The preferred treatment for otoliths is manual repositioning, which can be done with bare hands or with the help of an instrument, and can be done in just a few minutes by an experienced doctor with an efficiency of over 80%. The purpose of manual repositioning is to reset the dislodged otolith to its original position so that it does not cause vertigo, not to remove it. After being diagnosed by a doctor, you can also perform home rehabilitation treatment at home under the guidance of a doctor. 1.Medication: In principle, medication cannot reset the otolith, but since BPPV may be related to degenerative disease of the inner ear or combined with other vertigo diseases, the following cases can be considered for medication: (1) When combined with other diseases, such diseases should be treated at the same time. (2) When there are symptoms such as dizziness and balance disorders after repositioning, medications to improve inner ear microcirculation, such as betahistine and ginkgo biloba extract, can be given. (3) Because vestibular inhibitors can inhibit or slow down vestibular compensation, they are not recommended for routine use. 2.Surgical treatment: For refractory patients with a clear diagnosis, clear responsibility for the semicircular canal, and who are still ineffective after more than 1 year of standardized comprehensive treatment such as otolith repositioning and have severely restricted activities, surgical treatment such as semicircular canal obstruction can be considered. 3. Vestibular rehabilitation training: Vestibular rehabilitation training is a physical training method to improve the vestibular function of patients through central adaptation and compensatory mechanisms, and to reduce the sequelae caused by vestibular injury. Vestibular rehabilitation can be used as an adjunct to otolith repositioning in patients with otolithiasis, in cases where repositioning is ineffective and dizziness or balance disturbances remain after repositioning, or before repositioning treatment to increase the patient’s tolerance to repositioning. Vestibular rehabilitation can be used as an alternative treatment if the patient refuses or does not tolerate the repositioning treatment.