesn't, you can either use a remote thermometer or an IR camera to do that when the computer case is opened.
Less probable causes:
1. Bad connection with the ISA slot. (Unlikely, as that would most likely also effect the OPL3 voices too)
2. DMA transfer error from the motherboard. (Unlikely as that would explain the no sound, and in some cases the high scratching static noise, but not the low sound scenario)
"A process cannot be understood by stopping it. Understanding must move with the flow of the process, must join it and flow with it." - Dune