Hepatitis B triple yang patients with elevated alanine aminotransferase usually need liver-protecting and antiviral medications. Hepatitis B triple yang belongs to a type of viral hepatitis, if there is an elevation of alanine aminotransferase, indicating abnormal liver function, more than twice the recommended choice of antiviral as well as liver-protecting drugs under the guidance of the doctor, such as nucleoside analogs or interferon, dicyclomine, silymarin and so on. Normally, you need to pay attention to regular examination of liver function, hepatitis B two-to-half, alpha-fetoprotein, liver ultrasound, hepatitis B virus quantification, etc. If the viral load is very high, and there is an abnormal liver function, you need to be actively treated. Usually pay attention to more rest, do not drink alcohol, regular antiviral treatment, can effectively control the replication of hepatitis B virus, regular follow-up to the Department of Hepatology. Specific medication needs to be under the guidance of a doctor.