In case of internal capsule bleeding, timely hospitalization for comprehensive treatment is essential. If the bleeding volume is greater than or equal to 30 ml, surgical treatment can be considered if the patient is suitable for surgery. If the patient’s bleeding volume is less than 30ml and not suitable for surgery, conservative treatment is preferred, mainly cranial pressure lowering treatment and neuroprotective treatment, and active control of the patient’s etiology and complications. If the patient has increased intracranial pressure, mannitol and glycerol fructose can be applied to lower cranial pressure treatment, while neuroprotective treatment is mainly with edaravone cerebroprotein hydrolysate, vincristine and cerebrolysin myostatin. In case of impaired consciousness, brain-awakening treatment can be administered, and the commonly used drugs are brain-awakening sedative and compound musk. If there is a combination of gastrointestinal bleeding, hemostatic treatment, oral thrombin, and acid suppression treatment with rabeprazole or omeprazole can also be applied. If combined with aspiration pneumonia, antibacterial therapy can be administered, and cephalosporin antibiotics are generally preferred clinically. If the patient’s blood pressure is too high, cranial pressure lowering therapy should be given, commonly used drugs are amlodipine, Irbesartan and so on.