Outpatient clinic often come across two kinds of patients: one is nervous and anxious all day long since learning that he is a patient of hepatitis B, and has the consciousness of actively seeking medical treatment; the other doesn’t care about it, even if the transaminase is several hundred, because there is no symptom, and usually most of the time chronic hepatitis B patients are symptomless. These two kinds of people two attitudes are going to the extreme, I think the correct attitude should be: when it is time for treatment, serious treatment, before the time for treatment, serious review, once the time for treatment, good treatment. Which hepatitis B patients don’t need treatment for the time being: hepatitis B virus carriers (HBV-DNA positive, that is, the virus has replication, even the virus can be very high, but the liver function is normal for 3 times in 1 year) and hepatitis B surface antigen carriers (HBV-DNA negative, virus negative, the liver function is normal for 3 times in 1 year). Both of these patients do not need treatment for the time being. Why don’t they need treatment? Because in fact, most people, although they are hepatitis B virus carrier status, are the same as healthy people, until 70 or 80 years old are very good, and do not need treatment for the rest of their lives. Some people may say, “Well, I am very worried about this virus, and even though I am a carrier, I very much want to be treated, so what should I do? A part of the irregular hospital is to take advantage of this psychological patients, launched the kind of injection or a course of treatment can cure hepatitis B advertisements to deceive people. This kind of advertisement is a complete lie, there is no such good treatment for hepatitis B in the world. To put it another way, if there is such a simple method, regular hospitals will surely introduce it, so don’t be fooled. Doctors in regular hospitals usually choose patients with antiviral pointers (patients with elevated aminotransferases) because the key to hepatitis B treatment is antiviral, but these antiviral medications are not 100% effective, and can’t be cured by taking medication, so you may have spent a lot of money and energy without achieving the results you want, and hepatitis B carriers have normal aminotransferases with no indications for treatment. If you want to treat it, you can consider liver puncture biopsy if necessary (you can directly see whether there is inflammation in the liver, aminotransferases are not high, and patients with a high degree of inflammation also have therapeutic pointers to liver puncture), but liver puncture is a traumatizing test, with a certain degree of risk, and should be done only when necessary. There is also a part of the population that says it doesn’t need to be treated, so does that mean we can just leave it alone? No, because it may be temporarily normal, or abnormal in the future, and there is a time and a need for treatment. These patients need to pay attention to several aspects, first, life, 1, to completely stop drinking (alcohol is very harmful to the liver, especially with the presence of the virus), 2, is a light diet, 3, is to pay attention to rest, 4, is not to take medicines (many medicines can harm the liver, including Western medicine, Chinese medicine, herbal medicine, health products); second, to regular checkups, at least every six months to check liver function, HBV-DNA, AFP and Ultrasound, sometimes have to make adjustments according to each person’s situation, it is recommended to regular hospitals specializing in infectious diseases or hepatology (included in the Department of Infection) will know what items to check, non-specialized may not check the full or check too much unnecessary. Therefore, the problem of hepatitis B, we should strategically pay attention to it, not forgetting to review regularly, and when there is a time for treatment must be actively treated.