Patients who come to the “Headache and Dizziness” clinic often ask whether “lacunar cerebral infarction” should be treated or not. They think that this infarction is a stroke and will be paralyzed and speechless ……. Obviously, the inquirers are confused about “lacunar infarction”, the following cases and explanations will help you understand the “so”. The following cases and interpretations will help you understand the “so”. I. Case Zheng is 66 years old, fat, has a habit of smoking and drinking for many years, suffered from hypertension 4 years ago. 1 year ago his partner died, no one to take care of life, life is irregular, take medication infrequently, when there is dizziness, headache, closed the door to sleep. However, in the last ten days or so, his dizziness and brain swelling have been getting heavier and heavier, and he has been experiencing transient blackness, spinning, and sometimes episodes of “blankness” (transient ischemic attack – the author) many times a day. He was worried about the possibility of a stroke, so his daughter accompanied him to a large hospital in the provincial capital to see the headache and dizziness department. The doctor took his blood pressure 170/110 mmHg while listening, and then prescribed a blood glucose and lipid check and a cranial MRI. The results were high lipids and MRI report: multiple lacunar cerebral infarction (death) in the basal ganglia. Zheng was most worried about the MRI report findings, and he asked for more medication for lacunar cerebral infarction. Accordingly, the doctor added alternative antihypertensive drugs and lipid-lowering and blood viscosity-lowering drugs to the original antihypertensive drug nidulodipine, taking into account Zheng’s current condition. After prescribing the medicine, this doctor said to Zheng Lao and his daughter, in addition to taking the medicine on time, must quit smoking, less alcohol; move more legs, drink more water ……. When he saw Zheng’s face full of doubts, he rationally said that the sesame-sized infarct foci seen on MRI were old and did not require additional treatment, but were important to prevent recurrence ……. Finally, after he understood that Zheng had always been lazy in drinking water, he said to Zheng again and again that drinking water is a “universal” medicine for you, and it is a cure for all your diseases, and your daily water intake should be increased to 2 liters ……. Interpretation: Based on Zheng’s age, years of smoking and drinking, history of hypertension and current condition, “multiple lacunar infarcts” was the doctor’s expected test result. Lacunar cerebral infarction is an ischemic microinfarction of brain tissue caused by sclerosis and occlusion of the deep penetrating arteries (small arteries 0.1-0.2 mm in diameter) of the brain. The ischemic, infarcted brain tissue is liquefied and then cleared by phagocytes to form small lacunae within 2-50 mm. It is commonly seen in elderly people over 50 years of age, and some patients have a history of hypertension or diabetes, and its incidence accounts for 19% of cerebral infarcts. Most lacunar infarcts do not have no obvious clinical manifestations or mild symptoms because the lesions are small and mostly not on the neural pathways. If lacunar infarction has no clinical symptoms, no special treatment is needed, but it is a signal and evidence of cerebral blood supply deficiency, and the risk factors (causes) that trigger lacunar infarction should be actively treated, such as controlling “three highs” and reducing blood viscosity ……. Otherwise, stroke, vascular dementia, pseudomyelitis and other serious diseases may occur within three to five years. At present, the treatment of “three high” and the latest concept of health care is to drink more water, drink more water can prevent “100 diseases”, although this is not fully accepted by modern medicine, but it not only has a theoretical and experimental basis, there are a large number of examples to prove, can be said that this is an alternative Medicine. Water is the source of life, water shortage is the source of all diseases, drinking more water is the prevention and treatment of all diseases. The reason why people can survive on land, because the body has a complete set of water storage system. It makes the human body reserves about 75% of the body weight of water. In addition, there is a drought management mechanism in the human body, in order to adjust the distribution of water in various parts of the body at any time. When the body is dehydrated, the most important organs are given adequate amounts of water and nutrients delivered by water first. The brain is the most important organ in the body. When the body is dehydrated, the brain must be satisfied first. As a result, other organs are correspondingly underhydrated. At this point, they will send out a signal indicating a local water shortage, calling for hydration, but people are inertial thinking, misinterpreting these water shortage signals as some kind of disease and give drug treatment. As a result, it is counterproductive and the more you treat it, the more you suffer ……. Hypertension (primary hypertension) is the result of the body’s self-adjustment (phenotype) due to insufficient water. One of the major functions of blood vessels is to adapt to the volatility of blood flowing freely throughout the body week after week to provide body tissues with the nutrients they need. The walls of blood vessels have many small holes (luminae) that open and close at times to accommodate the internal blood content. When the body does not take in enough water, 66% of the missing water is lost from inside certain cells, 26% occurs in the fluid environment outside the cells, and only 8% occurs in the blood circulation. In order to accommodate the 8% water loss, the circulatory system automatically contracts, initially the peripheral capillaries begin to close, and eventually the walls of the larger vessels tense, thus ensuring that the inside of the vessels are filled with blood. This tightening of the vessel walls increases the resistance to blood flow and raises blood pressure, which is known as hypertension. It can be assumed that hypertension is initially a sign that the body is dehydrated, and to avoid primary hypertension, one needs to drink enough water every day and keep the urine light in color. This philosophy of essential hypertension may seem a departure from modern medicine. However, modern medicine has not yet determined the true cause of hypertension. Stroke and dehydration This alternative medicine considers patients with brain infarction (including lacunar infarction) to drink more water as prevention and treatment. Even if an area of the brain is “necrotic” (when there are first signs of necrosis – the author) due to arterial blockage, it can recover quickly if the arteries are well hydrated. In experiments, when animals with blocked cerebral arteries were given intravenous water, the extent of the “necrotic” area was rapidly reduced, and the area of the brain that was hypoxic or ischemic recovered. Likewise, if clinical symptoms arise from vasospasm, water can stop the spasm and restore normalcy. For reference, here are hydration protocols and methods taken from the alternative medicine literature Hydration regimen: average of at least 30 grams of water per kilogram of body weight. Drink water preventively and in a balanced manner every day before your body becomes dehydrated. Drinking method: Drink 0.5 liters of water first thing in the morning to correct the water lost during the night sleep. Drink water before meals, preferably 30 minutes before meals, to “moisten” the stomach and intestines. At any time, whenever you feel thirsty, you should immediately hydrate. Drink water two and a half hours after meals to replenish the water needed for food breakdown during digestion. Before exercise should drink more water to prepare for the water lost through sweating. Drink too much water at a time, so as not to increase the load on the heart, and those who already have heart disease should pay more attention.