As a tuberculist, I come into contact with many patients with tuberculosis. One type of tuberculosis, bronchial tuberculosis, has caught my attention. It has certain peculiarities that often delay diagnosis and treatment for six months, a year, and in some patients, even misdiagnosis for up to three years. Bronchial tuberculosis is most likely to sneak up on young women, (of course women and men of other ages can also develop this disease.) Often the symptoms are very mild at the beginning, that is, sometimes a little cough, the patient thinks it is a cold cough, nothing serious, so they do not go to the hospital, take some cold medicine, cough medicine and “get well”; or even if they go to the hospital, the doctor prescribes some antibiotics, cough medicine, did not take a chest X-ray or the film did not find the problem, so they take it lightly. But after a short time, they cough again, and take the medicine and get better. So repeatedly, the patient gradually get used to it, sometimes several times to see the clinic did not find anything, but also did not properly investigate. This delayed for several months. Some hospitals also diagnosed it as “asthma” and gave the patient asthma medication and hormones, but the patient never got better. We took CT and bronchoscopy and found that the bronchial tubes were very narrow or even completely occluded, missing the stage of easy treatment. Whenever I hear patients tell their medical history and how long they have been delayed, whenever I see their bronchial tubes, how many lesions there are, and especially whenever I see those young girls whose flowery youth has been tormented by the disease and even withered prematurely, I always feel very heartbroken and sad, and I always want to write and shout loudly to call the attention of the whole society to bronchial tuberculosis, so that everyone (including the people and doctors) will know how this disease is and how to treat it. I always want to write and shout to call the attention of the whole society to bronchial tuberculosis, so that everyone (including people and doctors) will know what this disease is and what to do. The reasons for the delayed diagnosis and treatment of bronchial tuberculosis are: first, the patient; second, the doctor. For example, no fever, mild chest pain, and a small amount of sputum and blood may be lung cancer – an incurable disease – while high fever, severe chest pain, and more hemoptysis are acute pneumonia. –An aggressive but curable disease. It is important to know that the course of the common cold is usually less than a week, and if the cold is aggravated by bronchitis, it is usually not more than 2-3 weeks, so if the cough is more than 2-3 weeks, regardless of the severity of the cough, a chest X-ray must be taken. The resolution of a CT is many times higher than that of a chest X-ray, just as a magnifying glass cannot see bacteria while a microscope can see them. Chest CT is a very important test. Another method is bronchoscopy, which is the most direct and best way to detect bronchial lesions (including bronchial tuberculosis), and it is painful and some patients are reluctant to do it, but if the cough is not good for a long time or if the chest CT suspects bronchial lesions, it is necessary. Doctors in primary hospitals and respiratory doctors in general hospitals lack sufficient attention to the patient’s complaints and the course of the disease, and only look at them in outpatient clinics, not confiscating the hospital for careful examination, not even taking a chest X-ray, they simply and arbitrarily diagnose bronchitis or pneumonia and use antibiotics, and some patients are not well with antibiotics for one or two months, and the doctors do not even think properly and check whether other diseases are present. There is a high rate of misdiagnosis in outpatient clinics, but once doctors are alert and admit patients to the hospital, especially if CT and bronchoscopy are done, there is little chance of misdiagnosis. Nowadays, outpatient doctors usually treat cough patients with antibiotics and cough suppressants, which is not right. How can we use that to solve almost all respiratory diseases, from cold to lung cancer? Therefore, I think this saying may be useful for patients: When you have a lung disease, look for a pulmonary hospital. Our hospital’s rich experience in treating lung diseases may help patients to take a lot less detours and to get a clear diagnosis and recovery sooner. To summarize the symptoms of bronchial tuberculosis: long duration of the disease (that is to say, a long period of time with symptoms, regardless of the severity of the symptoms); repeated and gradually aggravated symptoms; occasional light cough at the beginning, and gradually a severe and violent cough, even chest tightness, shortness of breath, lying down will aggravate, can not lie down, and serious patients can hear themselves breathing with croup or snoring sounds. Other symptoms may or may not be present: fever, poor appetite, weight loss, night sweats, hemoptysis, etc. To summarize the magic formula for early diagnosis of bronchial tuberculosis: 1. chest CT, 2. bronchoscopy. Chest X-ray is mandatory for coughs of more than 2 weeks, no matter how severe or mild. After anti-inflammatory treatment, the chest X-ray must be repeated regardless of whether the cough symptoms improve or not. If the lesion is not absorbed on the chest film after anti-inflammatory treatment, or if the lesion is not visible on the chest film but the patient’s symptoms do not improve, a chest CT must be taken and a good examination of what the disease actually is must be done. The patient’s symptoms do not improve. It costs a lot of money, and the disease is delayed. Once the diagnosis of bronchial tuberculosis is confirmed, treatment should be started immediately. In addition to oral anti-tuberculosis drugs, nebulized inhalation drugs and bronchoscopic interventions must be performed at the same time, including injection of anti-tuberculosis drugs, clamping to remove tuberculosis caseous material or granuloma, microwave or cryotherapy, balloon dilation, etc. The specific method to be adopted depends on the patient’s condition. Only some hospitals have the equipment and technology to do this. If treated promptly and correctly, bronchial tuberculosis can be treated with good results. If treated too late or not aggressively and effectively enough, the outcome may be poor, with the possibility of atelectasis, which can seriously affect lung function and quality of life.