Cerebral arteriosclerosis is a common cerebrovascular disease with many reasons. All of us must pay attention to it and actively treat it! Cerebral arteriosclerosis is a part of systemic arteriosclerosis, which generally develops gradually after 40 years old, with slow onset and slow progress. Cerebral arteriosclerosis in middle-aged people is mostly early, and it is difficult to diagnose. The symptoms of cerebral arteriosclerosis and neurasthenia in middle-aged people are very similar, so it is also called cerebral arteriosclerosis neurasthenia. Its main signs are dizziness, dizziness, transient headache, tinnitus, numbness of hands and feet, fatigue, drowsiness, followed by inattention and memory loss. The early manifestation of cerebral arteriosclerosis in some middle-aged people is emotional change. In addition to being easily excited, they also lack self-control, have depressed expressions, lack enthusiasm and interest in things around them, and feel incompetent. In addition, people with early cerebral arteriosclerosis often suffer from insomnia, shallow sleep, wake up when sleeping, and can't sleep for a long time after waking up, dreaming more. A few patients with cerebral arteriosclerosis can also have symptoms of autonomic nervous dysfunction such as hyperhidrosis and palpitation. Early doctors often fail to find abnormal signs and are often easily diagnosed as neurasthenia or autonomic nerve dysfunction. Because there are no characteristic symptoms and signs, middle-aged people should be alert to the possibility of early manifestations of cerebral arteriosclerosis when they have the so-called neurasthenia symptoms mentioned above, and further examination of fundus, blood lipid and EEG can be done. The formation of cerebral arteriosclerosis is a continuous and rather slow process, which may start from the middle-aged and get worse with age, leading to ischemic necrosis of brain tissue in old age, and finally leading to brain atrophy or cerebrovascular dementia. Therefore, the prevention and treatment of cerebral arteriosclerosis must be timely and early.