In recent years, many doctors have carried out a large number of clinical trials on the pathogenic factors and treatment of ischemic stroke. This paper summarizes the pathological factors of ischemic stroke in the field of traditional Chinese medicine in recent years, such as wind, blood stasis, deficiency and so on, and summarizes the common syndrome types and corresponding treatment methods, as well as the current research progress of acupuncture treatment and prevention and health care, which are valuable experience of traditional Chinese medicine in the treatment of ischemic stroke.