Emphysema is a chronic disease that cannot be cured, and certainly not with TCM treatment. When an acute exacerbation of emphysema occurs, it needs to be treated with Chinese herbal medicine evidence-based treatment, which can promote the relief of symptoms and physical recovery more quickly. In the case of stable emphysema, Chinese herbal medicine can also be used to improve the patient’s quality of life and reduce the number of acute exacerbations. Generally speaking, emphysema is treated with Chinese herbal medicine, which is divided into the acute phase and the remission phase differently. In the acute stage, there are generally wind-cold attacking the lung, external cold and internal drinking, phlegm-heat congestion of the lung, and phlegm-damp blocking the lung. In the case of wind-cold attacking the lung, San O Tang and Cough Stopping San can be used. In case of emphysema in the stable stage, it is generally divided into different kinds of deficiency of lung qi, deficiency of lung spleen qi, deficiency of lung and kidney qi, and deficiency of both lung and kidney qi and yin. Lung Qi deficiency can be treated with Ginseng Nourishing Lung Pill, while Lung Spleen Qi deficiency can be treated with Six Gentlemen Pill, Lung Kidney Qi deficiency can be treated with Ginseng Tonic Lung Liquid, while Lung Kidney Qi and Yin deficiency can be treated with Bao Yuan Tang and Ginseng Tonic Lung Tang with addition.