Patients who have vertigo as soon as they lie down and get up, mainly consider the following aspects: 1. To be considered as caused by otoliths, if the patient’s vertigo manifests itself for a duration of several minutes and is related to changes in the position of the head. In severe cases, it may be accompanied by nausea and vomiting, and patients will find rotational nystagmus of the eyes during the vertigo attack, so it should be considered as otolithosis, which can be treated by manual reset; 2. Patients who have vertigo when they lie down and get up, if it is accompanied by blackness in front of the eyes, it should be considered as caused by postural hypotension. This kind of patients are mostly seen in the usual low blood pressure, anemia, poor physical quality, or the existence of cerebral arteriosclerosis and other factors, blood pressure adjustment is not timely, easy to appear a transient cerebral blood supply deficiency, lying down and get up too hard when it is easy to induce vertigo.