Western medicine treats chronic hepatitis B with nucleoside analogs and interferon antiviral therapy as the root of treatment. However, there are always problems of virus mutation and adverse reactions with western medicine antivirals. Chinese medicine has accumulated rich clinical experience in the treatment of chronic hepatitis B. In addition to its role in protecting the liver and lowering enzymes and reducing yellowing, its role in reversing early liver fibrosis is also recognized, improving symptoms and quality of life and prolonging survival is an obvious advantage. Of course, Chinese medicine also has its own shortcomings in the treatment of chronic hepatitis B. I. Improvement of clinical symptoms Chinese medicine can better improve the symptoms of fatigue, poor appetite, abdominal distension, vomiting, dysmenorrhea, and yellow urine in patients with slow hepatitis B by identifying and treating symptoms and using drugs. Although Western medicine anti-viral therapy also has liver protection and symptomatic treatment, Chinese medicine is more effective than Western medicine liver protection therapy in improving clinical symptoms. Second, lowering enzymes and reducing yellowing to protect the liver Chinese medicine to clear heat and detoxify the toxin, reduce dampness and reduce yellowing, dredge the liver and strengthen the spleen can play a role in lowering enzymes and reducing yellowing to protect the liver, restore the patient’s liver function faster and reduce inflammation of liver cells. Chinese medicine has obvious advantages in this regard. A large number of clinical observations and experimental studies have confirmed that herbal medicines such as princely ginseng, Radix et Rhizoma Ginseng, Astragali and Atractylodes have the ability to regulate the immunity of the body, such as enhancing cellular immunity, suppressing humoral immunity, removing immune complexes and reducing autoimmune reactions. The regulation of immunity is an important treatment for slow hepatitis B. Fourth, to prevent or delay liver fibrosis Western medicine is still lacking effective anti-fibrotic drugs. Blood-activating drugs (such as Salvia miltiorrhiza, Peach kernel, Angelica sinensis, Curcuma longa) can inhibit the proliferation of liver fibrotic tissue, reduce fibroblast activity, reduce portal vein pressure and improve intrahepatic microcirculation, thus causing the liver and spleen to retract, soften and prevent or delay liver fibrosis. If the disease is in the early stage of cirrhosis, some patients can also achieve the effect of reversing early cirrhosis. V. Inhibition or removal of virus The presence and replication of HBV is the root cause of chronicity, fibrosis and even the development of liver cancer in slow hepatitis B. Chinese herbs such as pearlwort, shandougen, guanzhong and thujian have the efficacy of inhibiting the replication of hepatitis B virus, and the antiviral effect of Chinese herbs is durable and non-resistant and not easy to rebound. Of course, compared with western medicine, the effect of Chinese medicine is relatively slow and the treatment time is longer. Chinese medicine and Western medicine belong to different medical systems, so it is beneficial for the prevention and treatment of chronic hepatitis B to take advantage of their respective characteristics and advantages to complement each other’s shortcomings.