For patients with chronic viral hepatitis B, the first symptom is not diarrhea. If patients with chronic viral hepatitis B have acute phase and viral replication, they will have obvious fatigue, and some of them will have nausea, vomiting, and some of the more serious patients will have yellow coloring of the skin and sclera. In this case, it is considered that the patient is due to viral replication, causing hepatocellular necrosis, and the patient’s hepatocellular jaundice and the corresponding clinical symptoms. In this case, the patient needs to have further blood tests for hepatitis B DNA, hepatitis B triple system and liver function to see if the virus has replicated. If the virus is replicating and there is liver function impairment, then antiviral treatment should be actively considered. At this time, we should actively consider antiviral treatment, and if necessary, we should give hepatoprotective drugs to protect the liver. In addition, patients should pay attention to rest, do not stay up late and do not exert themselves.