Thalamic hemorrhage coma for a month has not yet woken up, can be improved through hyperbaric oxygen therapy, medication, adherence to care and other ways. 1. Hyperbaric oxygen therapy: thalamic hemorrhage coma for one month has not yet woken up, may be the bleeding volume is relatively large, the brain tissue damage is relatively heavy. If the patient’s condition is stable, he can consider receiving hyperbaric oxygen therapy, which can promote the functional recovery of the patient’s brain tissue cells to a certain extent. 2. Medication: If the patient has been in coma for one month, the doctor will choose the appropriate medication to promote waking up, and the common medication includes bromocriptine, levodopa, and medrol, etc. Family members should not give the medication to the patient privately. Family members should not give drugs to patients privately, and should strictly follow the doctor’s instructions during the use of drugs. 3. Adherence to care: Before the patient wakes up, family members should adhere to the patient’s care, often change the patient’s body position, move the patient’s limbs, and talk to the patient more. It is recommended that patients with thalamic hemorrhage coma should seek timely medical treatment and actively cooperate with doctors for treatment.