The first thing to consider is otoliths, also known as benign paroxysmal positional vertigo. If a patient’s head spins when lying down, it is considered to be caused by the dislodgement of the otoliths in the horizontal hemithorax, and the patient can be given a trial treatment of manual repositioning. In severe cases, the patient can be treated with more than one manipulation. If the patient is suffering from nausea and vomiting, antiemetic drugs such as metoclopramide hydrochloride can be given before the manipulation. In addition, the spinning head can also be seen in some patients with cervical spondylosis, especially the vertebral artery type of cervical spondylosis, because the protruding cervical disc affects the blood supply of the vertebral artery, the symptoms of posterior circulation ischemia can occur, it is recommended that the patient can consult the orthopedic department for traction, acupuncture, massage and other symptomatic treatment.