Bulbar palsy is medullary palsy. The disease can be diagnosed based on the paralysis of the glottopharyngeal muscles, dysphagia and dysarthria. There is no special treatment for this disease, symptomatic treatment, high nutritional diet and supportive therapy can be given, and tracheotomy and nasal feeding are feasible when necessary. The diagnosis of this disease mainly relies on clinical symptoms. Paralysis of the four pairs of nerves emanating from the medulla oblongata and the muscles innervated by them leads to dysphagia and dysarthria, resulting in the “triple difficulty”: difficulty in speech, difficulty in articulation and difficulty in swallowing. Pseudobulbar palsy also causes emotional disturbances such as forced crying and forced laughter. The causes of this disease can be vascular diseases, inflammation, tumors, degenerative diseases, autoimmune diseases. There is no specific effective treatment for this disease, it is recommended to give appropriate vasodilators (such as rutin tablets, hemosiderin, etc.), nerve cell nutrients (such as edaravone, etc.), and antibiotics (such as chloramphenicol, cephalosporin, etc.) to prevent infections, and if necessary, feasible tracheotomy, to treat. Daily diet should strengthen the nutrition, give high protein, high vitamin, low fat, low cholesterol, low salt diet, swallowing severe difficulties, can be fed by nasal feeding. It is recommended that patients with bulbar palsy should go to the hospital in time and be treated under the guidance of the doctor. All drugs should be used as prescribed by the doctor.