Liu Moumou, male, 68 years old, cadre, was first diagnosed on February 28, 2000 due to diminished intelligence for more than half a year. The patient had been hospitalized for cerebral infarction in 1998, and in August 1999, he reappeared with left hemiplegia, left limb weakness, and slurred speech, and had been seen at our hospital, where a cranial CT showed: right cerebral infarction. He was treated with sedative and oral medication (specific medication is not known), and his condition resolved. In the past six months, the patient had progressive memory and calculation power loss, and his brother (who also suffered from stroke and had been treated by me for many years) referred him to us. The patient is now suffering from left hemiplegia, weakness of the left limb, restricted movement, inability to straighten the fingers of the left upper limb, stiffness of the limb, inability to walk and sitting on top of a wheelchair, slurred speech, salivation at the corners of the mouth, timidity and fear, involuntary laughing from time to time, fantasy, markedly diminished memory and calculation power, inability to find the door of his house within 20 meters, “100-7 “cannot do arithmetic. Stool is dry, 1 line in 5-10 days, tongue is dark red, moss is thin and white, pulse is sunken and thin. Blood pressure 110/75 mmHg. cranial CT showed: right cerebral infarction. Diagnosed as 1. vascular dementia; 2. sequelae of cerebral infarction. The evidence belongs to Qi deficiency, blood stasis, and interconnection of phlegm and stasis. The proposed treatment is to benefit Qi, invigorate Blood, resolve phlegm, and clear the bowels. This formula is based on the following formula: Astragalus membranaceus 30g, Radix Angelicae Sinensis 15g, Radix Paeoniae Alba 15g, Rhizoma Ligustici Chuanxiong 15g, Dilong 10g, Leech 6g, Acorus calamus 12g, Peach kernel 9g, Safflower 6g, Radix Chrysanthemum 15g, Rhizoma Tianzhu Huang 12g, Radix Biliaryis 9g, Flos Daturae 20g. 7 doses with water decoction. On the second consultation on March 9, the patient’s symptoms were as before, with timidity and fear, dark red tongue, white greasy moss on the root, and sunken pulse. He also has internal disturbance of biliary deficiency and phlegm-heat, so he combined the above formula with Wenzhi Tang. The above formula was supplemented with Fuxianxia 10g, Chen Pi 9g, Fu Shen 15g, Citrus Aurantium 6g, Fructus Heterophyllum to 30g and Astragali to 50g. 14 doses with water decoction. On April 20, the third diagnosis, the patient’s left hemiplegia and memory improved, stool is still dry, 1 line in 3-4 days, red tongue with yellow greasy coating, pulse string. The patient’s blood pressure is 98/70 mm Hg. The patient is suffering from Qi deficiency and weakness in transportation, blood stasis and phlegm obstruction in the limbs and blood vessels in the brain. The above formula is based on Astragalus membranaceus (120g) with 10g of wine and 12g of acacia rice. 14 doses were taken with decoction. On May 10, the patient’s condition was stable, stool was still dry, 1 line in 2-4 days, urine was yellow, urinating once at night, able to chat with family members, watching TV news daily, red tongue with thin white coating, sunken pulse. The treatment is to benefit Qi, activate Blood, resolve phlegm and strengthen the brain. Prescription: Astragalus membranaceus 120g, Radix Angelicae Sinensis 12g, Radix Paeoniae Alba 15g, Dilong 9g, Leech 6g, Peach kernel 9g, Safflower 6g, Sambucus nigra 10g, Rhizoma Tenuiflora 10g, Bile Star 9g, Fructus Semen 9g, Pericarpium Citri Reticulatae 9g, Fructus Fagus 30g, Semen Cassiae 30g, Radix Puerariae 15g, Cistanches 10g. 14 doses with water decoction. On the fifth consultation on May 29, the patient’s condition was stable, stool was not dry, 1 to 2 days 1 line, within 20 meters can recognize the door of the house, more stable mood, poor calculation ability, red tongue with thin white coating, sunken and thin pulse. Blood pressure is 120/80 mm Hg. Add kidney and brain products as appropriate. The above formula was supplemented with 15g of Radix et Rhizoma Polygonati and 12g of Semen Cuscutae. 14 doses were taken with water decoction. On June 13, the sixth consultation, the symptoms were as before, the left hand was stronger than before, the stool was regulated, there were petechiae on the tip of the tongue, and the pulse was sunken and thin. Blood pressure 105/75mmHg. 15g of Chasteberry was added. 14 doses in water. On June 29, the seventh consultation, the patient’s memory was enhanced, he could go out and exercise, he could recognize his own home, he could express his language more completely, his mood was stable, his blood pressure was 105/70mmHg, his stool was regulated, his tongue was dark red with petechiae at the tip, his moss was yellowish and greasy, his pulse was sunken and thin. Followed by benefiting Qi, invigorating Blood, resolving phlegm and strengthening the brain. Prescription: Astragalus membranaceus 120g, Radix Angelicae Sinensis 15g, Radix Paeoniae Alba 12g, Rhizoma Ligustici Chuanxiong 15g, Dilong 9g, Leech 6g, Peach kernel 9g, Safflower 6g, Sambucus nigra 15g, Radix Achyranthes bidentata 15g, Cistanche botrytis 20g, Fructus Hibiscus 30g, Polygonum multiflorum 15g, Rhizoma Puerariae 15g, Rhizoma Tianzhu Huang 10g, Biliary Star 9g, Acorus calamus 9g. 14 doses with decoction. On July 16, the patient was able to answer “100-7” five-level arithmetic correctly, his calculation ability basically returned to normal, he could recognize his home and write his name on the spot, he was able to talk naturally, he did not drool, he walked freely with a cane, he was not timid and afraid, recently he had dry stool, one line in three days, his tongue red with yellowish coating, sunken pulse. The above formula was supplemented with 15g of Tiger Balm. 14 doses were taken with water decoction. The condition was stabilized with subsequent consolidation of treatment with adult medicine.