Black Hellebore (Helleborus niger) has a long history of use in traditional Western herbal medicine, dating back to ancient Greece and Rome. It was historically employed for a variety of ailments, including as a purgative and for conditions involving the nervous system, such as "melancholia" and other mental disturbances. References to the use of Black Hellebore for dizziness (often termed "vertigo" or as a symptom related to "melancholia") are found in classical and medieval texts, in which it was sometimes administered as part of complex herbal preparations. However, its use was often based on humoral theory and traditional medical beliefs rather than empirical evidence.

Modern scientific research does not support the efficacy or safety of Black Hellebore for treating dizziness. The plant contains potent toxic compounds, including helleborin and hellebrin, which can induce severe gastrointestinal and cardiac symptoms. Due to its toxicity and lack of controlled clinical research, Black Hellebore is not used in evidence-based medicine for dizziness today. Any traditional use is considered outdated and potentially dangerous. In summary, while there is historical documentation supporting its use for dizziness, there is no scientific validation, and its safety profile precludes its recommendation.