Positional vertigo, i.e. benign paroxysmal positional vertigo, can be treated by otolith repositioning such as manipulative repositioning, medication such as betahistine, etc. Surgery, vestibular rehabilitation training, etc. It is recommended to consult with specialists and take medication according to doctors’ instructions. 1. Otolith repositioning: It is the main treatment for positional vertigo, with good effect, and needs to choose the appropriate method according to different semicircular canal types. Manual repositioning such as posterior hemicircular canal type preferred Epley method, external hemicircular canal type can be used Lempert, etc., anterior hemicircular canal can be used Yacovino method, multiple hemicircular canal need to prioritize the treatment of the responsible hemicircular canal, and then subsequent treatment of each hemicircular canal in turn. The otolith reset device can also be used to assist in resetting, which is suitable for those who have difficulty in maneuvering. 2. Drug therapy: drugs generally can not make the otolith reset, but if there is degenerative disease of the inner ear or a combination of other vertigo diseases, also consider drug-assisted treatment, dizziness after reset, balance disorders, can be given drugs to improve the microcirculation of the inner ear, such as ginkgo biloba extract, betahistine and so on. Pay attention to the adverse effects of drugs. 3. Surgical treatment: If the diagnosis is clear, the responsible semicircular canal is clear, and the standardized comprehensive treatment is ineffective for more than 1 year and the activity is obviously limited, semicircular canal obstruction surgery can be considered. Pay attention to perioperative safety. 4. Vestibular rehabilitation training: it can be used as auxiliary treatment or alternative treatment, commonly used in those who have dizziness or balance disorder even after the ineffective reset or reset. If the symptoms of benign paroxysmal positional vertigo occur, it is necessary to consult a doctor in time and actively diagnose and treat the condition.