Objective: To discuss X-ray manifestation of cervical vertebra in vertigo of different Chinese medicine syndrome differentiation.MethodsSelected 200 cases of patients with vertigo admitted into the outpatient department and hospitalization for treatment in He'nan Province Hospital of TCM from January, 2015 to December, 2016.Divided them according to Chinese medicine syndrome differentiation,provided X-ray examination of the fifth cervical vertebra for patients at the same time,and observed the differences of examination results among patients with different Chinese medicine syndrome differentiation.Compared and compiled statistics so as to deduce the application value of X-ray for vertigo of different Chinese medicine syndrome differentiation.Results:Among 200 cases of patients with vertigo,there were 74 cases of phlegm-dampness obstructing middle energizer syndrome,accounting for 37.00%;there were 43 cases of upper ascendant hyperactivity of liver yang syndrome,accounting for 21.50%;there were 35 cases of qi-blood depletion syndrome,accounting for 17.50%;there were 29 cases of kidney essence insufficiency syndrome,accounting for 14.50%;there were 19 cases of static blood obstructing orifices syndrome,accounting for 0.95%.In the examination of the fifth cervical vertebra in patients of phlegm-dampness obstructing middle energizer syndrome,there were changes in cervical vertebra physiological curve and its stability,ligament ossification,and other clinical symptoms.The occurrence of vertebral bone and disc degeneration was the most frequent,which was obviously more frequent than that of other observation indexes,the difference being significant(P < 0.05).The X-ray features of this type of patients were more obvious when compared with those in other groups,differences being significant(P < 0.05).Conclusion:The X-ray of the patients with vertigo of phlegm-dampness obstructing middle energizer syndrome has a characteristic manifestation,which can help doctors to diagnose vertigo to some extent.