When you think of vertigo, you think of hypertension, hyperlipidemia, high blood viscosity and other medical diseases, but clinically there are more causes of vertigo than these. Foreign clinical data show that about 40% of all dizziness patients are related to the cervical spine, and cervical vertigo is second only to Meniere’s syndrome in terms of proportion. The main mechanism of cervical vertigo is believed to be insufficient blood supply to the vertebrobasilar artery and cervical sympathetic nerve hyperfunction. Due to the compression of vertebral artery directly or indirectly by internal and external factors such as osteophytes, misalignment, cervical muscle spasm and abnormalities, or stimulation of sympathetic nerves around it, it causes constriction of vertebral artery and narrowing of the lumen, resulting in insufficient blood supply, which eventually leads to vestibular vagus ischemia and vertigo symptoms. Among the clinical manifestations of cervical vertigo, vertigo is the most prominent symptom, including the sensation of rotation, disorientation and dizziness, which mostly occurs when the head and neck position is changed such as turning back and turning the neck, getting up and lying down, stretching and flexing the neck, etc. The attack time may be instantaneous and last for a few seconds, or even up to a day or even several days, and the symptoms are mostly vertigo, headache, accompanied by nausea, vomiting, chest tightness, panic, abnormal sweating and other symptoms. Most people also have neck stiffness and limited movement. In addition, it is often accompanied by tinnitus, hearing loss, nasal congestion, sore throat, foreign body sensation in the throat, change of voice, blurred vision and other symptoms, and most patients can find extremely sensitive pressure points in the back of the occiput and shoulder during physical examination. Auxiliary diagnosis: mainly X-ray, CT, MRI, cerebral hemogram, cervical cranial Doppler ultrasound, blood rheology examination, etc. The key to diagnosis is to exclude other causes of vertigo, especially cerebrovascular lesions and otogenic and ophthalmogenic vertigo, and to ask for assistance from relevant specialties if necessary. Clinically, Chinese medicine combined with physiotherapy has good therapeutic effect on this disease. For example, traction, cerebral circulation therapy with acupuncture, acupuncture knife, manipulation, potion injection, oral and external use of Chinese medicine, etc. The main mechanism is to adjust the cervical spine. The main mechanism is to adjust the anatomical and biomechanical relationship of the cervical spine, relax the soft tissues of the neck, especially the suboccipital triangle where the vertebral artery is most vulnerable to compression and stimulation in the course of travel, thus reducing or eliminating the direct or indirect compression and stimulation of the vertebral artery by various factors caused by the lesion, and improving the blood supply to the vestibular labyrinth, which can often have an immediate effect. Chinese medicine combined with physical therapy, the method is simple and safe, the effect is rapid and stable, and most patients can obtain significant results in 3-5 treatments. Of course, after treatment to maintain good living and working habits, to consolidate the effect of treatment also has a very important role.