Coughing up black sputum in the morning may be caused by coughing up blood, or more dust, when the patient has the above clinical symptoms, it is recommended to improve the lung CT examination. If the patient’s lung CT suggests tuberculosis foci, it is necessary to further improve the blood sedimentation, PPD, sputum antacid bacilli and other related examinations, the patient sputum antacid bacilli, clinically considered to be tuberculosis and coughing up blood, it is necessary to carry on the anti-tuberculosis treatment, the commonly used drugs include isoniazid, rifampicin, pyrazinamide, streptomycin and so on. If the patient’s lung CT mass shadow, need to improve the bronchoscopy or puncture biopsy examination, when the patient was diagnosed with lung malignant tumor history, considered as lung malignant tumor caused by coughing blood, need to be given according to the condition of the surgical treatment, radiotherapy, chemotherapy, or target-cell drug therapy.