What is the best medication for insufficient cerebral blood supply?

Generally speaking, there is no such thing as "the best medication for cerebral ischemia." Common causes of insufficient brain blood supply include chronic sleep deprivation, mental stress, cerebral arteriosclerosis, cervical spondylosis, and hypotension. Patients should follow medical advice based on their specific conditions to select medications such as enteric-coated aspirin tablets, flunarizine hydrochloride capsules, or ginkgo biloba extract tablets. Detailed analysis is as follows:

1. Chronic Sleep Deprivation

Long-term lack of sleep disrupts the biological clock, leading to dysregulation of vascular constriction and reduced cerebral perfusion, which may cause symptoms like dizziness and fatigue. This condition is due to physiological factors and does not require medication. Adjusting sleep habits—ensuring 7–8 hours of sleep per night, avoiding late nights, reducing electronic device use before bedtime—can alleviate symptoms once a regular routine is established.

2. Mental Stress

Prolonged anxiety and high stress levels can overactivate the sympathetic nervous system, causing vasoconstriction and reduced cerebral blood flow, leading to cerebral ischemia accompanied by headaches and difficulty concentrating. Medication is usually unnecessary. Stress can be relieved through physical exercise, listening to music, maintaining emotional stability, and seeking psychological counseling when needed, thereby improving neural regulation.

3. Cerebral Arteriosclerosis

Abnormal lipid levels lead to fat deposition on cerebral vessel walls, forming plaques that narrow blood vessels and reduce blood supply to the brain, resulting in symptoms such as memory decline and limb numbness. Under medical guidance, medications such as enteric-coated aspirin tablets, atorvastatin calcium tablets, and Naoxintong capsules may be used to inhibit platelet aggregation, stabilize plaques, and improve cerebral circulation.

4. Cervical Spondylosis

Herniated intervertebral discs or bone spurs in the cervical spine may compress the vertebral arteries, impairing blood flow and causing cerebral ischemia, often accompanied by neck and shoulder pain and vertigo. Under medical supervision, drugs such as flunarizine hydrochloride capsules, Jingfukang granules, and mecobalamin tablets can be used to dilate cerebral vessels, reduce cervical inflammation, nourish nerves, and alleviate compression on the vertebral artery.

5. Hypotension

Low blood pressure reduces cerebral perfusion, leading to symptoms such as dizziness and transient vision darkening, especially during postural changes. Under medical guidance, medications such as Shengmai oral liquid, Yiqi Yangxue oral liquid, or midodrine hydrochloride tablets may be prescribed to raise blood pressure, improve qi and blood circulation, enhance cerebral blood supply, and relieve symptoms.

In daily life, it's important to maintain a regular sleep schedule and avoid staying up late, keep emotions stable, eat a balanced diet with reduced intake of high-fat and high-sugar foods while increasing consumption of fruits and vegetables, engage in moderate physical activity to strengthen the body, avoid prolonged periods of head-down posture, and regularly monitor blood pressure and lipid levels. Early detection of vascular abnormalities can help reduce the risk of cerebral ischemia.