Treatment of emphysema with TCM requires evidence-based diagnosis and there is no single prescription, depending on the individual’s physical condition and disease progression. Emphysema is divided into exacerbation and remission phases. Chinese medicine is suitable for treating the remission phase, which can be categorized into lung and kidney yin deficiency and phlegm congestion of the lungs, with different treatments and medications. The symptoms of phlegm congestion of the lungs include coughing, white and sticky sputum, shortness of breath, epigastric constipation, and little energy. The treatment is to strengthen the spleen and benefit the lungs, and the prescription is Su Zi Shi Wei Qi Tang combined with San Zi Yang Xiang Tang for addition and subtraction. Symptoms of lung and kidney yin deficiency include shortness of breath, wheezing when moving, coughing, little sputum and difficulty in expectoration, etc. The treatment is to nourish the lungs and kidneys, and the prescription is to combine Sheng Wei San and Du Qi Pill for addition and subtraction. According to Chinese medicine, the cause of emphysema lies in the dysfunction of the lungs, spleen and kidneys, which is affected by external factors such as dietary disorders and emotional disorders, resulting in a series of symptoms and signs. For specific medication, it is recommended to go to the hospital for consultation and take it after being prescribed by a professional physician.