Post-brain hemorrhage epilepsy is symptomatic epilepsy, also called secondary epilepsy. The first-line antiepileptic drug of choice is carbamazepine. During the medication period, attention should be paid to monitoring blood count, liver function and kidney function because the drug is likely to cause bone marrow suppression leading to leukopenia, thrombocytopenia, and even aplastic anemia, and liver function impairment, and patients should stop the drug immediately once a rash appears. If there are still episodes during the medication period, monitor the blood concentration of carbamazepine and adjust the dose according to the blood concentration. If monotherapy is not effective, consider adding a second drug. It is not recommended to combine carbamazepine with lamotrigine. If it is contraindicated for the patient to use carbamazepine, oxcarbazepine can be used its side effects are relatively small and can be combined with levetiracetam, or lamotrigine can be added. If the patient has a generalized tonic clonic seizure, you can also consider using sodium valproate, which is a broad-spectrum antiepileptic drug that is effective in controlling all types of epilepsy and can be used in combination with lamotrigine and levetiracetam.