Sluggish expression is one of the symptoms of adenoid hypertrophy, which is a hyperplasia of the pharyngeal tonsils. Repeated stimulation of inflammation in the nasopharynx and its adjacent parts or in the adenoids themselves causes pathological hyperplasia of the adenoids. Physical examination of patients with sluggish expression can reveal: 1, pallor eyes, face and cheeks are swollen, apathetic expression, dementia, dry skin all over the body, thickening, roughness and more flaking, non-sunken edema, hair loss, palms of the hands and feet are atrophic yellow color, weight gain, and the nails of a few patients are thick and brittle. 2.Neuropsychiatric system Memory loss, mental retardation, lethargy, slow expression, anxiety, dizziness, headache, tinnitus, deafness, nystagmus, ataxia, tendon reflexes, Achilles tendon reflexes prolonged, and in the severe cases, dementia, stiffness, and even lethargy may occur. 3.Cardiovascular system Bradycardia, decreased cardiac output, low blood pressure, muffled heart sounds, heart enlargement, can be complicated by coronary heart disease, but generally do not occur angina pectoris and heart failure, sometimes accompanied by pericardial effusion and pleural effusion. Mucous edema cardiomyopathy occurs in severe cases. 4.Digestive system Anorexia, abdominal distension, constipation. In severe cases, paralytic intestinal obstruction may occur. Gallbladder contraction is weakened and distended. Half of the patients have gastric acid deficiency, leading to pernicious anemia and iron deficiency anemia. 5.Movement system Muscle weakness, pain, ankylosis, can be accompanied by joint lesions such as chronic arthritis. 6.Dull small disease: dull appearance, mute pronunciation, pale face, periorbital swelling, widening of the distance between the eyes, nasal bridge collapse, thick salivating lips, large tongue outstretched limbs short and thick, duck step.