Many patients experience transient vertigo (the sensation of seeing something in front of you spinning rapidly around you) with nausea, vomiting and other discomforts in their lives. It usually lasts no more than half an hour and the number of attacks is variable. Many patients go to neurology, cervical spine, and cardiovascular departments. In fact, this is a common disease called otolithiasis. Otoliths, also known as benign paroxysmal positional vertigo, are brief paroxysmal episodes of vertigo and nystagmus that occur when the head moves rapidly to a particular head position. The otoliths are normally attached to the otolithic membrane, but when some pathogenic factors cause them to detach, these detached otoliths swim in the fluid called endolymph in the inner ear, and when the body’s head position changes, the position of these semicircular canals also changes, and the submerged otoliths move with the flow of the fluid, thus stimulating the semicircular canal hair cells and causing intense vertigo in the body, usually for a short period of time, from a few seconds to a few minutes. The duration of vertigo is usually short, from a few seconds to a few minutes, and can be aggravated or relieved periodically. The duration of the disease varies. The onset of vertigo is sudden and often associated with a change in head position or body position. The symptoms of vertigo appear when the head position (affected ear downward) is excited, and the nystagmus occurs within 3-10 seconds after the head position change. The vertigo may be aggravated or relieved periodically, and the interval may be without any discomfort or with dizziness, and some patients may have a prolonged feeling of head heaviness and floating after the vertigo attack. This type of disease is usually treated by manual repositioning, and no medication is needed for non-serious cases. Because it is recommended that we specialize in treatment to avoid detours.