In coma with thalamic hemorrhage, the time to wakefulness depends mainly on the amount of cerebral hemorrhage. If the amount of bleeding is relatively small, the coma that occurs early is mostly due to stress and the patient will be awake within 3-7 days. If the volume of thalamic hemorrhage is relatively large, the patient is less likely to be awake. If the condition is extremely well controlled within 3 months, the patient’s likelihood of being awake in the later stages is almost zero if he or she is still not awake. However, in order to promote the patient’s wakefulness, once the condition is stabilized, early interventions such as rehabilitation and wakefulness promotion are needed. The treatment mainly includes hyperbaric oxygen, Chinese acupuncture, physiotherapy, music therapy, neuroelectric stimulation and other methods. At the same time, active nutritional support is needed during treatment to prevent related complications.