The traditional Chinese medicine treatment of hepatitis B-related nephritis should adhere to the concept of "concurrent treatment of liver and kidneys," with "reinforcing kidneys and regulating the liver" as the main strategy and "detoxification and collateral dredging" as the auxiliary strategy. Clinicians must also pay much attention to and prevent the occurrence of "guan (urinary obstruction)" and "ge (vomiting)" in patients. Modern medical treatment should keep the hepatitis B virus under control to avoid further damage to the liver and kidneys. In addition, avoiding drugs and behaviors that may damage the liver and kidneys should not be neglected.