Kubota drinking test. Proposed by Japanese scholar Toshio Kubota, the grading is clear and unambiguous, simple to perform, and facilitates the selection of patients with therapeutic indications. However, the test is based on the patient’s subjective perception, which is not consistent with clinical and laboratory findings in many cases, and requires the patient to be conscious and able to follow instructions to complete the test. The patient sits upright, drinks 30 ml of warm boiled water, and observes the time required to drink and choke. grade 1 (excellent) can swallow the water smoothly in 1 time Ren Shuo, Department of Rehabilitation, Affiliated Hospital of Shandong University of Traditional Chinese Medicine grade 2 (good) can swallow in more than 2 times and can swallow without choking grade 3 (moderate) can swallow in 1 time, but with choking grade 4 (may) swallows in more than 2 times, but with choking grade 5 (poor) chokes frequently and cannot swallow all normal: grade 1. Within 5 seconds; suspicious: grade 1, more than 5 seconds or grade 2; abnormal: grade 3 to 5 efficacy judgment criteria: cure: swallowing disorder disappears, drinking test assessment grade 1 effective: swallowing disorder improves significantly, drinking test assessment grade 2 ineffective: swallowing disorder does not improve significantly, drinking test assessment grade 3 or more Kubota swallowing ability assessment method. The table proposes 3 conditions that can reduce misaspiration, graded progressively according to the number and type of conditions the patient needs, divided into 1 to 6 and, the higher the level the lighter the swallowing disorder, and grade 6 is normal. The assessment conditions: the person who helps, the type of food, the eating method and the time. level 1: difficulty swallowing and inability to swallow under any condition; level 2: reduced misaspiration if all 3 conditions are present; level 3: reduced misaspiration if 2 conditions are present; level 4: basically no misaspiration if appropriate food is chosen; level 5: basically no misaspiration if attention is paid to the eating method and time; level 6: normal swallowing. Criteria for determining the efficacy: ineffective: no change before and after treatment; effective: significant improvement in swallowing disorder, swallowing classification improved by 1 grade; effective: swallowing disorder relieved by 2 grades, or close to normal