Localized emphysema and pulmonary herpes in both lungs should be treated according to the extent of the lesions and clinical symptoms. Localized emphysema and pulmonary herpes in both lungs, if the scope of the lesion is small, usually does not cause clinical symptoms, usually no treatment is needed, need to review the chest CT and pulmonary function tests in time, and follow up the changes of the disease. If the scope of the lesion is large, cough, sputum, wheezing and other symptoms, need to quit smoking, pay attention to rest, avoid exertion, and symptomatic treatment. For patients with cough and sputum that cannot be easily coughed up, expectorants such as aminobromine hydrochloride and carbocysteine can be used to relieve symptoms; for those with shortness of breath and wheezing, bronchodilators such as salmeterol, ipratropium bromide and aminophylline can be used to alleviate the symptoms as prescribed by the doctor. In addition to medication, if surgery is indicated, patients can also be treated with surgery such as herpeticectomy, lung volume reduction, lung transplantation and other surgical treatments for giant pulmonary herpes. It is recommended that patients with bilateral localized emphysema and pulmonary pustules should consult a doctor in time and standardize the treatment under the doctor’s guidance so as not to delay the condition.