Patients with pulmonary herpetic disease with blood in sputum may have lung infection or lung cancer, and need anti-infection or anti-tumor treatment. Since blood in sputum rarely occurs in simple pulmonary herpes, it is recommended to consult a doctor as soon as possible to confirm the diagnosis and carry out effective treatment. 1. Lung infection: patients may be combined with bacterial, tuberculosis or fungal and other pathogens may be infected, manifested as fever, cough, cough sputum, blood in sputum, combined with pathogens, give the first anti-infective drugs, such as penicillin combined with clarithromycin, isoniazid combined with rifampicin, voriconazole and other drugs. 2. Lung malignancy: bronchopulmonary carcinoma may occur in or adjacent to the lung herpes, patients with pneumothorax and hemoptysis, manifested as chest pain, blood in sputum, emaciation and other symptoms, need to be combined with the tumor staging to choose surgery or radiotherapy, targeted therapy and immunotherapy and so on. Patients with pulmonary pemphigoid need to do a good job of prevention to avoid serious complications, and if there is blood in sputum, they need to seek medical treatment as soon as possible to avoid delaying their condition.