Stroke is the most common cerebrovascular disease, which can lead to impairment of physical ability, results in dysphagia and muscle loss, and affects the rehabilitation effect and quality of life seriously. Stroke may recur within a year, which may threaten the survival rate seriously. Nutritional care is an important method to improve and prevent these problems. Therefore, this article reviews the relevant literatures and proposes the medical nutrition therapy. We review the evidences related to dysphagia, sarcopenia and recurrent stroke, including recommendation of the amounts of calories and protein, applicability of micronutrients, and dietary pattern recommendations for secondary prevention. We hope to improve the clinical nutritional problems of patients effectively.