Many clinical conditions can cause patients to develop rotational dizziness, commonly otoliths, Ménière’s disease, cerebral infarction, cerebral hemorrhage, etc. Patients should go to the hospital for head MRI and ear examination to clarify the cause, and then carry out targeted treatment. In addition, patients should maintain a relaxed mood and avoid excessive mental stress to relieve dizziness symptoms.1. Otoliths: The otoliths located in the ellipsoidal sac fall off with age and fall into the semicircular canal or potbelly ridge. The otoliths cause lymphatic flow in the ear when the body position changes, which in turn hits the potbelly ridge, causing patients to experience rotational dizziness. In this case, the patient should go to the hospital for treatment of otolith repositioning, and at the same time can take drugs to promote microcirculation in the inner ear. 2. Meniere’s disease: Due to autonomic nerve dysfunction and spasm of small blood vessels in the inner ear, microcirculation disorders occur in the inner ear and the endolymphatic sac, resulting in fluid accumulation in the membrane vagus, which leads to rotational dizziness and other symptoms. In this case, vestibular nerve inhibitors can be taken under the guidance of a doctor to relieve symptoms. 3. Cerebral infarction: Severe stenosis and occlusion of cerebral blood vessels can cause cerebral infarction, resulting in local neuronal ischemia and insufficient blood supply to the brain, which can lead to rotational dizziness. In this case, the patient should be sent to the doctor immediately for thrombolytic therapy or fibrin-lowering therapy, and in serious cases, surgical treatment, such as debridement decompression, cerebrovascular intervention, etc.; 4. Cerebral hemorrhage: after the cerebral blood vessel rupture, the blood flowing out compresses the surrounding brain tissue and stimulates the dural nerve, causing the patient to have symptoms such as rotational dizziness, nausea and vomiting. At this time, the intracranial pressure should be reduced, and if necessary, surgical treatment should be performed to save lives; 5. Other: cerebral vascular spasm, vestibular neuronitis, vaginitis and other conditions can also lead to the condition of rotational dizziness, which should be treated with medication under the guidance of a professional doctor.