On September 13th, the daughter of renowned host Jing Yidan released an obituary: "My dearest mother, the familiar Jing Dajie, passed away today." The obituary mentioned that in June 2026, Jing Yidan suffered a sudden acute cerebral hemorrhage in her hometown of Harbin, and her condition was serious. She was later transferred back to Beijing for hospitalization.
Many people believe that cerebral hemorrhage occurs suddenly and without warning, often resulting in severe symptoms. However, in clinical practice, the vast majority of patients have already given early warning signals before the onset of the disease. These subtle discomforts are often dismissed as fatigue, mere blood pressure fluctuations, or minor issues, ultimately leading to the missed opportunity for valuable intervention.
Zheng Yin, Vice President of Hainan Chengmei Hospital and an expert in cardiovascular and geriatric diseases, reminds us that cerebral hemorrhage is no longer a disease exclusive to the elderly, and the trend of younger patients is becoming increasingly evident. The disease progresses rapidly, and the window for treatment is extremely short.
Once the body exhibits any of the following five abnormalities, even if only one is present, one should immediately raise their vigilance and seek medical attention for investigation. One should never hold back or delay treatment with a sense of luck.
1. Sudden explosive severe headache
Professor Zheng Yin explained that sudden severe headache is the most typical and earliest initial sign of acute cerebral hemorrhage.
It is completely different from an ordinary headache: it is not a dull or throbbing pain, but a sudden, explosive, throbbing pain that strikes without warning, often occurring at the back of the head or temples. Rest, sleep, or taking ordinary painkillers cannot alleviate the pain, which continues to worsen.
This is the pain caused by imminent rupture or microbleed of cerebral blood vessels, rapid increase in intracranial pressure, and compression of brain tissue. Many middle-aged and elderly people are accustomed to enduring the pain, mistakenly believing it to be merely due to elevated blood pressure or lack of sleep, and thus delay seeking medical attention, which can lead to severe bleeding and even endanger their lives.
2. Non-induced projectile vomiting
Vomiting caused by gastrointestinal discomfort often accompanies nausea, stomach bloating, and acid reflux, and the discomfort tends to lessen after vomiting.
The vomiting caused by cerebral hemorrhage has distinct characteristics: it often occurs suddenly without precursors such as stomach pain, diarrhea, or nausea, and presents as a sudden, forceful projectile vomiting.
Professor Zheng Yin explained that this is a typical critical manifestation of intracranial hypertension caused by hematoma and cerebral edema, which stimulates the vomiting center. If there is a combination of "sudden severe headache + projectile vomiting", it is a high-risk signal of cerebrovascular emergency, and it is imperative to immediately seek emergency medical examination.
3. Unilateral limb numbness and weakness
Limb numbness caused by prolonged sitting and improper sleeping posture is generally bilateral and symmetrical, and can be restored after a few minutes of movement. The hallmark feature of cerebrovascular disease is unilateral sudden abnormality. Sudden weakness and numbness of one side of the limbs, inability to exert strength, inability to hold a water glass, phone falling unexpectedly, limping when walking, and leaning to one side.
Professor Zheng Yin reminds us that the human brain's nerves are cross-dominated. Abnormalities in one side of the body often indicate compression from lesions in the opposite side's cerebral blood vessels. This is not a sign of calcium deficiency or physical weakness, but a high-risk warning of stroke.
4. Suddenly, the speech becomes unclear and the expression becomes confusing
Originally fluent and clear in speech, one suddenly becomes tongue-tied, slurring and stuttering, unable to express what they want to say, and even unable to understand others' speech, answering irrelevantly.
This is a typical manifestation of hemorrhage compressing the language center of the brain and causing damage to neural function. Such symptoms will not improve on their own and will continue to worsen as the amount of hemorrhage increases. Once they occur, it is essential to seek medical attention immediately.
5. Confusion of consciousness and abnormal mental state
Professor Zheng Yin emphasized that this is a highly risky signal of critical illness. If one experiences unexplained lethargy, dizziness, sluggishness, slow response, difficulty in waking up, or emotional irritability and confusion, it indicates that the brain tissue has been severely compressed and the brain is suffering from insufficient blood and oxygen supply, potentially leading to coma at any time. This is an early warning of late-stage cerebral hemorrhage, posing an extremely high level of danger.
Experts remind: correct first aid methods for sudden symptoms
Professor Zheng Yin emphasized that once any of the above symptoms are noticed in oneself or family members, one should strictly follow this set of standard procedures:
1. Call 120 immediately, do not delay, and do not drive yourself to the hospital;
2. Have the patient lie down flat with their head slightly elevated to ensure unobstructed breathing;
3. It is strictly prohibited to pinch the philtrum, administer water or medication, or move or shake the patient arbitrarily. Incorrect handling can exacerbate cerebral hemorrhage, induce cerebral herniation, and pose a direct threat to life.
Individuals with conditions such as hypertension, hyperlipidemia, and arteriosclerosis, as well as young people who frequently stay up late, experience high stress, are prone to irritability, and lead a sedentary lifestyle, all belong to the high-risk group for cerebrovascular diseases. Cerebrovascular accidents are never "sudden occurrences"; they are merely "suddenly discovered" by us. Keeping these five warning signs in mind, learning to recognize them early, being vigilant in a timely manner, and seeking treatment as soon as possible, are all crucial steps in safeguarding the lives of oneself and one's family.
Cerebral hemorrhage is an acute disease with high mortality and disability rates, but the vast majority of cerebral hemorrhages can be prevented in advance. The most crucial step is to manage hypertension well.
Many people stop taking antihypertensive medications as soon as their blood pressure returns to normal, which poses a significant risk: blood pressure can rebound and soar after medication discontinuation, causing severe fluctuations that impact hardened blood vessels in the brain, making them extremely prone to rupture and triggering cerebral hemorrhage.
⚠️ Important reminder: Antihypertensive drugs are not "just take and then stop". Hypertension cannot be cured at present, and medication is to control blood pressure and protect blood vessels. If you want to reduce the dosage or stop taking the medication, you must consult a doctor and do not make decisions on your own. At the same time, you should adhere to regular blood pressure monitoring, a low-salt diet, and quit smoking and limit alcohol consumption.
Expert Introduction
Zheng Yin, Chief Physician
Vice President, Professor
Master's supervisor, scholar studying in the United States
Outstanding Experts with Outstanding Contributions in Hainan Province
Medical expertise
Specializes in the prevention, diagnosis, treatment, rehabilitation, and health management of cardiovascular and cerebrovascular diseases as well as geriatric diseases. Provides cardiac rehabilitation for patients with hypertension, coronary heart disease, arrhythmia, heart failure, metabolic syndrome, post-stent implantation, and post-bypass surgery, including guidance on medication, exercise, nutrition, and sleep disorders.