Since there are many clinical diseases that can cause vertigo, and the incidence of otoliths is high, it is difficult to diagnose some cases with atypical conditions, and it is not easy to distinguish them from other positional vertigo, so the misdiagnosis rate is also high. If repeated repositioning treatment is not effective, we should consider whether there is a mistake in judgment or a lack of manipulation, and we should pay attention to exclude central positional vertigo and positional vertigo caused by orthopedic cervical spondylosis such as cervical subluxation, etc. For the public and doctors, being familiar with the clinical characteristics of otolith diagnosis and treatment can help diagnose and identify the disease. The method of otolith manipulation is the best way to treat otoliths, which is simple, easy, fast, effective, and economical, in line with the national promotion and vigorous development of precise medical treatment and traditional medical features, which not only saves medical resources but also avoids excessive medical treatment, and can quickly relieve patients’ pain, and is suitable for clinical promotion. Patients who do not see well with multiple repositioning can take appropriate drugs to stop dizziness and improve inner ear circulation, such as Min Make Long and Cipro to relieve vertigo symptoms, vestibular. Surgical treatment is only applicable to patients with persistent otoliths, with a disease duration >1 year, where conservative treatment is ineffective and life and work are seriously affected. Before the manual reset should be familiar with the basic process of treatment, for patients with severe hypertension, heart disease, cervical spondylosis, carotid stenosis and net dislocation should be used with caution or disabled reset method, especially some cases of sudden deafness with vertigo should pay attention to the possible precursors of cerebrovascular accidents, so that patients should pay attention to blood pressure, blood lipids, control the three highs, avoid osteoporosis, quit smoking and less alcohol, actively exercise and develop good living and living The patient should pay attention to blood pressure and blood fat, control the three highs, avoid osteoporosis, stop smoking and drinking, exercise actively, and develop a good lifestyle.