Summary of case history,　The patient named Liu, a 42 year old female, went to the doctor on June 7, 2021, mainly due to paroxysmal vertigo with a 6~year decline in hearing fluctuation. Since September 2015, the patient has suffered from vertigo attacks, lasting for half an hour to several hours, accompanied by a sense of stuffiness in the right ear, nausea and vomiting, which occur once a year. Since November 2020, vertigo often occurs after emotional fluctuations, which occurs once a week. The symptoms have worsened in the past three months before the medical treatment. The vertigo attacks 2~3 times a week, and the hearing in the right ear is worse than before. Now the left ear is also intermittently stuffy, intermittent pulsating headache, photophobia, and fear of sound, Sometimes she needs to take painkillers. She went to many western hospitals to seek further treatment with traditional Chinese medicine after conservative treatment with drugs such as Mindylang, Flunarizine Hydrochloride Capsules, Prednisone Acetate Tablets, Ginkgo biloba preparations, etc. Four diagnostic information: the patient has vertigo, intermittent pulsating headache, hearing loss in both ears, mainly in the right ear, tinnitus and buzzing in the right ear, fear of light and sound, dry mouth and bitter mouth, inconspicuous hair loss, no waist pain, fear of heat, Nake, insomnia, restlessness and dreaminess, often wakes up, sleepwalking, anger, anxiety, hot hands and feet, sweating, abdominal distension, occasional irregular stool, and urination. The past history of migraine is more than 10 years.,TCM diagnosis,　Vertigo(Obstruction due to phlegm dampness,depression, fire and mental disturbance).,Western medicine diagnosis,　Meniere's disease, Vestibular migraine.,Therapeutic methods,　Western medicine was stopped and pure Chinese medicine was used for syndrome differentiation. The empirical formula ,Tiaoshen Dingxuan Formula, was added and subtracted to soothe the liver and clear away heat, relieve depression and calm the nerves,Dispelling dampness and resolving phlegm. The patients were instructed to pay attention to daily life regulation, control salt, avoid caffeine and other foods. Try to keep your mood comfortable.,Clinical outcomes,　The patient was followed up for 7 times. After taking Chinese medicine, the symptoms improved significantly and the vertigo attack decreased.