Vertigo of the inner ear is often referred to as periventricular vestibular vertigo, with Meniere’s disease and benign paroxysmal positional vertigo as common disorders. General, non-surgical and surgical treatments need to be selected according to the main causes and symptoms of different diseases. 1. Meniere’s disease (1) General therapy: including: psychological treatment, low-salt diet, lying down in a dark room during attacks, encouraging patients to strengthen exercise between attacks, and prohibiting smoking, alcohol and strong tea. (2) Non-surgical therapy: including: drug therapy (rational application of diazepam, flunarizine, betahistine, etc.) and injection of gentamicin or streptomycin into the tympanic cavity. (3) Surgical therapy: If the drug therapy is not effective, surgery will be performed. There are many types of surgeries, including endolymphatic sac surgery, vestibular neurectomy and so on. 2. Benign paroxysmal positional vertigo: (1) Otolith repositioning treatment: including: Epley method, Lempert method and otolith repositioning instrument treatment. (2) Non-surgical treatment Drug treatment: when combined with other diseases, or when there are symptoms such as dizziness and balance disorder after reset, drugs to improve microcirculation of inner ear, such as betahistine and ginkgo biloba extract, etc. can be given. Vestibular rehabilitation training: Vestibular rehabilitation training improves the patient’s vestibular function through central adaptation and compensatory mechanisms, and reduces the sequelae caused by vestibular injury. (3) Surgical therapy: For a very small number of patients who are not cured even after manipulation and repositioning, and who have a greater impact on daily work and life, semicircular canal occlusion can be considered. Patients diagnosed with vertigo caused by inner ear diseases should follow the doctor’s instructions to take standardized treatment.