Objective:To observe Zhixuan Ning capsule of vertebral-basilar artery insufficiency vertigo patients transcranial Doppler ultrasound(the TCD) effects.Methods:60 cases of vertebral-basilar artery insufficiency vertigo patients were randomly divided into two groups,including the treatment group(Zhixuan Ning capsule treatment group) 30 cases and the control group(flunarizine hydrochloride treatment group) 30 cases.Results:The basilar artery(BA),vertebral artery(VA) average cerebral blood flow velocity(Vm) to improve the rates were 86.7%,90.0%;control basilar artery(BA),vertebral artery(VA) cerebral blood flow average speed(Vm) to improve the rates were 63.3%,40.0%.Conclusion:Zhixuan Ning capsule of vertebral-basilar artery blood flow velocity was significantly better than the two-way regulation of flunarizine hydrochloride group.