Epilepsy due to ischemic cerebrovascular disease should be treated both causally and symptomatically, i.e., treating ischemic cerebrovascular disease and controlling epilepsy at the same time. Epilepsy due to ischemic cerebrovascular disease is a symptomatic epilepsy with a specific etiology, secondary to a disease. The treatment of this type of epilepsy generally requires both etiologic and symptomatic treatment, Allopathic treatment: i.e., treatment for ischemic cerebrovascular disease, using drugs to improve circulation such as aspirin, atorvastatin, ginkgo biloba leaf extract, and butylphthalide to improve cerebral circulation and promote the recovery of brain function. Symptomatic treatment: that is, at the same time using antiepileptic drugs, such as sodium valproate, carbamazepine, phenobarbital, etc. to control the patient’s epileptic symptoms. After epilepsy is effectively controlled, drug reduction or discontinuation can be considered under the guidance of professional physicians. When ischemic cerebrovascular disease causes epilepsy, it is recommended to seek medical treatment in time and do not blindly self-medication.