Xiaoxuming decoction is one of the classical prescriptions in ancient times, mainly used for treating stroke syndrome, with significant therapeutic effects. Recent studies have found that it is also effective for other neurological diseases besides stroke, such as facial paralysis and vertigo, but there are few reports on related achievements, lacking systematic organization and summary. This article systematically summarizes the application practice and mechanism of Xiaoxuming decoction in the above-mentioned diseases, aiming to provide a solid foundation and scientific reference for deepening the exploration of Xiaoxuming decoction in the field of nervous system disease.

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