Vestibular vertigo is a condition of vertigo caused by a lesion in the vestibular nervous system, often referred to as systemic vertigo. Treatment of vestibular vertigo requires symptomatic treatment according to the specific cause. Vestibular vertigo is anatomically divided into two types, namely peripheral vertigo and central vertigo, depending on the location of the lesion. Peripheral vertigo is commonly seen in diseases such as Meniere’s disease, labyrinthitis, otitis media, and vestibular neuronitis. Vertigo caused by Ménière’s disease requires diazepam and promethazine drugs to control the symptoms of vertigo, and surgical treatment is also an option when it is ineffective; vertigo caused by labyrinthitis, otitis media and vestibular neuronitis requires active anti-infective drug treatment to control the primary foci of infection, and at the same time, sedative drugs can be used to control vertigo, and surgical treatment is possible if necessary, such as osseous repair for otitis media. Central vertigo is commonly caused by cerebral infarction, cerebral hemorrhage, epilepsy and other diseases. Treatment for cerebral infarction is mainly symptomatic treatment such as thrombolysis, lipid regulation and pressure lowering, which can significantly improve vertigo symptoms after reducing intracranial pressure. It can be seen that the treatment of vertigo requires further treatment for the cause. The specific medication should be combined with the clinical situation and guided by the doctor’s interview.