Otoliths that are particularly dizzy when lying down need to be treated with manipulation or machine reset. If the patient still has vertigo and other discomforts after reset, medication, such as betahistine, can be administered under the guidance of a professional doctor. Otolithiasis is mainly due to the abnormal position of otoliths in the inner ear, resulting in vertigo symptoms. The vestibular function in the inner ear is to maintain the balance of the human body. When the otoliths are in the normal position, the balance of the human body is normal, but if they are hit or abnormal activities, the position of the otoliths may change, and the patient may experience vertigo, vomiting and other symptoms. The main treatment for otolithosis is manual repositioning, which involves rotating the otoliths according to the semicircular canals and the side of the otoliths to restore the otoliths to their original position, and some dizziness may occur during the repositioning process. There may be some dizziness during the restoration process. After the restoration is completed, dizziness may occur. If manual repositioning is not effective, machine repositioning is used. After repositioning, the general patients can recover, a few patients still have vertigo, etc., under the guidance of a professional doctor, can take drugs to improve the microcirculation of the inner ear, such as betahistine and so on. Patients with otolithiasis should consult a doctor in time for treatment under the guidance of a professional doctor.