Peripheral vertigo is a common form of vestibular systemic vertigo, which refers to vertigo caused by lesions between the vestibule of the inner ear and the extracranial segment of the vestibular nerve. Common causes of peripheral vertigo include inflammation and tumors of the vestibule, the extracerebral segment of the vestibular nerve, Meniere’s disease, labyrinthitis, otitis media, mastoiditis, and motion sickness. Peripheral vertigo caused by Ménière’s disease is due to lymphatic metabolism disorder in the inner ear, excessive lymphatic secretion or absorption disorder, causing water accumulation in the vagus of the inner ear membrane, which usually manifests as episodic vertigo with tinnitus, hearing loss and nystagmus. Peripheral vertigo caused by otitis media and labyrinthitis is caused by direct destruction of the bony wall of the labyrinth by middle ear lesions (epidermolysis bullosa, inflammatory granulation tissue, etc.) and has the same symptoms as above. Peripheral vertigo caused by motion sickness is caused by mechanical stimulation of the inner ear vagus when riding in a car, boat or airplane, which causes vestibular dysfunction and is often accompanied by nausea, vomiting, pallor and cold sweat. In addition, there are many other causes of peripheral vertigo. Clinically, patients with peripheral vertigo can take some oral anti-emetic and sedative drugs to relieve the symptoms of nausea and vertigo, but the most important thing is the treatment for the cause, which requires patients to actively consult the doctor, improve the examination, and find the cause and then treat it according to the treatment course.