NIHSS has been widely used in clinical practice, clinical trial and medical quality control for cerebrovascular diseases in China. Due to the mistranslation or incomprehension of specialized neurological terms such as Stuporous, Obtunded, Extinction, and Inattention etc, 6 of the 13 items in the current used NIHSS Chinese version need to be revised, and the other 2 items need to be retranslated. It is critical to correct and promote the right Chinese translation version of the NIHSS in a timely manner. To that end, we proofread the original NIHSS website word for word and professionalized the interpretation and translation of key vocabulary based on original English neurology. We detailed the examination points and scoring rules for each item based on this. This paper also briefly describes the development, evolution, and revision of NIHSS in order to help Chinese neurologists in better comprehending the essence of NIHSS to support clinical application and medical quality control.