Hemifacial wind usually represents stroke, a cerebrovascular disease characterized by sudden and rapid onset of cerebral deficits, which can have symptoms such as impaired consciousness, dizziness, paralysis, aphasia, etc. Treatment is required according to the cause of hemifacial wind, which is commonly seen in the following cases: 1. cerebral infarction: If hemifacial wind is caused by cerebral infarction, thrombolysis and embolization treatment is more effective within 4.5 hours of onset. The use of anti-platelet aggregation agents after the onset can prevent the proliferation and expansion of intravascular thrombus and avoid the aggravation of symptoms, commonly used drugs include aspirin and clopidogrel, etc.; dehydration and cranial pressure lowering drugs can also be used to reduce cerebral edema, commonly used drugs are hypertonic dehydration agents, diuretics, glucocorticoids, etc.; cerebral protective agents can be given to reduce ischemic brain injury, such as butalbital and edaravone, etc.; if the area of cerebral infarction is large, according to the condition If the cerebral infarction area is large, surgical treatment can be performed according to the assessment of the surgeon; 2. Cerebral hemorrhage: firstly, hypertonic dehydration drugs, such as mannitol and furosemide, can reduce cerebral edema, lower intracranial pressure and prevent brain herniation formation. At the same time, blood pressure changes are closely observed, and coagulation factors and platelets are supplemented for hemostatic treatment. Patients with cerebellar hemorrhage ≥10 ml or hemorrhage area ≥3 cm in diameter, or combined with obvious hydrocephalus, need to be treated surgically with the aim of removing hematoma and lowering intracranial pressure.