The treatments for otolithiasis include medication, otolith repositioning method, etiologic treatment, positional training, surgical treatment, etc. The most effective treatment should be determined by the doctor according to the patient’s condition. 1. Drug treatment: anti-vertigo drugs can be used to reduce the excitability of the vestibular nerve to relieve the symptoms. Commonly used drugs include antihistamines, such as promethazine, and anticholinergic drugs, such as cetirizine. 2. Otolith reset method: patients with vertigo should be examined by an ear, nose and throat doctor as soon as possible, and then according to the results of the examination, the otolith reset is performed by hand or with the help of instruments. 3. Etiologic treatment: The etiologic treatment of patients with secondary otolithiasis is also very important. 4. Positional training: It is recommended to go to the otorhinolaryngology department of the hospital and choose the appropriate positional training method under the guidance of the doctor. 5. Surgery: Surgery is suitable for stubborn otolithiasis where the above treatments are ineffective, and commonly used treatments include posterior canal nerve amputation and semicircular canal occlusion. If otolithosis is suspected or diagnosed, it is recommended to go to the hospital in time and choose the most effective treatment plan under the guidance of the doctor.