Objective This study conducted a network meta-analysis to systematically evaluate and compare the effectiveness of acupoint-based stimulation and manual therapies for cervicogenic vertigo. We examined needling-based stimulation, including manual acupuncture and electroacupuncture; thermal stimulation through moxibustion, including warm-needle techniques; acupotomy; manual therapy including tuina and Chinese osteopathic manipulation; and prespecified combinations of these approaches. By synthesiz