Acute pharyngolaryngitis painful gagging is caused by acute inflammation of acute pharyngeal mucosa, submucosal tissues and lymphatic tissues, which requires general treatment, systemic and local medication. 1. General treatment: bed rest, drink plenty of water and liquid food, prohibit smoking and alcohol. Control the use of voice, minimize talking and rest the vocal cords. 2. Antibiotics and antiviral drugs: If there is a bacterial infection, the inflammation can be effectively controlled by antibiotics, it is recommended to choose penicillins, cephalosporins and macrolides under the guidance of the doctor, such as amoxicillin, cefuroxime, azithromycin and so on. In case of viral infection, drugs such as ribavirin can be applied. 3.. Glucocorticoid: if the vocal cords have obvious swelling phenomenon, you can choose to apply glucocorticoid to effectively reduce edema and hoarseness, you can choose oral prednisone, etc., and choose nebulized inhalation budesonide suspension. 4. Gargle solution: you can choose to have a bactericidal as well as cleaning effect of the gargle solution, such as compound borax solution, etc., local iodine tablets, silver and yellow tablets containing treatment. Acute pharyngolaryngitis swallowing saliva are painful, it is recommended that the hospital visit, follow the doctor’s instructions for medication.