Otolithiasis is somewhat self-limiting, but there is no way to induce it to heal itself. The quickest way to treat it is to seek medical attention and have it reset by a doctor. Avoiding falls, being optimistic and having a regular routine can help to promote recovery. Otolithiasis is somewhat self-healing. Pay attention to the patient’s care, walking with someone to help or use crutches, to avoid secondary injuries caused by falls and delays in the condition. Maintaining an optimistic attitude, reasonable rest and sufficient sleep are conducive to the self-healing of otolithiasis. Otolithiasis may be related to craniocerebral trauma, viral neuritis, Meniere’s disease, insufficient blood supply of vertebral basilar artery, calcium ion metabolism disorders and other factors, and some patients can be self-healing. It can be treated with medications such as betahistine and ginkgo biloba extract. Drugs must be applied under the guidance of a doctor. Patients with otolithiasis, should be actively treated, usually postural test examination, clear otolith in the semicircular canal and the location of the semicircular canal where it is located, and perform manipulation reset or machine reset, so as to make the dislodged otolith return to the ellipsoidal capsule.