The management of patients with ischemic stroke should be individualized according to the specific situation, such as oral medications, intravenous anticoagulants, vasodilators, thrombolytic therapy, interventional therapy, or surgery if necessary are the options available. Ischemic stroke is the result of ischemic necrosis of brain tissue caused by narrowing or occlusion of the arteries supplying the brain tissue. Ischemic stroke includes classifications such as transient cerebral ischemia, reversible neurological dysfunction, progressive stroke, and complete stroke. Because of the different manifestations and pathogenesis, the treatment measures are also different. Transient ischemic attacks can be controlled with oral medication, while patients with more severe complete strokes have to consider treatment with thrombolysis or stent intervention or surgical removal of emboli if necessary to obtain satisfactory results. The general principle of ischemic stroke management is to determine the size of the blocked blood vessel at the site of stroke onset, to predict the degree of damage caused by ischemic stroke, and then to consider specific treatment measures. It is also important to treat the underlying diseases that cause ischemic stroke, such as hypertension, diabetes, and hyperlipidemia.