Objective To compare the difference of needle knife combined with warming needle moxibustion and western medicine in treating cervical vertigo. Methods Totally 60 cases of patients were randomly divided into observation group（30） received needle knife combined with warming needle moxibustion and control group（30） to be given gastrodin and Betahistine Hydrochloride Sodium Chloride Injection in treating cervical vertigo. To observe the patients’ clinical symptoms， function score， clinical therapeutic effect 3 weeks after treatment in the two groups， and to evaluate the long-term effect of the patients with 2 months after the end of the treatment. Results The total effective rate of the observation group was 96.7%， which was significantly better than that of the control group’s 76. 7%（P<0.05）， the two groups’ symptoms and scores were both improved after treatment and two months after the end of treatment（P<0.05 or P<0.01）. In contrast to the control group， the scores of the observation group were significantly higher than those of the control group after treatment and two months after the end of treatment（P<0.01）. Conclusion Symptoms and functions of patients with cervical vertigo can significantly improve the clinical symptoms of patients with cervical vertigo， the curative effect is better than pure western medicine and has successful long term effects.