After hepatic encephalopathy is awake, it only means that the patient’s symptoms are improved. At this time, we also need to judge according to the laboratory tests to see whether the blood ammonia has dropped to normal or whether it has caused any neurological changes, such as whether the brain lesions on the head MRI have disappeared. Therefore, after a patient with hepatic encephalopathy is awake, it only means that the clinical symptoms are relieved, but it is still necessary to assess whether the patient’s condition is completely cured according to the patient’s original disease. If the primary disease is not eliminated, even if the hepatic encephalopathy patient is awake after treatment, it is possible that he may have the manifestation of hepatic encephalopathy again. Therefore, hepatic encephalopathy is not necessarily completely cured after sobering up, but can only be said to be an improvement of clinical symptoms.