Palsy is also known as bulbar palsy, including true palsy and pseudomyelitis. It is a common difficult and critical neurological condition that can be combined with more than 10 diseases, especially cerebrovascular diseases. In Japan, the acute phase of cerebrovascular disease accounts for about 40% of the cases. In China, it is reported that the acute phase of cerebrovascular disease accounts for about 29%-60.4%, therefore, this disease has very great therapeutic significance. True medullary palsy is caused by lesions of the linguopharyngeal, vagus and hypoglossal nuclei, nerve roots or nerve trunks of the brainstem, and can be accompanied by paralysis of the motor branch of the trigeminal nerve and facial nerve, so it is also called medullary pontocerebral palsy, and the lesions are unilateral, and swallowing disorders mainly occur in the pharyngeal swallowing period, which is difficult to treat. Progressive medullary palsy is a clinical type of motor neuron disease. The lesions mainly invade the brainstem, especially the cranial motor nucleus of the medulla oblongata, but can also be combined with other types, which are true medullary paralysis. The main features of the disease are: bilateral lesions, slow onset, usually starting with a lack of fluent speech, and then slowly appearing choking and coughing, physical examination reveals tremors of the tongue muscles, atrophy of the tongue muscles, and in severe cases, slow opening of the mouth, difficulty in eating, salivation, slow and weak chewing movements, the tongue does not curl, or food leaks out after entry, and food accumulates in the affected cheeks, the above symptoms gradually progress, and the disease can last for 2-6 years. In some cases, the disease can be relieved or stabilized after treatment with Chinese and Western medicines and acupuncture. Pseudomyelitis is caused by bilateral upper motor neuron lesions, due to the inability of the bilateral cortical brainstem tracts to regulate the swallowing reflex center of the medullary reticular formation. The most common sites of lesions are the internal capsule and the pontine brain. The resulting swallowing disorder is predominant during the oral preparation and oral swallowing periods. Treatment: 1. True medullary palsy, progressive medullary palsy: Fengchi, blood supply, cataract, cure choking, swallowing 1, swallowing 2, lifting the pharynx, and 2/5 below the motor area of head acupuncture; 2. Pseudo medullary palsy: Fengchi, blood supply, cataract, cure choking, swallowing 1, Lianquan, external jinjin yu yu, and 2/5 below the motor area of head acupuncture.