Otolithiasis is categorized as ear vertigo in Chinese medicine and is characterized by dizziness, spinning, and even nausea and vomiting. Chinese medicine treatment includes the use of traditional Chinese medicine according to the cause of the disease, and acupuncture therapy can also be used. 1. Traditional Chinese medicine diagnosis and treatment Wind attack: dizziness, nausea and vomiting, accompanied by fever, nasal congestion, coughing, etc. Treatment is based on the addition and subtraction of mulberry and chrysanthemum drink. Phlegm obstruction syndrome: dizziness, heavy head, phlegm, nausea and vomiting, accompanied by bad wind, fever, nasal congestion, cough, etc. Treatment: add and subtract Semixia, Atractylodes Macrocephalae and Tianma Tang. Liver wind internal mobilization syndrome: dizziness, irritability, bitter and dry mouth, red face and eyes, fullness in the chest and hypochondrium, treatment with Tianma Hook Teng Drink plus or minus. Yang deficiency and water flooding syndrome: due to the deficiency of yang qi caused by the obstacle of water and liquid operation in the body, the symptoms of vertigo, nausea and vomiting, lumbar pain and back cold, the limbs do not warm, the treatment of the use of Zhenwu Tang plus or minus. Kidney essence deficiency: dizziness, tinnitus and deafness, weakness of waist and knees, heat in hands and feet, treatment with Qiju Dihuangwan plus reduction. Weakness of spleen qi: dizziness, pale face, lack of strength, do not want to talk, fatigue, etc., the treatment of the use of spleen soup plus reduction. 2. Acupuncture and moxibustion therapy Body Acupuncture: Acupuncture at Baihui, Cephalic Dimension, Fengchi, Fengfu, Shenmen, Neiguan, etc.; Ear Acupuncture: Select ear points of kidney, liver, spleen, etc.; Scalp Acupuncture: Select bilateral halo auditory area. When otolithosis occurs, it is necessary to actively consult the doctor, under the guidance of the doctor’s diagnosis and reasonable treatment, and the medication should be rationally applied according to the doctor’s prescription.