The inability to speak belongs to hoarseness, which may be caused by excessive use of voice, vocal polyps, acute laryngitis, etc. General treatment, medication and surgical treatment can be taken according to the different causes of the disease. 1. Excessive use of voice: Singing for too long or talking for too long can lead to hoarseness and inability to speak. At this time, it is recommended to speak less, and at the same time, hormonal drugs can be used, such as budesonide nebulized inhalation; oral Huang’s ringing sound pill, golden voice capsule, etc. for treatment. 2. Vocal polyps: caused by improper or excessive vocalization. It can lead to speechlessness, hoarseness and difficulty in breathing. It is recommended to take proper rest, correct bad vocal habits, according to the size and location of the polyp, can be taken under local anesthesia vocal polyp excision, general anesthesia micro-support laryngoscopic excision. 3. Acute laryngitis: due to the excessive use of the vocal cords stimulation or infection, can cause inflammatory reaction, resulting in patients can not speak. It is recommended to use amoxicillin capsules, benzoxiline sodium tablets, azithromycin dispersible tablets, etc. for treatment. The voice can not speak out words may also exist other reasons, the patient should follow the doctor’s instructions to actively cooperate with the doctor’s treatment, do not self-medication, so as not to delay the condition.