(Disclaimer: This article is for scientific use only, and the relevant information in the following content has been processed to protect patient privacy) Abstract: This mentions a 50-year-old male patient, Uncle Li, who came to the clinic with fever and malaise for 6 days, yellow urine, loss of appetite, nausea and vomiting for 3 days, and was found to have significantly abnormal liver function and positive hepatitis A virus antibody. He was diagnosed with acute jaundiced hepatitis A. He was given symptomatic treatment such as liver protection, enzyme lowering, and elimination of yellowness, etc. At the beginning, jaundice still rose, and then the symptoms gradually improved, liver function improved, and he entered the recovery period, and was discharged from the hospital after consolidation treatment. [Basic information] Male, 50 years old [Disease type] Acute jaundice type A hepatitis [Attending hospital] Liaoning Provincial People’s Hospital [Attending time] July 2017 [Treatment plan] Medication (Silymarin capsule for liver protection + magnesium isoglycyrrhizate injection + adenosine ornithine for injection + adenosine methionine butadisulfate for injection + gardenia yellow granules + pantoprazole sodium for injection) [Treatment cycle] Hospitalization 28 days, followed by outpatient consultation after 2 weeks [Treatment effect] Liver function indexes returned to normal and he was discharged. The patient had fever with no obvious cause 6 days ago, temperature 38°C, took acetaminophen tablets orally 2 times, temperature dropped to normal, accompanied by malaise, obvious after activity, at first did not care. 3 days ago, malaise began to worsen, accompanied by yellow urine, urine color like bean oil, loss of appetite, nausea, vomiting 2 times, almost can not eat, yesterday in our hospital gastroenterology outpatient clinic, liver function tests: glutathione He came to our gastroenterology clinic yesterday and had liver function tests: glutamic aminotransferase >2588U/L and total bilirubin 215μmol/L. Today, he came to our clinic. Physical examination: severe yellowing of skin and sclera, positive percussion pain in the liver area. Initially, acute jaundice viral hepatitis was considered. Further improvement of serological hepatitis A antibody test and CT scan of the upper abdomen returned positive hepatitis A IgM antibody, and CT suggested: fatty liver and slightly thickened stomach wall. The diagnosis of acute jaundiced hepatitis A was clear. We explained to the patient and his family about his condition and the need for inpatient isolation treatment, so he was admitted to hospital for treatment. After the patient was admitted to hospital, he was isolated from the digestive tract, put on absolute bed rest, and fed a light diet with adequate vitamins and calories. The diagnosis of acute jaundice hepatitis A was clear because of the patient’s characteristics, acute onset, fever with gastrointestinal symptoms, heat withdrawal jaundice, positive IgM antibody to hepatitis A, no history of drug use and alcohol consumption, excluding drug-related hepatitis, alcoholic liver disease, autoimmune hepatitis and fatty liver disease. The diagnosis of acute jaundice type A hepatitis was clear. At present, he was still in the jaundice stage and the jaundice was heavy. After the combined treatment, the patient’s symptoms such as weakness, nausea and loss of appetite gradually improved, but the yellow urine was still aggravated, and the color of urine was like strong tea water, and the liver function was rechecked after 4 days, and the glutamate transaminase decreased to 1504U/L, and the total bilirubin increased to 326.5μmol/L. The patient was in the rising stage of jaundice, and the treatment of lowering enzyme and removing yellow was continued. After 2 weeks, the liver function glutamate transaminase further decreased, jaundice also decreased, the condition improved, and gradually entered the recovery period of hepatitis. 28 days after hospitalization, glutamate transaminase was normal, total bilirubin was 59.2μmol/L, magnesium isoglycyrrhizate injection was reduced, adenosylmethionine butadisulfate injection was discontinued, oral gardenia yellow granules were continued to remove yellow, silymarin capsules for liver protection, and after 4 days of consolidation treatment After 4 days of consolidation treatment, the patient was discharged from the hospital with stable condition, and the liver function was rechecked in 2 weeks after outpatient clinic. The patient recovered from the treatment, so we are sincerely happy for the patient. Since the patient is still in the recovery period, it usually takes 1-3 months to fully recover, so it is recommended that the patient should pay attention to bed rest after discharge, do not strain, maintain a happy mood, avoid anxiety, irritability, a good state of mind also plays a role in the recovery of the disease; diet should be light diet first, with high protein, high vitamin food, to ensure balanced nutrition, intake of sufficient vitamins, such as more meat, milk, eggs, fruits, soy products, Milk, eggs, fruits, soy products, etc. At the same time, you can increase the amount of water, drink more plain water, fruit juice, rice soup, etc., which can speed up blood circulation and promote the excretion of toxins, and avoid the intake of spicy and stimulating food during this period. Five, personal feelings Acute jaundiced hepatitis A is caused by the hepatitis A virus, acute viral hepatitis transmitted through the fecal-oral route, eating food containing hepatitis A virus or uncooked contaminated drinking water and food, or eating fecal watered vegetables, fruits and vegetables can be infected. The general symptoms of acute hepatitis A infection are fever, loss of appetite, diarrhea, abdominal discomfort, dark urine, and yellow skin staining. Once such symptoms are detected, it is recommended to go to the hospital as soon as possible for early detection, early diagnosis, and early treatment, which can control the spread of such diseases.