Objective To summarize and understand the associated symptoms of benign paroxysmal positional vertigo (BPPV), clarify its pathophysiological mechanism, explore effective treatment methods, and improve the diagnostic rate of BPPV. Methods The clinical symptoms of 41 patients with unknown vertigo, dizziness, dizziness, blurred vision, unclear brain sensation, and the treatment methods of combined otolith reduction technique (CCRM) for bilateral posterior semicircular canals and anterior semicircular canals were used to observe the treatment effect of CCRM. Results The clinical symptoms of the 41 patients included in this group were completely relieved with 1-3 CCRM treatments. Conclusion The symptoms of dizziness, head tightness, eyelid heaviness, blurred vision, brain confusion, walking and floating sensation are the associated symptoms of benign paroxysmal positional vertigo (BPPV). The CCRM therapy is an effective treatment approach. Understanding the associated symptoms of BPPV can improve the diagnostic rate of BPPV. It is suggested that the CCRM treatment method should be effective as the basis for the diagnosis of otolithiasis. The diagnostic name of otolithiasis is proposed to replace the diagnostic name of BPPV to avoid the misdiagnosis and missed diagnosis of otolithiasis.