To observe the clinical effect of “old ten-needles” in treating cervical vertigo.Methods:Seventy cases of cervical vertigo were randomly divided into treatment group of 35 cases that are treated with “old ten-needles” acupuncture and 35 cases in control group that are treated by betahistine mesylate tablet.The duration is 4 weeks.The blood flow velocity of vertebral basilar artery,syndrome score and clinical efficacy were observed in the two groups before and after treatment.Results:The total effective rate of the treatment group was 91.5% and that of the control group was 65.7%,and the difference is of statistical significance (P<0.01).Besides,the improvement of the vertebral basilar artery blood flow in the treatment group was better than that in the control group (P<0.05).Also,the symptoms of cervical vertigo in the treatment group were significantly relieved compare with the control group (P<0.05).Conclusion:The clinical effect of t “old ten-needles” acupuncture is better than the western medicine in treating cervical vertigo.