If a patient with bilateral emphysema usually has no obvious discomfort, no treatment is needed. If symptoms such as coughing, sputum, and dyspnea occur, treatment is needed. If patients with bilateral emphysema are in the early stage of the disease, or in the stable stage of the disease, with no uncomfortable symptoms, or only after overexertion, shortness of breath, chest tightness, etc., and the uncomfortable symptoms will gradually disappear after a little rest, then they can be left untreated for the time being, and they should pay attention to keeping warm, avoiding colds, quitting smoking, exercising appropriately, and going to the hospital for regular checkups. If the patient’s condition is more serious, with obvious symptoms such as shortness of breath, coughing and wheezing, coughing up sputum, etc., then active treatment is needed. Secondly, emphysema patients should also do a good job of care, such as respiratory exercise, increase diaphragm mobility. You can also do tai chi, breathing exercises, climbing stairs and other activities, which are beneficial to the recovery of the condition. It is recommended that patients with bilateral emphysema should not be treated when they are asymptomatic. If the symptoms get worse, you should consult a respiratory physician.