There are several reasons for tongue-tie: 1, speech is not fluent; 2, the patient is not clear; 3, the patient’s respiratory muscle paralysis or pharyngeal muscle spasm. Specific problems are analyzed specifically, if the tongue tie occurs suddenly, combined with the patient’s age and the characteristics of the disease, we should pay attention to the possibility of cerebral infarction. Cerebral infarction of poor speech and dysarthria can be manifested as tongue-tied speech. It is important to seek immediate medical attention and professional treatment for this symptom, which is usually handled in the emergency department of a hospital. If the symptoms are caused by spasms of the respiratory or pharyngeal muscles, or by nervousness, a professional will need to distinguish what is causing the symptoms so that they can be treated appropriately.