If you have a spinning sensation when you lie down and want to vomit, it is likely that you have vertigo or otoliths, which is often caused by overexertion or lack of rest. It is recommended to actively go to the hospital for examination and treatment after diagnosis. If it is vertigo, you can apply drugs to improve circulation and nerve nutrition, such as vincristine injection, prostaglandin injection, and also oral methylcobalamin dispersible tablets to nourish the nerves, and advise patients not to move around freely. In the case of otoliths, it is often necessary to perform manual repositioning treatment, and the patient’s spinning symptoms should improve significantly after the repositioning. Patients must pay attention to reasonable rest and avoid overexertion in order not to induce the clinical symptoms of spinning and vomiting.