The syphilis test report card needs to look at whether the specific and non-specific antibodies are negative or positive, with different combinations representing different clinical significance. Syphilis test results include both specific and non-specific antibodies. Specific antibodies include TPHA and TPPA, while non-specific antibodies include RPR and TRUST. When reading the test report, non-specific antibodies are mainly for TRUST and specific antibodies are mainly for TPPA. If the specific antibodies and non-specific tests are negative, i.e., TRUST and TPPA are negative, it means that the patient has not been infected with syphilis and there is no need to worry. If the specific antibody TPPA is positive, but the non-specific antibody RPR is negative, it is possible that the patient has been infected with syphilis in the past, and has now been cured, so it is sufficient to review the test regularly. However, there is another possibility, the patient is infected with syphilis but in the very early stage, at this time the non-specific antibody TRUST and so on have not yet appeared; in this case, the patient needs to be re-checked for a period of time, and it is recommended to be re-checked before and after 3 months after high-risk sexual behavior. If the syphilis-specific antibody TPPA and non-specific antibody RPR are positive, it is considered that the possibility of syphilis infection is very high; and the higher the titer of non-specific antibody TRUST, the more active the virus is. It is recommended to interpret the syphilis test report under the guidance of a doctor, and once diagnosed with syphilis infection, actively carry out drug treatment to prevent the condition from worsening.