Elderly cerebral white matter ischemic changes means that the brain is in a chronic state of ischemia and hypoxia, resulting in demyelination of the deep cerebral white matter. The main patients will show dizziness, head heavy, inattention, memory loss, and in severe cases, cognitive dysfunction, which belongs to the manifestation of vascular dementia. This is a manifestation of vascular dementia, which is caused by long-term hypertension, hyperlipidemia, diabetes mellitus, and high homocysteine, leading to hardening and occlusion of small arteries in the brain. Therefore, for this kind of senile cerebral white matter demyelination changes, patients should usually use drugs that activate blood circulation and improve blood circulation in the brain, such as ginkgo ketone ester drip pills, hematoxylin tablets, vermifuge snake Tongluo capsule and this kind of drugs. There are also patients to oral aspirin anti-platelet aggregation drugs, the use of lipid-lowering drugs, to prevent the continued progress of atherosclerosis aggravation to treatment.