Minor triple yang causes enlarged spleen, if it is acute hepatitis B with enlarged spleen, it is usually not serious and will get better subsequently, if chronic hepatitis B with enlarged spleen, it often indicates that cirrhosis has developed and is more serious. If the control of small triple yang is not good, it is easy to cause other complications, which will eventually injure the spleen and lead to spleen enlargement. This situation indicates that the condition is progressing gradually, but it does not indicate whether the condition is serious or not, because most patients may have enlarged spleen during the acute stage, but as the condition gradually improves, the symptoms of enlarged spleen will disappear and return to normal. If the condition of small triple yang is progressing gradually, after transforming into cirrhosis or other liver diseases, it will also cause splenomegaly when it affects liver function. This is a more serious condition and there is also a risk of cancer if it is not treated in time. In order to understand the severity of the condition, regular review should be conducted and the progress and changes in liver function should be understood. Once liver function is found to be impaired or cirrhosis is triggered, timely and targeted treatment is needed to avoid aggravation of the condition. Patients with splenomegaly are advised to consult a doctor in time to determine the severity of their condition based on medical history, physical examination and test results.