Lipid abnormalities are an independent factor leading to cardiovascular disease. In the prevention and treatment of stroke, the role of lipid lowering should be emphasized to maintain a healthy diet and good lifestyle habits to reduce the occurrence of stroke and its sequelae. Clinical trials have shown that lipid-lowering therapy and anti-hypertensive therapy have similar effects on stroke prevention and are among the most effective means of stroke prevention. Lipid-lowering therapy should be administered early and for a long time to achieve lipid standards. Early treatment means that the first time a lipid abnormality is detected, the patient should go to the hospital to receive professional guidance and treatment, including life, diet and medication, to minimize the risk of cardiovascular disease. Long-term means that most patients with hyperlipidemia need long-term or even lifelong treatment, and medication should not be used for “three days to fish and two days to sunbathe”. Many patients are unable to take medication consistently, which is an important reason why lipid treatment is not effective. At present, any lipid-regulating drugs work by inhibiting lipid absorption, increasing metabolism and inhibiting production, and there is no cure yet. In addition to drug treatment, we also need to pay attention to: first, we should pay attention to a balanced diet, eat more vegetables, fruits and fish; second, we should pay attention to strengthening exercise, jogging and brisk walking as the best way. Special reminder, physical exercise to moderate, heart disease and hypertension patients are not suitable for fast running and other strenuous exercise.