The key to the treatment of this disease is to adhere to early, combined, appropriate, regular and complete anti-tuberculosis chemotherapy in order to achieve early recovery, avoid relapse and prevent complications. The treatment should pay attention to rest and nutrition as important auxiliary measures to adjust the general condition and enhance the ability to resist disease. 1. Systemic supportive therapy For patients with good general condition, only fever, abdominal distension and indigestion, easily digestible semi-liquid food can be given. Once the digestive tract symptoms are reduced, a high-calorie, high-protein diet can be given to strengthen the body and increase resistance. For patients with adhesive or caseous tuberculous peritonitis, a high-calorie semifluid diet containing less fiber and rich in protein and vitamins can be given. Foods containing more fiber increase intestinal motility and can induce intestinal obstruction. Patients who cannot eat should be given fluids to replenish sufficient fluids and ions. In extremely debilitated and severely anemic patients, small amounts of multiple blood transfusions should be given so that the general state of the body can be improved rapidly. 2.Anti-tuberculosis treatment The use of anti-tuberculosis drugs should be carried out according to the principle of rational chemotherapy. The principle of rational chemotherapy means that drugs should be used “early, regularly, in appropriate amounts, in combination, and throughout”. In the past, the commonly used standardized program was 2HPS/10HP, and since the introduction of RFP, the combination of 2SHRZ/7HRE has been used. Laparotomy aspiration Laparotomy aspiration for tuberculous peritonitis, especially for ascites-type tuberculous peritonitis, is both a diagnostic and differential need and one of the therapeutic tools for patients with ascites type with a large amount of ascites. In terms of therapeutic significance, on the one hand, it can reduce the patient’s toxic symptoms, and on the other hand, the large amount of ascites extracted contains a lot of fibrin, which can reduce post-cure abdominal adhesions and improve the therapeutic effect. The amount of ascites pumped should be appropriately controlled. Some scholars advocate that the amount of fluid pumped can be around 1000-1500 ml, so as to avoid too much fluid pumped at one time causing dilatation of the abdominal vasculature after the decrease in abdominal pressure, resulting in a decrease in the effective circulation and a decrease in blood pressure. We believe that the amount of fluid to be pumped should be decided according to the patient’s volume of ascites and the patient’s condition at the time of pumping, and the rate of pumping should be slow. If there is a lot of ascites, the patient can adapt to it and there are no adverse effects during the aspiration such as palpitations, dizziness, nausea, cold sweats, etc., a large amount of aspiration can be performed. It has been suggested that large volumes of fluid extraction will result in loss of protein, and it has also been suggested that the protein in the peritoneal exudate is not useful to the patient and that remaining within the peritoneal cavity can cause or aggravate the occurrence of adhesions. In addition, intraperitoneal injection, Mao Changgeng et al. reported the efficacy of intraperitoneal injection of urokinase in the treatment of tuberculous peritonitis, pointing out that the injection of isoniazid 0.1g + urokinase 100,000 units after abdominal puncture and fluid extraction can improve the anti-TB effect and slow down the formation of abdominal adhesions. 4, hormone application For tuberculous peritonitis, the indications for adrenocorticotropic hormone are patients with ascites type and acute cornea. In this type of patients, adrenocorticotropic hormone, when applied with effective anti-tuberculosis drugs, can rapidly reduce the symptoms of systemic toxicity, reduce fever, increase appetite, improve the body’s resistance, and improve the general state of the patient. For patients with ascites type, it can reduce the exudation, accelerate the absorption of ascites and reduce adhesions. In conclusion, the correct use of adrenocorticotropic hormone can improve the efficacy in both types of patients mentioned above. When patients with ascites-type tuberculous peritonitis whose ascites tends to be tuberculous purulent, when ascites-type tuberculous peritonitis is complicated by intestinal tuberculosis and caseous tuberculous peritonitis should be regarded as contraindications to adrenocorticotropic hormone. 5.Therbal treatment of tuberculous peritonitis with the addition of liquid-rich Cheng Qi Tang and auxiliary anti-TB drugs is more effective than the anti-TB treatment with Western drugs alone, with obvious reduction of abdominal pain, constipation and other symptoms and shortening of the course of the disease. The patient’s suffering was greatly alleviated. Treatment: On the basis of conventional anti-TB treatment, Chinese herbal medicine is taken at the same time. Basic formula: 15g of Xuan Shen, 10g of Sheng Di, 10g of Mai Dong, 5g of Rhubarb (later down), 4g of Mannitol (flushed), 10g of Citrus aurantium, 10g of Hou Pu, 10g of Angelica sinensis, 10g of Peach kernel, 10g of fried betel nut. 6. Surgical treatment is mainly used in case of certain serious complications or in a few patients with tuberculous peritonitis. The main indications for surgical treatment are: (1) intestinal obstruction, mainly incomplete intestinal obstruction which is ineffective through conservative treatment and gradually aggravated, and complete intestinal obstruction. Surgical procedures include adhesiolysis, intestinal drainage, intestinal drainage, partial bowel resection anastomosis, and resection of adherent masses, etc. (2) In the case of perforation of the intestinal canal or rupture of the lymph nodes of the abdominal cavity to form septic peritonitis or acute tuberculous peritonitis, the perforation of the intestinal canal can be repaired, the intestinal canal in the diseased area can be excised, and the septic material in the abdominal cavity can be removed. (3) In the case of abdominal wall fistula, the fistula can be removed and the abdominal cavity can be cleared of pus. (4) In the case of fecal fistula, the fistula tract of the abdominal wall can be removed, the perforation of the intestinal canal can be repaired, or the intestinal canal of the diseased area can be removed.