Some carriers (i.e. “big three” and “small three” with normal liver function) call themselves “hepatitis B patients”. According to the diagnostic criteria for hepatitis, the serum transaminases should be elevated to 2.5 times the normal level or 1.5 times the normal level and last for 2 weeks. The carrier’s liver function is normal, and the body’s functional state is the same as that of a healthy person, so there is no need for treatment and the person can study, work and live normally. Many carriers complain that they have not been cured based on the fact that they have not been cured. They believe that as long as the HBeAg and HBsAg positivity is not eliminated, they cannot get rid of the “hepatitis B They believe that as long as HBeAg and HBsAg positivity is not eliminated, they cannot get rid of the “hepatitis B” disease. In fact, HBeAg and HBsAg are only components of HBV particles, and a positive hepatitis B marker (i.e., “two-and-a-half”) only indicates infection with the hepatitis B virus (HBV) and, to some extent, the level of viral replication in the body. For carriers, HBeAg and HBsAg are not pathogenic and do not reflect the extent of liver disease. Most carriers, especially the major triplets, are in a state of immune tolerance where the body and the virus are compatible and coexist peacefully. In the case of “major triple-positive” carriers, although the virus level in the body is high, the pathological changes of hepatitis are very light; while in the case of active hepatitis, the body and the virus are no longer compatible, and the body destroys the liver cells while removing the virus, and at this time, although the disease is aggravated, the virus level is low. In addition, most of the “Little Three Yang” blood HBV-DNA detection by PCR method is negative, although HBsAg positive, but this is already the recovery period of virus carriage. Generally, it can be regarded as not infectious, and rarely the possibility of hepatitis recurrence. The actual fact is that you can find a lot of people who have been in the business for a long time, and they’ve been in the business for a long time. On the other hand, the “miraculous effect” of natural reversion is widely proclaimed, which makes many people fall for the deception. 83.1% of the people consulted complained of using a variety of Chinese medicines and prescriptions, 56.8% complained of using a variety of Chinese and Western medicines, and 19.5% complained that their families were destitute because of the treatment. Carriers are in an immune tolerance state, and all kinds of anti-viral treatment (or reversion treatment) are ineffective and redundant for them. This drug abuse not only causes unnecessary financial loss to the carrier, but more importantly, it causes psychosomatic damage to the carrier due to misinformation. According to medical psychology, the human body, under the effect of certain psychological factors, can lead to more persistent or serious deviations from the normal state, such as: inattention, memory impairment, emotional instability, sleep disorders, fatigue, anxiety, depression, dizziness, headache, anorexia, epigastric pain, dry mouth, vomiting, indigestion, back pain, panic, blood pressure fluctuations, etc. These reactions are called “psychosomatic disorders”. These reactions are called “psychosomatic disorders” or “psychophysiotropic syndrome”, and are common among those who consult under the shadow of “prolonged treatment”. Fourth, the occurrence of virus carriage and prevention of misconceptions Many carriers consult the transmission and prevention of hepatitis B, most of them are about marriage, fertility and other issues. Some of them are afraid to get married, some are afraid to get pregnant after years of marriage, some couples have a good relationship but live apart for a long time, some find out they are infected with HBV before they get married and fall into the “abyss” all of a sudden, and their letters are full of desperate cries for help. The occurrence of carriers depends mainly on the age of HBV infection, almost all of the adult HBV infection is acute hepatitis or acute subclinical infection, only 3% (patients with immunosuppression) become carriers. Although the incidence of carriers is high in children raised by female carriers who become infected, it can be better prevented by active and passive immunization. The protection rate of children born to carriers who start the hepatitis B immunization program within 24 hours (i.e., one hepatitis B vaccination within 24 hours, one month, two months and six months after birth) is 70%, and if hepatitis B immunoglobulin is also administered, the protection rate is 92% to 95% (5% to 8% due to intrauterine infection and ineffective vaccination). Survey data also show that breastfeeding by carrier mothers does not increase the rate of HBV infection. It can be seen: young male and female carriers of love, marriage should not be restricted, healthy people have a life in the carriers can also have, female carriers are able to have healthy children. V. Lack of health care awareness Carriers seldom pay attention to health care, but the search for a cure is 100%. The most important thing for carriers is the establishment of “health care awareness”. Liver biopsy results confirm that only a minority of carriers have normal liver tissue. Hepatitis occurs in 20% of carriers, and these inflammatory activities are often very mild, without obvious manifestations of liver disease, and are easily overlooked and not treated in a timely manner, and the long-term accumulation of lesions can progress to more serious chronic liver disease. Such inflammatory activity cannot be completely solved by screening or a few outpatient visits. Therefore, it is necessary to establish a health record and to monitor the liver activity dynamically over time. The main item to be monitored is the “liver function” test, and we generally ask carriers with positive HBV tests in their blood to have their “liver function” checked once every three months. If the liver function is normal, you can relax and live, work and study like a healthy person; if you find hepatitis activity, you should be treated promptly. We call these practices “carrier management”.