When dizziness caused by hypertension occurs in the elderly, blood pressure should be monitored immediately to assess whether it is risky, and if necessary, a CT test of the head should be done quickly at the hospital, and intravenous fluids can be administered to bring the blood pressure down to a normal level smoothly. After the condition is stabilized, Chinese herbal medicine can be used to identify and treat the symptoms, as follows: 1. It is inclined to hyperactivity of liver and yang, which can be manifested as dizziness, tinnitus, head swelling and pain, impatience, irritability, bitterness in the mouth, insomnia, and dreaminess, and is easily aggravated by exertion and anger. The treatment is to calm the liver and submerge Yang, clear the fire and quench the wind, and can be treated with Tianma and Hooked Vine Drink plus reduction. 2. The type of phlegm and dampness obstruction can manifest as dizziness, head weight like blindness, accompanied by visual rotation, chest tightness, nausea, less food and more sleep. The treatment is to remove phlegm and dampness, strengthen the spleen and harmonize the stomach. 3. The type of blood stasis blocking the orifices is also a common clinical condition, which manifests as dizziness, headache with fixed pain, insomnia, forgetfulness, panic, mental discomfort, tinnitus, deafness, and purple lips. The treatment is to dispel blood stasis and create new blood, activate blood circulation and open the orifices. 4. The deficiency of qi and blood type will manifest as dizziness, which is aggravated after activity and easily triggered by exertion, accompanied by fatigue and spontaneous sweating, laziness and lazy speech. Treatment is to nourish the qi and blood and nourish the heart and spleen. 5. Kidney essence deficiency is also common in the elderly, manifesting as dizziness that persists for a long time, depression, weakness of the waist and knees, insomnia, dreaminess, forgetfulness, dryness of the eyes, and diminished vision. Treatment should nourish the liver and kidney, add marrow, according to the different symptoms of Yin deficiency, Yang deficiency, the use of Zuo Gui Wan or Right Gui Wan plus or minus treatment.