Summary of case history,　patient Wang, a 66-year-old male, was admitted on May 31, 2021 due to "progressive exacerbation of right eye and mouth deviation with left limb weakness for 2 weeks". Two weeks ago, the patient had no obvious cause of right eye deviation or double vision in the right eye. They sought medical attention from a local hospital's ophthalmology department and considered "extraocular muscle paralysis". After treatment, the symptoms did not improve. The patient felt that their mouth and eyes were skewed and their limb weakness gradually worsened. They went to the emergency department of the local hospital and were diagnosed with "acute cerebral infarction". After one week of treatment with antiplatelet aggregation, lipid lowering, and plaque stabilization, no improvement was observed. Two days ago, he visited the emergency department of our hospital and was diagnosed as "brain stem and left pontine arm disease". He was admitted to the hospital for the treatment of traditional Chinese medicine acupuncture and moxibustion. Symptoms and signs: The patient's right frontal crease disappears and the right frontal lift is weak. Right eye closure is weak, with white eyes exposed when closed, resulting in ghosting of visual objects, limited right eye movement, and limited abduction. The right nasolabial sulcus disappears, the right corner of the mouth droops, the right bulging cheek leaks air, and the tongue extends slightly to the right. Left limb weakness, left lower limb can be lifted off the bed surface but cannot resist external forces, walking left leaning. Occasionally experiencing dizziness, nocturnal sleep, irregular urination, and dry stools. The tongue is light red, the fur is white and thick, and the veins are smooth.,TCM diagnosis,　apoplexy (wind sputum blocking collaterals).,Western medicine diagnosis,　tumefactive demyelinating lesions.,Therapeutic methods,　traditional Chinese medicine treatment focuses on resolving phlegm and calming wind, dredging meridians and unblocking collaterals, and is treated with penetrating needling with filiform and awn needles. Western medicine provides hormone therapy.,Clinical outcomes,　the patient's symptoms such as mouth and eye deviation and limb weakness basically disappeared. Follow up for 1 and a half years showed no recurrence.