Choking and coughing after a brain infarction may be related to a medullary infarction or may be in a state of pseudobulbar palsy in a multiple lacunar infarction. How can we achieve no choking cough? The main thing is that when patients drink water, they must usually pay attention and drink with their heads down when they sit up, but they cannot absolutely avoid not choking, and they should carry out rehabilitation training for swallowing function. If there is difficulty in swallowing during the acute phase of cerebral infarction, it is necessary to lower the gastric tube and nasal feeding fluid, because this can effectively avoid misaspiration and can avoid lung infection caused by misaspiration. However, if there is still choking and coughing when drinking water after the acute stage, it is necessary to carry out swallowing rehabilitation function exercise by acupuncture treatment, zha Lianquan and paralianquan, to avoid choking and coughing as much as possible.