Otolithic vertigo often manifests as transient selective vertigo associated with specific head position changes, nystagmus, nausea, vomiting and other symptoms. It is recommended to go to the ENT department of the hospital for consultation, and follow the doctor’s instructions for treatment after a clear diagnosis, including medication, otolith repositioning treatment, vestibular rehabilitation treatment, surgical treatment and so on. 1. Drug treatment: generally not as the first choice of treatment, use anti-vertigo drugs as appropriate, commonly used drugs: calcium antagonists such as flunarizine, guillotine and so on. 2. Otolith reset treatment: Dix-Hallpike test and tumbling test are performed by ENT doctors to clarify the type of otolithosis, which can be done by hand or with the help of instruments. The method is often chosen according to the different types of otolithosis. 3. Positional training: also known as vestibular rehabilitation therapy training, it is recommended to follow the doctor’s advice according to the different types of otoliths to choose the appropriate treatment methods, such as habitual treatment methods, balance function training and so on. 4. Surgery: If the disease does not heal for a long time and seriously affects the working life, surgery can be chosen, such as semicircular canal obstruction. Patients with vertigo are recommended to go to the hospital as soon as possible, after a clear diagnosis of standardized treatment under the guidance of the doctor, so as not to delay the condition.