Elderly people get up with dizziness and vomiting symptoms, there are many aspects of the cause, need to actively seek medical advice, combined with the patient’s clinical symptoms, physical examination, medical history, after the relevant examination to clarify the cause of the patient’s dizziness, vomiting, and then develop a suitable plan, as follows: 1, if the patient is otoliths caused by dizziness, vomiting, can be treated by giving the patient to do manual reset, can not tolerate In case of manual repositioning, patients can be given intramuscular injection of promethazine first to control the symptoms of vertigo and vomiting, and then be treated by manual repositioning; 2, elderly people get up dizziness and vomiting, if it is caused by cerebral vascular spasm and posterior circulation ischemia, patients should be treated by activating blood circulation and removing blood stasis, for example, by sedation of Shuxuetong, Shuxin, vincristine, tensin, prostil, to relieve the symptoms of dizziness; 3 , if the dizziness and vomiting are caused by Meniere’s disease, the patient can be given Valium and promethazine to control the symptoms of vertigo.