Lacunar infarction, also known clinically as lacunar cerebral infarction, refers to the occlusion of the wall of cerebral blood vessels after lesions, leaving irregular tiny lacunae after ischemic infarction. Currently, the most important disease factor causing lacunar infarction is hypertension, and diabetes, hyperlipidemia and sleep apnea syndrome may also cause lacunar infarction. In addition, lifestyle factors such as obesity, alcoholism and family genetic factors are also risk factors for lacunar infarction. The treatment of cavernous infarction mainly includes drug thrombolytic therapy, general symptomatic treatment, surgical intervention and other treatments combining Chinese and Western medicine. In addition, daily exercise, smoking cessation, reasonable diet and blood pressure and blood glucose control should be strengthened to avoid aggravation of the disease: 1.Medication: Thrombolysis is the most important treatment for cavernous infarction. Commonly used drugs include recombinant tissue-type fibrinogen activator and urokinase, which should be closely monitored during the drug use. In addition, the application of antiplatelet drugs such as aspirin, anticoagulant drugs such as fibrinogen, and neuroprotective drugs such as edaravone are also important pharmacological treatment modalities for luminal infarction. In general, due to the different physical conditions and severity of the patients, the medication should also follow the principle of individualization; 2. general symptomatic treatment: keeping respiratory ventilation, controlling blood pressure and blood sugar, lowering intracranial pressure, nasal feeding or tube feeding for patients with swallowing difficulties, and reasonable treatment for patients with fever, infection, upper gastrointestinal bleeding, water-electrolyte disorders, heart injury, epilepsy and deep vein thrombosis or pulmonary embolism; 3. Symptomatic treatment; 3. Surgical treatment: brain damage caused by cavernous infarction is generally small in scope, and most medical treatment with medication is sufficient. If the lesion involves important centers or acute hemorrhage, surgical intervention should be considered to remove damaged tissues and reconstruct the pathway; 4. Other combined Chinese and Western medicine treatment: the application of Western medicine can be combined with Chinese medicine evidence-based treatment to complement each other and increase the efficacy. Rehabilitation treatment is mainly to help patients rebuild motor function and restore psychosocial function so as to improve motor impairment and quality of life.