The invention belongs to the field of medical biotechnology and relates to the application of plasma metabolic markers in diagnosing or monitoring HBV. The object of the present invention is to provide the application of the metabolic marker in the blood in the preparation diagnosis or the reagent of monitoring hepatitis B virus, wherein, said marker is Creatinine, L-Proline, L-Arginine, PC (P-16: 0 / 20:4(8Z, 11Z, 14Z, 17Z)), PE(18:2(9Z, 12Z) / 18:1(9Z)), PC(o‑16:1(9Z) / 18:2( 9Z,12Z)), PC(P-16:0 / 18:1(11Z)), PE(18:2(9Z,12Z) / 18:0), PE(P-16:0 / 22:4( 7Z,10Z,13Z,16Z)), PE(P-16:0 / 22:4(7Z,10Z,13Z,16Z)), PE(P-18:0 / 18:2(9Z,12Z)), PE(18:0 / 18:1(11Z)), LysoPE(18:0 / 0:0), PE(16:0 / 18:1(11Z)), or PE(18:2(9Z, 12Z) / 16:0).