Liver fire belongs to the Chinese medicine syndrome, not the cause of transaminase elevation, transaminase elevation is mainly related to physiological factors and pathological factors. 1. Physiological factors: when there is a mild increase in aminotransferase, the first thing to consider is the possibility of physiological factors, such as alcohol consumption, overwork, medication and so on. 2. Pathological factors: Pathological factors that can cause transaminase elevation include drug hepatitis, alcoholic liver disease, viral hepatitis, autoimmune hepatitis, cirrhosis, liver cancer, myocardial infarction, cholangitis, acute jaundice hepatitis and so on. In summary, liver fire belongs to the name of the disease, not the name of the cause, and can not be listed as a common cause of elevated aminotransferases. When the phenomenon of elevated aminotransferases occurs, it is necessary to seek medical treatment in time.