This paper explores Professor Liang Xiaochun’s clinical experience in the diagnosis and treatment of vertigo. Professor Liang Xiaochun believes that vertigo is located in the brain, which is closely related to the liver, kidney and spleen. Various pathogenic factors lead to the dysfunction of the abovementioned three organs, resulting in deficiency, wind, phlegm, fire and blood stasis, which are often causal and intermingled with each other. However, kidney deficiency and liver hyperactivity is the root cause, and mutual obstruction of phlegm and blood stasis is the cause of symptoms. In the treatment of vertigo, physicians should carefully identify the syndrome and the cause of the disease, starting with tonifying the deficiency and reducing the excess, first paying attention to the deficiency, and then attaching importance to the four elements of wind, phlegm, fire and blood stasis. According to the pathogenic condition of the patients, physicians should flexibly use following methods such as nourishing the kidney and calming the liver, or stopping wind, removing phlegm, resolving turbidity, lowering fire or eliminating blood stasis, and simultaneously treating the root cause and symptoms and regulating deficiency and excess. And one proven case is presented.