Vertigo is a subjective sensory abnormality that can be categorized in more ways into rotational vertigo, and general vertigo. There are more types of generalized vertigo, such as cardiogenic and blood pressure. For the vertigo after waking up, it is generally considered to be related to the change of body position, so it can be called postural vertigo. If this happens frequently, first of all, we should pay attention to the blood pressure, and if possible, we can go to the hospital to do dynamic blood pressure examination. In addition to blood pressure abnormalities, it should be considered in combination with other factors, such as cervical spondylosis, insufficient blood supply to the intracranial segments or compression of the cervical nerve root factors. If there is atherosclerosis, such as plaque in the carotid artery, or coronary artery stenosis and hypercoagulable state of the blood on coronary CT, it is necessary to go to the cardiovascular and cerebrovascular clinic for prophylactic anticoagulation and antiplatelet aggregation treatment. From the point of view of Chinese medicine, it is still considered to be caused by the change of body position after waking up, and the following factors should be considered at this time: 1) phlegm-dampness-phlegm turbidity; 2) blood stasis; 3) if the blood pressure is low, consider whether there is a deficiency of qi and blood, according to the situation of benefiting qi and nourishing the blood, activating blood circulation and removing blood stasis, and resolving phlegm-dampness-phlegm turbidity, and targeting the treatment.