Patient: Hello Dr. Zhu, I am 35 years old, about one and a half years ago, my tongue occasionally disobeyed me when I spoke, and some words and phrases did not sound right, I did not pay much attention to it. Now about 4 months ago, the right lower corner of the mouth numbness, then went to Nanchang Hospital to check the neurology program (magnetic resonance, carotid artery, EEG and other tests) did not find the problem, and then back to the local county people’s hospital quintuplex, he suspected that I am facial neuritis, prescribed some vitamin B1 and potassium cobalt, eat half a month so far, but no effect, please Zhu doctor you give some valuable advice. Thank you! Hello Dr. Zhu, according to what I said above, what is my problem. What medicine do I need to take. Thank you very much! Zhu Wenzeng, Department of Acupuncture and Moxibustion, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine: According to the description of your clinical symptoms, preliminary consideration is lacunar cerebral infarction, although you have done MRI, still can not exclude cerebral infarction (must be combined with the signs of neurological examination, such as Babinski’s sign and Chaddock’s sign), if it is strong lacunar cerebral infarction, intravenous fluids can be given. I just think your age is young and whether you have risk factors such as high blood pressure and high salt diet. Patient: Hi Dr. Zhu, I don’t have hypertension. If it is lacunar cerebral infarction as you said, what tests should be done to find out? Is this problem very serious? What should I pay attention to? Thank you! Zhu Wenzeng, Department of Acupuncture and Moxibustion, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine: In fact, most patients can be detected by head MRI or CT, but it has to be combined with clinical examination. I once saw an elderly aunt in the outpatient clinic who only had a hard tongue root. Clinically. It is some atypical symptoms such as occasional choking on drinking water, walking awkwardly (clumsy), numbness of limbs, sudden limb weakness, etc. that are easily misdiagnosed and missed, and the doctor can only confirm the diagnosis by detailed questioning and physical examination to determine what examination items to do and to target.