Manual repositioning for benign episodic positional vertigo: There are two types of dizziness that require attention: benign episodic positional vertigo and migrainous vertigo. Many people are not familiar with this term, and when this disease strikes, patients often think it is a problem of their cervical spine or insufficient blood supply to the brain, so they use medicine, physical therapy, or even cervical spine surgery, but the pain is not eliminated after several tosses and turns, but it strikes from time to time, which brings great inconvenience and trouble to patients over time. In fact, there is a simple and easy way to treat this kind of dizziness, and that is the treatment of manual repositioning. The symptoms of benign episodic positional vertigo are characterized by a shaking sensation or even a spinning sensation during the attack, and are often accompanied by nausea, vomiting, and other symptoms of plant nervous disorders. The symptoms are recurrent but brief, usually less than one minute, and not continuous. In addition, the symptoms often occur when the patient changes his or her head position, such as when lying down to sleep or turning over in bed, or when bending or tilting the head while washing hair at the barber store. The cause of benign episodic positional vertigo has not been completely elucidated, but most scholars believe that it is related to otolith dislodgement. In the human ear, there is an important structure that regulates the balance of the human body, consisting of an ellipsoidal sac, a balloon, and three perpendicular semicircular canals. It contains hair cells that sense changes in the person’s center of gravity and head position, and calcium carbonate crystals, the latter structure resembling a stone, hence the name otolith. Trauma or aging of the head may cause otoliths to be dislodged into the semicircular canals, and long-term postural fixation may also induce abnormal deposition of otoliths, making middle-aged and elderly people and sedentary people prone to symptoms of benign episodes of positional vertigo. When the patient’s head position changes, the rotation of the otolith in the semicircular canal due to gravity will overstimulate the receptors in it and cause severe vertigo. It is like a ball maze played in the hands of a child, in which the balls swim in a disorderly manner, causing a loss of balance. The doctor’s treatment is to reset the balls that are rolling in the labyrinth tract to a specific position and stop rolling randomly. Thus, the balance is restored and the vertigo disappears. The specific treatment technique is: the patient takes a sitting position and turns his head 45° to the affected side, keeps the head position so that the patient lies down and hangs his head 30°, then the patient goes through a moderate head extension position and slowly turns his head 45° to the healthy side, then the patient rotates to a lateral lying position and turns his head down 45°, and finally returns to a sitting position and tilts his head forward 30°, keeping each position for 1 to 2 minutes or until the vertigo disappears. This is the traditional manual repositioning. This treatment is simple and effective. However, some special patients miss the opportunity to be treated because they cannot tolerate it or cannot cooperate with it. The treatment team led by Director Jin has improved this method after years of dedicated research. It has enabled some of the elderly patients, patients with severe anxiety, patients with combined cervical and lumbar spine diseases, and patients who are bedridden for a long time to be treated with proper manipulation and reset, bringing a boon to this group of patients as well. The symptoms of migrainous vertigo are dizziness and head sinking, and the duration of symptoms is long, some of them last for several hours and some of them last for several days. These people are more active and have more sensitive blood vessels and nerves in the head, which often cause dizziness due to the sudden rise and fall of temperature in different places or other factors that cause vasoconstriction in the head. It is recommended that patients with migrainous vertigo should go to the hospital for treatment at the onset of the disease and take the relevant medication according to the doctor’s diagnosis.