In December 2009, China announced the abolition of the “Hepatitis B five” test in the physical examination for school enrollment and employment, and explicitly prohibited the carrying of Hepatitis B virus (HBV) as a restriction for school enrollment and employment. This is undoubtedly good news for China’s 120 million hepatitis B virus carriers and patients, but the abolition of hepatitis B testing does not mean that you can not pay attention to hepatitis B, regular testing is essential. But how to avoid the transmission of hepatitis B, how to control their own condition, what tests and treatments to do, what to pay attention to in daily life, etc., many people are not clear. First of all, let’s understand how hepatitis B is transmitted. There are three main ways of transmission of hepatitis B virus, namely: 1, mother-to-child vertical transmission: China’s existing HBsAg-positive people about 120 million people, of which 85% through mother-to-child transmission. Vertical transmission is the main reason for the spread and high incidence of hepatitis B in China. Mother-to-child transmission is mainly through the birth canal infection or intrauterine infection. 2, blood or blood products transmission: HBV-contaminated blood products such as albumin, platelets or blood transfusion to the recipient, most of the post-transfusion hepatitis, in addition to hemodialysis, renal dialysis can be infected with HBV. HBV can be transmitted by HBV-contaminated medical devices (such as scalpels, dental drills, endoscopes, laparoscopes, etc.). 3, sexually transmitted: Sexual intercourse and close contact in daily life (e.g., with a toothbrush, towel, teacup and chopsticks). Sexual transmission: Sexual intercourse and close contact in daily life (such as using a toothbrush, towel, tea cup and chopsticks) may be infected by HBV, which can enter the body of the person who is in close contact with it through the broken mucous membrane. However, clinical observation found that one of the husband and wife for hepatitis B patients, their spouses suffer from hepatitis B less than 10%, the vast majority of hepatitis B infected person’s spouse not only does not suffer from hepatitis B, but also produce the corresponding antibody. This proves that as long as the immune function of the human body is normal, the hepatitis B virus will not have a foothold in the body. From this we can see that there is absolutely no need for us to have any fear of hepatitis B. As long as we take the hepatitis B vaccination as required and produce a sufficient amount of antibodies, we can prevent ourselves from being infected by the hepatitis B virus. Next, we will talk about how hepatitis B virus carriers and patients should pay attention to their own health conditions. Many people in the society think that the condition of “Major Triple Positive” is serious and “Minor Triple Positive” is less serious, in fact, this kind of understanding is wrong. The division of big and small triple positive is only based on whether the hepatitis B e antigen (HBeAg) is positive, “big triple positive” people HBeAg is positive, indicating that the body’s viral replication is more active, more infectious; “small triple positive” people HBeAg is negative, under normal circumstances, viral replication is at the same time, the virus is in the process of replication, the virus is not in the process of replication. Under normal circumstances, the virus replication is in a state of cessation or very little replication, virus negative, very small infectious, but if the virus is mutated in the body of the virus is positive, also has a certain degree of infectiousness. Visible, big and small triple positive is only a difference between hepatitis B contagious strength of a statement, does not mean that the severity of the disease. So, how to determine the severity of the disease? The transaminase level in liver function is the most important indicator to determine the condition of hepatitis B. Normal alanine aminotransferase level is the most important indicator. In normal people, both alanine aminotransferase (ALT) and alanine transaminase (AST) are <40 U/L, of which ALT is more specific than AST in reflecting liver damage. When ALT >40 U/L, liver function is abnormal and liver inflammation is present. Normal liver function is also an indicator to distinguish between hepatitis B virus carriers and hepatitis B patients. However, there are many factors affecting aminotransferases, such as overwork, strenuous exercise, cold, etc. To have a clear understanding of your condition, you need to review your liver function on a regular basis; if it is abnormal only occasionally, then you don’t need to worry about it; if it continues to be abnormal, then you need to be vigilant about the occurrence of chronic hepatitis. For hepatitis B virus carriers, the review time is generally better to be once