There are many clinical diseases that can cause vertigo attacks. vertigo is divided into central vertigo, peripheral vertigo and neuropsychiatric vertigo, and the causes of these three types of vertigo are different. 1. Central vertigo: vertigo caused by intracranial segment of vestibular nerve, vestibular nucleus and its fiber connection, cerebellum, brain and other brain neuropathy is accompanied by nausea and vomiting, and the common ones are intracranial vascular disease, intracranial These include intracranial vascular diseases, intracranial occupational lesions, intracranial infectious diseases, intracranial demyelinating diseases and degenerative diseases, epilepsy, etc. After cerebral hemorrhage or infection, which causes increased intracranial pressure, there will be strong nausea, vomiting, and optic papilloedema to produce vertigo. 2. Peripheral vertigo: It refers to vertigo caused by lesions between the vestibule of the inner ear and the extracranial segment of the vestibular nerve, commonly seen in Meniere’s disease, vaginitis, vestibular neuronitis, drug intoxication, positional vertigo, and motion sickness. The stimulation of the vestibular nerve to the vestibular nucleus is enhanced in the disease state, and fibers will be sent out and then contacted with the brainstem reticular formation, the dorsal nucleus of the vagus nerve and the suspected nucleus, causing vertigo with nausea and vomiting. 3. Neuropsychiatric vertigo: neurosis, menopause syndrome, depression and other diseases can cause vertigo with nausea and vomiting due to psychological factors or stressful reasons. In addition to the above factors, some systemic diseases, such as cardiovascular disease, poisoning, anemia, etc., can cause ischemia and hypoxia in the brain, and also cause the reaction of the digestive tract, resulting in vertigo with nausea and vomiting.