The situation of slow hepatitis B in China is serious, on the one hand, the population of slow hepatitis B is large and the treatment burden is heavy, on the other hand, more importantly, the misunderstanding and treatment is not standardized. Many patients cannot seek medical treatment in time because of the wrong understanding of slow hepatitis B, or they cannot adhere to the standard treatment, which leads to disease progression. It can be said that the cirrhosis and liver cancer of many patients are delayed out. Therefore, we must get out of the misunderstanding of the treatment of slow hepatitis B. Can liver protection and enzyme reduction cure slow hepatitis B? At present, many patients mainly take liver protection and enzyme-lowering drugs, believing that such drugs can quickly recede yellow and relieve inflammation. However, lowering transaminases is not the same as curing hepatitis, as the virus still lurks in the liver cells and may cause transaminases to rise again at any time, simply by treating with enzyme-lowering drugs. The hepatitis B virus causes immune clearance and liver damage, therefore, the key to the treatment of slow hepatitis B is to remove the virus, liver protection and enzyme-lowering drugs have no antiviral effect, only temporary relief of symptoms, only as an adjunct to the treatment of slow hepatitis B. Can Chinese medicine fight hepatitis B virus? Traditional Chinese medicine has been used for over 5,000 years in China. However, the treatment of diseases should not be held in abeyance, refusing to believe in medical treatment. Infectious diseases require anti-pathogen specific treatment. Traditional Chinese medicine is unique in lowering enzyme regulation for chronic hepatitis B and reducing ascites in compensated cirrhosis, but no herbal medicine has been found to be anti-hepatitis B virus. At present, the only anti-hepatitis B virus treatment is interferon and nucleoside analogues. Chinese herbal medicine can relieve the disease and is cheaper compared to antiviral drugs. In the past when there were no antihepatitis B virus drugs, Chinese herbal medicine used to play and will still play a considerable role in the future. However, long-term treatment with herbs may still potentially develop lesions even if normal liver function is maintained over time. In conclusion, the treatment of slow hepatitis B must focus on antiviral, using interferon or nucleoside analogues. Can antiviral drugs produce drug dependence? The so-called drug dependence refers to the fact that there are 2 types of anti-hepatitis B virus drugs currently available, one is represented by long-acting interferon, which is treated with a limited course of therapy, usually for 1 year. Patients who achieve good efficacy can achieve long-term remission of the disease after 1 year of interferon therapy and stop the drug safely without the so-called dependence. Another type of antiviral drug is the nucleoside class. These drugs need to be taken for a long time to maintain viral suppression, but this is not a case of the body becoming dependent on the drug, but is required for treatment, just as patients with high blood pressure need to take antihypertensive drugs for a long time. Is treatment unnecessary for chronic hepatitis B carriers? There are two common conditions for chronic hepatitis B carriers: HBsAg, HBeAg and HBV DNA positive in the immune tolerance period, with more than 1 year and more than 3 tests of ALT within the normal range, these patients are chronic HBV carriers; the other type of carriers are inactive HBsAg carriers, these patients are HBsAg positive, HBeAg negative, anti-HBeAb positive or negative, and HBV DNA is below the minimum detection limit, and ALT is within the normal range for more than 3 consecutive tests within 1 year. Chronic hepatitis B carriers are more stable, but even inactive HBsAg carriers have the potential for disease flare-ups. Liver inflammation in carriers is extremely mild and asymptomatic, but serious liver disease may occur after long-term accumulation. Therefore, once you are diagnosed with hepatitis B virus infection, you should establish good contact with your doctor and visit the hospital regularly to check liver function and virology and other indicators to detect changes in your condition as early as possible and provide timely treatment.