every half a year, and at the same time check the ultrasound, alpha-fetoprotein (AFP) and other indicators, and once a year to check the quantitative HBV DNA; for the age of >40 years old, and at the same time have cirrhosis, liver cancer family history of hepatitis B carriers, it is necessary to regularly review the liver fibrosis scan (Fibroscan) or liver puncture and CT examination. Hepatitis B patients need to take medication and have regular checkups under the supervision of a doctor. Regular review is extremely important for the understanding of the condition and timely treatment, so as to facilitate timely detection of lesions, control the progress of the disease and prevent the occurrence of cirrhosis and liver cancer. In Chinese medicine, there is a saying that “a good doctor does not treat the disease that has already appeared but anticipates the disease before it occurs and prevents it from occurring through certain measures, that is, the reason of preventing the disease before it occurs. Only about one-fourth of hepatitis B carriers will develop hepatitis, and the other three-fourths of them will naturally turn negative after a number of years, saying goodbye to the virus. However, during these long years, if individuals do not pay attention to their health, it is very easy to cause the onset of the disease; also for patients, it will worsen the condition. So what should hepatitis B virus carriers and patients pay attention to in their daily lives? 1, to ensure sufficient sleep and rest. In the theory of Chinese medicine, “liver is the basis of the pole of no”, “no” through “fatigue”, is the meaning of fatigue, that is to say, people overwork first damage is the liver; ZiWuLiuJi pointed out that the liver in the ugly time is the order of the day, the same will aggravate the disease. In the Ziwu Liuzhi (子午流注), it is pointed out that the liver is in charge at the ugly hour, that is, between 1:00 a.m. and 3:00 a.m., which is the time when the liver must be allowed to rest, and if it does not go to sleep at this time, the liver will be depleted. Liver has the role of storing blood and venting qi, liver damage, its function will be affected, the whole body qi and blood operation obstacles, the body will be sick. Therefore, it is especially important for liver disease patients to get enough sleep and rest. I recently admitted a male patient in his fifties, who was hospitalized last year because of hepatitis B hepatitis, elevated aminotransferases, and after being discharged from the hospital, he used to play mahjong for hours, sometimes even until two or three o’clock in the morning. This time he came to the clinic, liver function was abnormal again, CT suggests early cirrhosis, splenomegaly, and accompanied by esophagus and gastric fundus mild varicose veins. In just one year’s time, hepatitis was transformed into cirrhosis, which shows how important sufficient rest is for the liver. 2.Keep a pleasant mood. Emotions have a certain relationship with the occurrence of diseases, and the cause of disease is one of the causes of disease in traditional Chinese medicine. Five organs correspond to five kinds of emotions, the liver corresponds to the “anger”, it can be seen that anger hurts the liver is not empty. Therefore, in daily life to maintain a good mood, calm state of mind is also very key to good health. 3. Eat a reasonable diet and avoid drinking alcohol. Due to the destruction of a large number of liver cells, the body needs sufficient nutrients for the synthesis of new liver cells, therefore, hepatitis B patients must consume a large number of vitamins, proteins and other nutrients to meet the body’s metabolic needs. However, for patients with severe hepatitis B, protein intake should be limited to prevent the occurrence of hepatic encephalopathy. Alcohol ingested by the human body, 90% to be metabolized in the liver, alcohol can make the normal enzyme system of the liver cells to be interfered with and destroyed, so it directly damages the liver cells and makes the liver cells necrotic. Patients suffering from acute or chronic active hepatitis, even if a small amount of alcohol, will make the condition repeated or change. It is also important to avoid spicy food, which tends to nourish dampness and heat, which is not conducive to the recovery of liver disease. Hepatitis B is not an incurable disease, as long as the regular review, consultation, take medication on time, combined with common sense of health, you can completely control the condition, and some can even be cured. We hope that the majority of hepatitis B virus carriers and hepatitis B patients pay more attention to their own health and condition, to stay away from or get rid of the disease, and we also hope that the society can pay more attention to the hepatitis B population, and really eliminate the discrimination against hepatitis B.