Abstract：Objective：To observe the clinical effect of orthopedic tuina combined with acupuncture on cervical vertigo. Methods：A total of 96 cases of patients with cervical vertigo of ascendant hyperactivity of liver yang type were selected and divided into the observation group and the control group according to the random number table method， with 48 cases in each group. The control group was treated with acupuncture， and the observation group was treated with orthopedic tuina combined with acupuncture. Both groups were treated for two courses，with seven days being a course of treatment. Evaluation Scale for Cervical Vertigo (ESCV) was used to evaluate the clinical symptoms in the two groups and evaluate the clinical effects. The mean blood flow velocity of cervical artery was monitored by transcranial Doppler ultrasound. Results： The total effective rate was 91.67% in the observation group， higher than that of 77.08% in the control group (P＜0.05). After treatment， ESVC scores in the two groups were increased when compared with those before treatment (P＜0.05)，and the ESVC score in the observation group was higher than that in the control group (P＜0.05). After treatment，the mean blood flow velocity of vertebralbasilar artery (VBA)， left vertebral artery (LVA) and right vertebral artery (RVA) in the two groups was increased when compared with that before treatment (P＜0.05)，and the mean blood flow velocity of VBA， LVA and RVA in the observation group was higher than that in the control group (P＜0.05). Conclusion： Orthopedic tuina combined with acupuncture for cervical vertigo of ascendant hyperactivity of liver yang type has a definite curative effect and can effectively improve the clinical symptoms of patients and increase the cervical blood flow velocity，which is conducive to the outcome of the disease.