(Disclaimer: This article is only for scientific purposes, in order to protect the privacy of patients, the relevant information in the following content has been processed) Abstract: Mr. Li, 38 years old, repeated symptoms of cerebral infarction, the right side of the limb weakness symptoms when he woke up this morning, so he came to the hospital for consultation, after the clinical examination, found that it was originally suffered from multifocal cerebral infarction, through the medication, physical and traditional Chinese medicine a series of combined treatment, the patient’s condition was After a series of combined treatment with medication, physical therapy and traditional Chinese medicine, the patient’s condition was controlled and the symptoms of limb weakness gradually recovered. Basic information] Male, 38 years old [Type of disease] Multifocal cerebral infarction [Hospital] Baoding First Hospital of Traditional Chinese Medicine [Time of consultation] February 2022 [Treatment plan] Drug therapy (aspirin enteric-coated tablets + clopidogrel hydrogensulfate tablets + high-dose atorvastatin calcium tablets + ginkgo biloba diterpene lactone dextran injections + butylphosphonium chloride sodium injections + ozagrel sodium injections) + physical therapy (exercise therapy + direct current stimulation therapy) + physical therapy (exercise therapy) + direct current stimulation therapy). Physical therapy (exercise therapy + direct current stimulation therapy) + traditional Chinese medicine (acupuncture therapy + auricular acupuncture therapy + thunder fire moxibustion) 【Treatment cycle】 2 weeks of inpatient treatment, 3 months of outpatient rehabilitation follow-up 【Treatment effect】 The condition is under control, and the symptoms of limb weakness are gradually recovered I. Initial consultation Mr. Li, 38 years old, came to the hospital because he said that he had the symptoms of weakness of the right limb when he woke up in the morning. When asked about his medical history, Mr. Li said that he had suffered from cerebral infarction twice, 8 years ago and 2 years ago respectively, and that he had left-sided limb movement disorder and unfavorable speech symptoms. Cranial MRI+MRA showed acute cerebral infarction in the left basal ganglia and corona radiata, multiple cerebral infarctions in the bilateral basal ganglia and corona radiata, and multiple cerebral infarctions in the right thalamus, and MRA was consistent with atherosclerotic manifestations. According to the patient’s history of repeated cerebral infarction, combined with cranial MRA and other examinations, the patient was initially diagnosed with multifocal cerebral infarction and was admitted to the hospital. After the patient was admitted to the hospital, the main symptomatic treatment was given to the patient, because the patient was awakened stroke, the time exceeded the optimal thrombolytic time of 6 hours, and the patient refused thrombolytic therapy, so the patient was given aspirin enteric-coated tablets and clopidogrel bisulfate tablets orally, and the two medications were used in combination with antiplatelet aggregation; at the same time, the patient was given high-dose atorvastatin calcium tablets orally to resist atherosclerosis and stabilize plaque. On the basis of the above oral drug treatment, with ginkgo diterpene lactone glucosamine injection slow intravenous infusion of blood activation, butylphthalide sodium chloride injection intravenous drip, scavenging free radicals, protection of mitochondria, ozagrel sodium injection static antiplatelet aggregation, improve cerebral metabolism. In addition, with the Chinese medicine treatment, Chinese medicine ordinary acupuncture therapy, auricular acupuncture therapy, thunder fire moxibustion, and the use of rehabilitation therapy in the exercise therapy, direct current stimulation therapy and other therapeutic modalities, and instructed the patient to low-salt, low-fat, low-sugar diet, and actively take the initiative to carry out rehabilitation training. Third, the treatment effect of the above double anti-platelet aggregation, anti-atherosclerosis, plaque stabilization, blood circulation and blood stasis, antioxidant, scavenging free radicals, protection of mitochondria, improve cerebral metabolism and other treatments, and assisted by traditional Chinese medicine treatment program, rehabilitation training and other comprehensive treatment means, the patient did not appear in the cerebral infarction progression within 2 weeks, and the symptoms of limb weakness gradually recovered, and can be able to walk with crutches in the help of other people, was allowed to be discharged from the hospital, and discharged! After discharge, the patient was discharged from the hospital and was instructed to continue outpatient review of oral medication and cooperate with TCM acupuncture treatment and rehabilitation training. After a total of 3 months of treatment, the patient’s symptoms of limb weakness improved significantly. Although the prognosis of abnormal vascular network disease at the base of the brain is relatively good in young people, the patient suffered from repeated attacks of cerebral infarction, resulting in multifocal cerebral infarction, which led to hemiplegic symptoms such as limb movement disorder, unfavorable speech, and even intellectual and cognitive dysfunction, which seriously affected the patient’s quality of life. Therefore, patients should pay more attention to rest after being discharged from the hospital, usually pay attention to light diet, low salt, low fat and low sugar diet, and avoid exertion, staying up late, smoking, drinking history and other bad habits, in order to reduce the risk factors for atherosclerosis and reduce the incidence of cerebral infarction. V. Personal perception The patient in this article has no history of three highs such as high blood pressure, high blood glucose, high blood fat, no history of staying up all night, smoking, drinking alcohol and other bad life habits, but recurrent symptoms such as limb weakness, unfavorable speech, or recurrent episodes of cerebral infarction, so multifocal cerebral infarction is mostly considered. And need to take timely treatment measures, if the patient cerebral infarction repeated attacks, intracranial arterial vascular serious occlusion, may be life-threatening, it is recommended that people with a history of cerebral infarction, pay more attention to the body with or without abnormal symptoms, go to the hospital in a timely manner to receive regular treatment, when the symptoms are serious, need to consider neurosurgery to perform a bypass surgery treatment to promote the formation of collateral circulation in order to improve the blood supply to the brain.