Summary of case history,　The patient, a 73 year old female, had a sudden dysarthria 25 years ago, and was underwent cranial CT at the local hospital which suggested "lacunar infarction and white matter lesions (WMLs)." After receiving symptomatic treatment such as activating blood circulation and removing blood stasis, her symptoms were relieved. Since then, she had repeatedly suffered from dysarthria. During this period, no new infarct was found in multiple examinations. In 2017, the above symptoms recurred, combined with fatigue and gait disturbance. He was diagnosed as "multiple cerebral infarction and WMLs" in a grade A tertiary hospital in Beijing. After routine treatment in western medicine, dysarthria and gait ataxia were relieved. But the symptoms recurred after discharge. In 2018, due to the aggravation of the above symptoms after upper respiratory tract infection, she was hospitalized again, and the symptoms improved slightly. After that, the symptoms were intermittent and progressive, and the mental condition was extremely poor. Current symptoms: depression, apathy, dysarthria, dysphagia, occasionally coughing, yellow sputum, gait disturbance, lumbar debility, hypomnesis, poor appetite, shouting at night, constipation, and frequent nocturia. The tongue is dark, the coating is white and greasy, and the pulse is deep and slippery.,TCM diagnosis,　language and motor dysfunction, deficiency of spleen and kidney, phlegm and blood stasis.,Western medicine,　diagnosis white matter lesions; outmoded cerebral infarction; reflux esophagitis; anemia; after appendectomy.,Therapeutic methods,　Traditional Chinese medicine decoctions were administrated, with the treatment method of strengthening the spleen and kidney, eliminating phlegm, and promoting blood circulation and removing blood stasis.,Clinical outcomes,　The mental condition was significantly improved. Dysarthria and dysphagia were slightly improved.