Dizziness and vertigo is a common disease nowadays. This patient presented with dizziness and vertigo accompanied by visual distortion, with no improvement after Western medical therapy. She was diagnosed with “Liver-kidney yin vacuity and yan hyperactivity, with intermingled phlegm and blood stasis” according to the TCM(Traditional Chinese Medicine) theory of syndrome differentiation.Tianma Gouteng Decoction plus herbs which expel blood stasis and dissipate phlegm showed better efficacy.