If a patient’s head feels spinning, which is also known as vertigo, treatment is needed depending on the cause of the vertigo. For example, if the dizziness is episodic and occurs when the position of the head changes, it is considered to be caused by otoliths and should be treated by repositioning the head by manipulation. If the dizziness is caused by ischemia in the posterior circulation or infarction in the cerebellar brainstem, we should improve the blood circulation and apply strong drugs to improve the microcirculation and blood supply to the brain, which will improve the symptoms of dizziness. If the patient’s head is spinning with tinnitus and stuffy ears, consider Meniere’s disease, and give hormones to reduce the edema in the inner ear, as well as symptomatic anti-dizziness and anti-emetic, such as by intramuscular injection of finasteride, to improve the patient’s symptoms of dizziness and vomiting.