“Endogenous Wind” is usually considered the basic cause of stroke， and “Wind-extinguishing” the basic therapeutic principle. Based on understanding of stroke by various doctors of successive dynasties， research findings of modern medicine and impact of modern medical treatments on syndrome differentiation， this article suggests some thoughts and methods to cure stroke: At the acute stage of stroke， the treatment should focus on “Wind-extinguishing”. During the rehabilitation period or sequela period， the pathogenesis is mainly deficiency combined with stagnation and phlegm even though there are symptoms of shaking and tremor. Therefore one should not just use “Wind-extinguishing” but to treat the disease based on an overall analysis of the illness and the patient’s condition.