Abstract： Based on the theory of qi pathway in Huang Di Nei Jing （The Yellow Emperor's Inner Classic）， this paper explores the pathogenesis and acupuncture strategies for cervical vertigo. The core pathogenesis is defined as stagnation of qi pathway and failure of clear yang to ascend. Stagnation of the sinew-membranes impedes the filling of clear yang in the head qi pathway. Deficiency of heart and lung qi obstructs the meridians in the chest qi pathway. Phlegm and blood stasis congest the abdomen qi pathway，hindering the flow of nutrient qi. Stagnation of the collaterals disrupts the flow of qi and blood in the leg qi pathway. Consequently，the dysfunction of the four qi pathway leads to the failure of clear yang to ascend and malnourishment of the brain orifices， resulting in vertigo. Acupuncture treatment should adhere to the principle of dredging and regulating the four qi pathway. Baihui （GV20） point，Fengchi （GB20） point，and Jiaji （EX-B2） point are selected to dredge the head qi pathway and ascend clear yang to alleviate vertigo. Combining with Danzhong （CV17） point，Xinshu （BL15） point，Feishu （BL13） point，and Jueyinshu （BL14） point serves to open the chest qi pathway，relax the chest and move qi to promote blood circulation. Regulating the abdomen qi pathway emphasizes syndrome differentiation and root treatment， primarily selecting Zhongshu（CV7） point； for spleen-stomach qi deficiency， Zhangmen （LR13） point and Pishu （BL20） point are added， while for liver-kidney depletion， Jingmen （GB25） point， Shenshu （BL23） point， Qimen （LR14） point， and Ganshu （BL18） point are selected. For the leg qi pathway，Qichong （ST30） point，Chengshan （BL57） point，and Sanyinjiao （SP6） point are chosen to guide qi downward and subdue rebellious qi. The synergistic application of these acupoints promotes the smooth flow of the four qi pathway， restores the circulation of qi and blood， and addresses both symptoms and root causes of vertigo.