Stroke is mainly divided into two categories: hemorrhagic and ischemic. Regardless of the cause, in the treatment and rehabilitation phase, the main advocate “six early”: a. Treatment time should be early The treatment of this disease, there are strict time requirements, generally within three months to six months, most of the requirements can be cured. If the treatment is not timely during this period, there will be sequelae. If the patient fails to recover within six months, the sequelae are basically already formed. From past experience, although stroke patients still have different degrees of recovery in six months to one year, their recovery is limited. Therefore, the golden recovery time for this disease is very short and should not be missed. The Chinese Academy of Traditional Chinese Medicine Acupuncture Hospital Acupuncture Department Wu Zhongzhao Second, the choice of treatment method should be early After the onset of this disease, what method of treatment is good to take? At different stages, what kind of adjustment and focus? This is to have a correct choice. 1, early onset: to determine whether it is cerebral hemorrhagic or cerebral ischemic. For cerebral hemorrhagic stroke, if it is in the bleeding stage, the choice of surgery or not. According to the amount of bleeding, choose whether or not to treat surgically. If the amount of bleeding is high and the clinical symptoms are severe, it is important to choose surgical treatment as soon as possible to reduce the compression of intracranial bleeding and the increase of intracranial pressure. If the bleeding is low and the clinical symptoms are not too severe, surgery can be avoided. Of course, the decision to operate or not to operate is mainly made by the doctor. For ischemic stroke, the condition is more stable, so naturally, surgery is not considered, and the treatment can be entered directly and early. 2.The early recovery period: the choice of the main treatment method. In the recovery period, how to treat? It is very difficult to have a unique choice, which varies from person to person and from symptom to symptom. If the clinical symptoms are very heavy, then at a certain stage, the main treatment method should be Western medicine. If the clinical symptoms are stable and the conventional treatment means of western medicine are limited or have limited effect, then Chinese medicine treatment methods should be chosen as the main treatment. 3.Middle recovery: At this time, Chinese medicine type treatment methods should be the main treatment methods, including Chinese medicine, acupuncture, moxibustion, massage, functional exercise, etc. Western medicine rehabilitation training combined. 4.Late recovery: Continue to apply the aforementioned methods. However, at this time, treatment should gradually change from the treatment phase to rehabilitation and functional exercise. 5.Later stage of recovery: mainly symptomatic treatment is the main treatment, plus the adjustment treatment of Chinese medicine acupuncture class. 6.Complication period: the various stages of the disease, its can be complicated by the disease is not exactly the same. It varies greatly from person to person and can involve different systems and organs. Some can be said to be the sequelae of the disease, some can also be said to be the complication of some other new diseases. In short, a combination of symptomatic treatment plus holistic treatment. At this stage, Chinese herbal medicine and acupuncture-type treatment should still be given an important place. 7.Special period: For the treatment process of this disease, there may be some sudden situations, which can be called as special period, such as with cold, fever, infection and other diseases. At this stage, it is important to distinguish the priority of the disease and treat both the symptoms and the root cause. If it is urgent, the symptoms will be treated; if it is slow, the root cause will be treated. Third, Chinese medicine treatment intervention should be early From the above treatment options, it is clear that Chinese medicine treatment in the treatment of this disease occupies an important position. From clinical experience, the earlier the TCM intervention, the better. As soon as the disease develops, Chinese medicine can be applied nasally or orally according to the patient’s specific situation. For cerebral hemorrhagic stroke, acupuncture can be applied as soon as the hemorrhage has stopped and the condition has stabilized. For ischemic stroke, Chinese herbal medicine and acupuncture can be applied as soon as the stroke occurs. According to the current clinical research, more than 95% of the cases are treated with acupuncture during the recovery phase. This shows that acupuncture is widely used and recognized by the majority of patients and doctors. The whole treatment process of this disease, Chinese medicine, acupuncture and other therapeutic means should be involved throughout, and even dominate. Fourth, the time of functional exercise should be early cerebral hemorrhagic stroke, except in the bleeding period, any other period should pay attention to the functional exercise of the body. From long-term clinical experience, positive and steady functional exercise is of great importance to restore the motor function of the limbs, reduce muscle wasting atrophy and joint dislocation, and promote the coordination of overall function. Therefore, under the condition of ensuring safety, the earlier the functional exercise, the better. The functional exercise includes two aspects, one is the active exercise, that is, in the case of self-inability to exercise, by the doctor or family members for each joint of the affected limb, not less than two hours a day, once in the morning and once in the afternoon. In the case of self-motion, active functional exercise should be given, starting from standing, standing, walking, various functional exercise activities, gradually to the normal life of self-care and its specific functional training, etc. There are many complications of stroke, such as aphasia, dysphagia, cognitive impairment, emotional abnormalities, and abnormalities of the bowels. For the treatment of such complications, early detection and targeted treatment are necessary. From the identification and treatment of traditional Chinese medicine to the application of special acupuncture points and specific acupuncture methods, all should be implemented early. The earlier it is detected, the better the treatment effect will be. Classification of rehabilitation training should be early Whether it is functional exercise, or rehabilitation training with equipment and techniques, it should be different from person to person and from disease to disease. In other words, training should be classified. Don’t follow the same routine, don’t stick to the established method, don’t just follow the process. Rather, we need to differentiate and individualize rehabilitation training for different joints, parts and recovery speed. This is the only way to be focused, targeted and effective.