Hepatitis B major triple sun and minor triple sun severity needs to be analyzed in conjunction with liver function and other conditions, otherwise it is not good to clarify the severity. Hepatitis B triple positive refers to hepatitis B surface antigen, hepatitis B e antigen, hepatitis B core antibody positive, often suggesting viral replication, high infectiousness. Hepatitis B minor triple positive refers to hepatitis B surface antigen, hepatitis B e antibody, hepatitis B core antibody positive, often suggesting that the virus tends to be static, less infectious. Whether it is serious or not needs to be combined with liver function and HBV-DNA, not a single comparison. Hepatitis B triple positive patients with abnormal liver function, elevated aminotransferase and positive HBV-DNA, accompanied by acute hepatitis manifestations such as jaundice and fatigue, are more serious. Liver-protecting drugs and antiviral therapy, such as reduced glutathione, glucuronolactone, entecavir, etc., should be actively used. If there is no acute hepatitis manifestation and liver function is normal, then it is not serious, and follow-up can be done. Hepatitis B minor triple yang is also, although from the viral replication of hepatitis B e antibody appears to suggest that the virus tends to be quiescent, but if accompanied by jaundice, liver function abnormalities, transaminase elevation and other manifestations of acute hepatitis, it is also more serious, and needs to be actively used in the above drugs to protect the liver and antiviral therapy. Regardless of hepatitis B triple positive and triple positive, the evaluation of the condition should be combined with hepatitis B function and HBVDNA, so there is no saying which one is more serious, and it is recommended that the patient seek further medical treatment!