Abstract: Viral hepatitis with high incidence， wide prevalence and slow and hidden onset recurs easily， heals procrastinately and even develops into cirrhosis of the liver and liver cancer， thus belonging to resistant disease. Although traditional Chinese and western medicine have made great progress in the treatment， it is difficult to obtain satisfactory clinical effects due to many problems existed. From the concept of traditional Chinese medicine itself， how to improve the effects of TCM on treating chronic viral hepatitis differentially should be the key issue. Six aspects of syndrome differentiation， namely damp-heat retention， vessel stasis due to long-term illness， hidden toxin accumulation， spleen deficiency caused by stagnation of liver qi， zang-organ diseases affecting fu-organ， lingering pathogen due to vital qi deficiency should be paid more attention to. Treatment strategies should stress four aspects， namely treatment according to syndrome differentiation， reinforcement of vital qi to inhibit pathogen toxin， differences aside on common ground and main points of formulates.