Summary of case history ,Patient Zhang, male, 65 years old, mainly due to 'recurrent vertigo with left ear hearing loss for three months'. The patient had a history of hypertension for 5 years. Three months ago, he developed vertigo due to overwork and depression. The symptoms worsened when he changed his position, accompanied by bilateral tinnitus and hearing loss. He was diagnosed as Meniere's disease in other hospitals. Hearing did not improve after routine drug treatment. Vertigo recurred in three months. Symptoms and signs: The patient is short and fat, mentally weak, pale, eyes apathetic, languid, low voice, lazy words, dizziness, aggravation of symptoms when changing position, instability of standing and walking, bilateral tinnitus such as cicada, persistence, heavy left ear, with stuffiness, hearing loss, aggravation when tired or emotional fluctuation, swelling of both ankles, sleep as usual, normal diet, loose stool, one line per day, pale and fat tongue, white and greasy moss, slippery left pulse, thick and thin right pulse.,TCM diagnosis and syndrome ,Ear vertigo (syndrome of spleen deficiency and liver stagnation, Yang deficiency and water violation).,Therapeutic methods ,Traditional Chinese medicine treats the disease by soothing liver and spleen, warming yang and diuretic water, taking Xiaoyao Powder and modified Lingguizhugan decoction.,Clinical outcomes ,The patient did not experience vertigo again, the hearing in the right ear was normal, and the hearing in the left ear was improved compared with the previous one.