Major triple yang indicates the presence of hepatitis B virus infection in the body, which may have a high level of replication and is highly contagious. Hepatitis, on the other hand, reflects inflammatory necrosis of liver cells, which is reflected in liver function tests as elevated transaminases or elevated jaundice indicators. Thus, major triple positive represents the immune status of the body after hepatitis B virus infection, while hepatitis indicates inflammatory activity of liver cells. So a major triple-positive does not necessarily mean hepatitis. When the test is major triple-positive but the liver function is normal, the patient is a healthy carrier of hepatitis B, but when the liver function is not normal, the patient is hepatitis B. And in turn having hepatitis does not mean that it is necessarily due to major triple yang, it can be due to hepatitis A virus or other viral hepatitis, or it can be due to other factors such as alcohol or drugs.