Diagnostic points: 1. Onset is often in a quiet state, usually without headache or vomiting symptoms. 2, The onset is relatively slow, often related to cerebral atherosclerosis. 3.Usually clear consciousness or mild impairment within 1 – 2 days after onset, with symptoms and signs of internal carotid artery system or vertebrobasilar artery system. Most patients have hemiparesis, aphasia, and other symptoms. 4, CT and MRI can be done to clearly diagnose, and lumbar puncture cerebrospinal fluid usually does not contain blood. Acupuncture treatment: Acupuncture treatment is not effective in the acute stage, but after the condition is stabilized, acupuncture with exercise is particularly effective. The judge’s method of waking up the brain, unblocking the meridians, nourishing the liver and kidneys, and nourishing the brain marrow. Acupuncture points: Renzhong, Neiguan, Sanyinjiao. Add Ji Quan, Shou Ze, and Wei Zhong. Additional points: Fengchi, Fufeng, Wanbone for swallowing disorders; Hegu and Houxi for insufficient finger grip; Lianquan, Jinjin and Yuju for speech disorders; Qiuhui, Zhaohai and Yangjiao for foot inversion. Twice daily, 10 days as a course of treatment, continue for three to five courses of treatment, good results.