Ear vertigo and vomiting, generally referred to as otogenic vertigo, is associated with the ear as vestibular vertigo, including: vestibular central vertigo and vestibular peripheral vertigo. According to the causative mechanism of the lesion location to choose the corresponding targeted medication. 1. Vestibular central vertigo: commonly seen in older people, mainly due to ischemia of the posterior circulation, often accompanied by headache, tinnitus and vomiting, etc. At this time, you need to follow the doctor’s instructions to take some antiplatelet drugs and vasodilating drugs, such as aspirin enteric-coated tablets, betahistine hydrochloride tablets, etc., to alleviate the symptoms. 2. Vestibular peripheral vertigo: This is a kind of ear vertigo caused by oversensitivity of vestibular neurons, which can be improved by taking some vestibular nerve function inhibitory drugs, such as diazepam tablets, benadryl hydrochloride tablets and so on, so as to inhibit the activity of the vestibular nerve. When vestibular vertigo with vomiting symptoms occurs, standardized medication and treatment should be recommended after a clear diagnosis by a specialist.