Generally speaking, not all of the big three yang need to be treated, big three yang virus carriers do not need special treatment, if there is damage to the liver function of the person, then need to be treated. Major triple positive refers to hepatitis B patients or hepatitis B virus carriers who are positive for hepatitis B surface antigen, hepatitis B e antigen and hepatitis B core antibody. Major triple positive indicates that the hepatitis B virus is replicating actively in the body, but whether treatment is needed depends on the extent of liver cell damage, as well as liver function tests and the patient’s symptoms. If there are no obvious signs and symptoms, liver function is found to be normal after examination, and there is no change or only mild change in the histology of the liver, the patient in this case belongs to hepatitis B virus carriers, and generally does not need treatment, and regular review is sufficient. If the liver function is abnormal, obvious signs and symptoms appear, and the liver has lesions, then treatment is needed. It is recommended to go to the hospital for examination and treatment plan by the doctor.