Echoes are felt inside the ear when speaking, mainly due to catarrhal otitis media, tympanic membrane entrapment, and decreased middle ear sound transmission function. In this case, physical therapy can be performed using tympanic membrane massage, in which the patient presses the outer ear canal opening with his or her palm or fingers, gently pressing and releasing them to induce airflow in the ear and shake the eardrum. You can also use the method of pinching and puffing, gently pinching and puffing the nose to clear the eustachian tube. If you have recurrent attacks, you should go to the ENT department of a regular hospital to check the condition of the external ear canal and the tympanic membrane, and you can also have an acoustic impedance test. If the diagnosis of otitis media is confirmed, the nasal cavity can be sprayed with hydroxymetazoline hydrochloride to improve the patency of the eustachian tube. At the same time, pro-expectorant agents such as eucalyptus pinene enteric soft capsules can be taken to promote the reduction of middle ear secretion and restore middle ear function.