Niu Granny is a “dizzy” patient, two days ago came to the hospital neurology hospitalization, yesterday during the checkup, Niu Granny frowned, worriedly told the doctor, her “dizziness” is very strange, treated a number of hospitals, but there is no significant effect. “The dizziness occurs every time she lies down or sits up, and it feels like the bed and the whole house are about to collapse, so she involuntarily clings to the edge of the bed and closes her eyes tightly, afraid she will fall down, accompanied by sweating all over her body, and in severe cases, vomiting, the whole process lasts about 1-2 minutes, and sometimes it also occurs when she walks and turns her head or lowers her head. The whole process lasted about 1-2 minutes, and sometimes appeared when walking and turning or lowering the head. After carefully examining Niu’s body and reviewing the results of her head and cervical spine MRI and carotid ultrasound, the neurologist gave her an “exercise” on the spot. During today’s checkup, Niu’s mother-in-law was very excited and kept saying that modern “science” is really advanced, and that “doing exercises” can cure diseases! She said that now the whole thing is particularly relaxed. In fact, the disease that caused Grandma Niu’s “dizziness” is not strange, but very common in clinical practice. It is characterized by a brief dizziness when the head moves to a specific position, and is accompanied by significant nausea, vomiting, pallor, sweating and other autonomic symptoms that cause patients to fear turning their heads or lying in bed or getting up. The cause of the disease is the dislodgement of otoliths (calcium carbonate crystals) from the ellipsoidal cystic plaque into the semicircular canal, where the otoliths move in the semicircular canal when the head position changes, stimulating the cells of the canal balance function in the semicircular canal. The disease usually requires a specialist to diagnose, and it is best to have a CT or MRI of the head and neck to exclude other organic diseases in the skull. The term “manipulation” actually refers to the repositioning of the otolith into the oval sac through a series of head movements to cure the disease. “The treatment of otoliths through manipulation is very effective, with a one-time cure rate of 88% reported in the literature.