1.Rest and nutrition 2.Anti-tuberculosis drug treatment The course of treatment is generally 12 months, the first treatment of mild patients can be appropriately shortened, but not shorter than 9 months, sometimes need to extend the course of treatment, anti-tuberculosis drug application principles and programs are detailed in the “chemotherapy of pulmonary tuberculosis”. 3, thoracic puncture fluid extraction can make the lung reopen, reduce the pleural thickening caused by fibrin deposition, adhesions and improve respiratory function, the amount of fluid extraction should be determined according to the amount of fluid and patient tolerance. A very small amount of fluid may not be extracted, or only diagnostic puncture may be done. A medium amount of fluid or more should be extracted early, 2~3 times a week, and the amount of fluid extracted should not exceed 1000ml each time, and the fluid should not be extracted too much or too fast to avoid pulmonary edema and circulatory failure. 4, glucocorticoid treatment Acute tuberculosis exudative pleurisy poisoning symptoms are more serious, pleural effusion more, can be applied in chemotherapy and fluid extraction treatment at the same time prednisone treatment, 30 ~ 40mg daily, to be normal body temperature, the elimination of systemic symptoms of poisoning, pleural fluid gradually absorbed after the gradual reduction, the general course of treatment for 4 ~ 6 weeks, treatment should pay attention to the contraindications and side effects of hormones, pleurisy has become chronic. The use of hormone therapy is not suitable for those with chronic pleurisy.