Positive hepatic jugular venous reflux sign is mainly seen in stasis of the body circulation. When the patient’s liver is pressed in a semi-sitting position, there can be anger in the jugular vein, often with right heart failure. Most of the patients show significant improvement after aggressive correction of right heart insufficiency. Consider applying tab diuretics such as furosemide, torasemide, etc. Also, depending on the condition, digitalis medications are applied for management, such as digoxin, which can effectively increase the contractility of the heart. It is also necessary to combine with drugs that inhibit structural changes in the heart angiotensin-converting enzyme inhibitors, such as captopril; beta-blockers, such as metoprolol, etc.; aldosterone receptor antagonists, such as spironolactone, etc. Also pay attention to the control of underlying diseases, such as myocardial ischemia, diabetes, hypertension, hyperthyroidism, etc. If possible, heart transplantation can be considered.