This article introduced Bian Songjing’s experience in treating stroke and da jue from qi and blood. Mr.Bian believed that stroke and da jue were two categories and couldn’t be divided. Stroke was in qi and approximates neuropathy in modern medicine； da jue was in blood and approximates vascular disease in modern medicine. In the treatment， stroke should be identified as qi disease and da jue as blood disease， stroke empirical should be based on opening the orifices and expelling wind， deficiency syndrome should be based on filling the orifices and extinguishing wind； Da jue empirical should be based on removing blood stasis throughout， and da jue deficiency syndrome should be based on tonifying deficiency and solidifying. However， stroke and da jue could be combined with disease， in other words， when qi and blood were weak together， treatment should distinguish the priorities， qi and blood were treated together.