Objective To study the pathogenesis and therapeutic effect of senile vertigo patients in the department of neurology. Methods? A total of 60 elderly patients with vertigo in Ningjin People's Hospital from February 2018 to January 2019 were selected and divided into control group and experimental group according to the random number table method，with 30 patients in each group. Routine western medicine treatment was given to vertigo patients in the control group. On the basis of vertigo patients in the control group，traditional Chinese medicine was added to patients in the test group and rehabilitation training was carried out. Vertigo inducing factors，vertigo occurrence frequency，duration and response rate of treatment were compared between the two groups. Results? The main predisposing factors in the 60 patients were： psychiatric factors 12（20.00%），posterior circulation ischemia 20（33.33%），vestibular peripheral vertigo 14（23.33%），and benign vertigo 14（23.33%）. Among them，posterior circulation ischemic vertigo was the main trigger.After treatment，vertigo occurred more frequently（1.20±0.24）times in the test group than（3.56±0.36）times in the control group.Sustained vertigo time（4.05±1.06）min，which was significantly lower（P＜0.05）than that of the control group（7.35±1.04）min. The overall response rate of 93.33% in the test group of patients was higher than that of 73.33% in the control group（P＜0.05）. Conclusion? The causes of morbidity of elderly vertigo patients in department of neurology are diverse，and the effect of rehabilitation training integrated with traditional Chinese and western medicine is relatively good when treating elderly vertigo patients at the same time.