Patients with intrahepatic bile duct stones usually do not need to worry if they do not have any symptoms. When patients with intrahepatic bile duct stones develop symptoms such as obvious upper abdominal pain or obvious discomfort in the chest and back, they need to be actively examined and treated. Intrahepatic bile duct stones are usually asymptomatic in the early stages and may be detected during an ultrasound. Asymptomatic intrahepatic bile duct stones are usually not important and can be left untreated with regular follow-up and observation. When symptoms such as recurrent abdominal pain, high fever and chills occur, it is more critical and requires prompt treatment. It may cause local bile drainage obstruction or local inflammation, inducing acute cholangitis, biliary obstruction and other diseases. At this time, it may be the acute attack period, and it is necessary to promptly apply symptomatic drug treatment, such as cefoperazone, metronidazole and so on. When the symptoms are controlled, timely surgical treatment. Surgery is mainly choledochoscopic lithotripsy and stone removal, choledochotomy and lithotripsy, bile and intestinal anastomosis, etc. In severe cases, hepatic resection may be required. Asymptomatic intrahepatic bile duct stones usually do not matter, when symptoms occur, you need to consult a doctor in time, under the guidance of the doctor’s treatment, follow the doctor’s prescription medication.