Peachy sputum is a common clinical manifestation of pulmonary schistosomiasis. Lung schistosomiasis, also known as pulmonary schistosomiasis, is an acute or chronic endemic parasitic disease caused by Schistosoma haematobium. The parasites are mainly found in the lungs, with cough and peachy sputum as the main manifestations, but also in various tissues and organs, such as the brain, spinal cord, gastrointestinal tract, abdominal cavity and subcutaneous tissue, producing corresponding symptoms. The clinical manifestations are also diverse. The incubation period is a few days to 20 years, mostly within 1 year. How to check for rotten peach-like blood sputum? It starts slowly with mild fever, night sweats, fatigue, loss of appetite, cough, chest pain and coughing brownish-red jam-like sputum. There is abdominal pain, diarrhea, nausea, vomiting, and the discharge of brownish-brown sticky pus and blood stool. Allergic symptoms such as urticaria. Acute pulmonary schistosomiasis has a more acute onset with high fever and toxemia. Low back pain, difficulty moving lower limbs, even paraplegia, difficulty urinating and defecating, incontinence. Pleural effusion signs may be complicated by pleural thickening or abscess chest. Cystic masses, enlargement of mesenteric lymph nodes, liver, spleen and testes, and peritoneal effusion may be palpable in the abdomen. Meningeal irritation signs, hemianopia, abnormal or absent sensation, and optic nerve papilla edema. A few patients have epilepsy, convulsions, hemiparesis, and motor disorders. History of eating uncooked stone crabs or mayflies in areas where the disease is endemic. Long-term cough, hemoptysis, brown jam-like sputum, some with low-grade fever, night sweats, few pulmonary signs, with corresponding signs when combined with pleural fluid, Sichuan pulmonary schistosomiasis can also be seen in the abdomen, thoracic back and other places of wandering subcutaneous nodules or masses. The diagnosis can be confirmed by a significant increase in blood eosinophils, direct smear of sputum or 24-hour concentration method to find the eggs of pulmonary schistosomes. （X-ray examination: round or oval infiltrative shadows with blurred margins, single or multifocal cystic shadows in the lungs, faint and variable lung shadows, lesions in the middle and lower lung fields, often accompanied by a small amount of pleural effusion. Intradermal test for adult Schistosoma lungworm antigen, posterior caecal membrane test and/or complement binding test for Schistosoma lungworm are positive. Biopsy of subcutaneous nodules or masses reveals eosinophilic granulomas containing eggs or larvae of Schistosoma lungerii, which can confirm the diagnosis.