Herpes inside the auricle and dizziness may be caused by herpes zoster invading the vestibular nerve and causing viral encephalitis due to infection inside the skull, which requires prompt and clear examination and treatment in the hospital, usually with vestibular rehabilitation therapy and medication. Herpes inside the auricle is considered to be herpes zoster auricularis, also known as Hunt’s syndrome. This disease is characterized by peripheral facial paralysis with herpes in the ear. Herpes zoster invades the geniculate ganglion, sometimes the vestibular nerve, and even infects the skull, causing viral encephalitis. Treatment is first directed against herpes zoster by applying antiviral drugs, such as ganciclovir and interferon, and at the same time by applying nutritive neurotropic drugs, such as vitamin B1 and methylcobalamin. Invasion of the vestibular nerve: Herpes virus infection may invade the vestibular nerve, causing the patient to suffer from rotational vertigo, accompanied by nausea and vomiting. Symptomatic treatment can be given in the acute stage (within 3 days), such as the application of benadryl, metoclopramide, etc.; hormone sedation, such as dexamethasone, etc. to reduce neural edema, early rehabilitation of vestibular function, and improvement of gaze stabilization and postural balance. Viral encephalitis: herpes virus may induce encephalitis, and typical symptoms of encephalitis include dizziness and hallucinations. After lumbar puncture or routine biochemical examination of cerebrospinal fluid, etc., the doctor will confirm the diagnosis according to the results of the examination and combined with the past medical history, and then carry out medication, and the common medications include dexamethasone, methylprednisolone, and gammaglobulin. Dizziness and herpes inside the auricle, it is recommended to consult the hospital in a timely manner, after the diagnosis is clear, follow the doctor’s instructions for medication and treatment.