Tuberculous pleurisy is a common complication of tuberculosis, often with symptoms of tuberculosis systemic toxicity, and during the treatment period because the disease has not been fully controlled, night sweats (abnormal sweating after going to sleep and stopping after waking up) can occur, which is a common phenomenon. Tuberculosis systemic symptoms are most common in the afternoon low fever, often accompanied by night sweats (abnormal sweating after going to sleep and stopping sweating after waking up), lethargy and fatigue (tiredness and weakness), loss of appetite and weight loss. The treatment of tuberculous pleurisy is more complicated, in addition to conventional anti-tuberculosis treatment, it should also be actively taken to withdraw fluid treatment, early withdrawal of pleural fluid can effectively reduce the symptoms of systemic toxicity. If the symptoms of systemic toxicity are severe, patients can also try to apply glucocorticoids to alleviate the symptoms. In addition, attention to rest to avoid exertion, strengthen the nutritional support can also improve the condition. It is important to note that tuberculosis is highly contagious and is prone to recurrence if treatment is not complete. Once diagnosed, patients should receive regular anti-tuberculosis treatment under the guidance of a physician.