Vestibular peripheral vertigo may be caused by otolithiasis, Meniere’s disease, sudden deafness, etc. It can be treated with vasodilators, such as betahistine, etc.; glucocorticosteroids, such as prednisone, etc.; and nutritive neurotoxicity, such as methylcobalamin, etc., according to its pathogenesis. 1. Otolithiasis: transient periventricular vestibular vertigo caused by dislodgment of otoliths can be treated with manipulative and mechanical reset, combined with the use of vasodilator drugs such as betahistine. 2. Meniere’s disease: can take vasodilators, such as betahistine, etc., glucocorticoids, such as prednisone, methylprednisolone, etc., nutritive nerve drugs, such as methylcobalamin, vitamin B1 and other drug therapy. 3. Sudden deafness: you can take methylcobalamin, vitamin B1 tablets and other nerve-nourishing drugs, ginkgo biloba extract and other drugs to improve circulation, combined with glucocorticosteroids such as prednisone, methylprednisolone and other drugs. Vestibular peripheral vertigo, there may be other conditions caused by, it is recommended to consult a doctor in a timely manner to clarify the diagnosis, comply with the doctor’s instructions for medication, do not take medication on their own.