The invention discloses a method for detecting infection with schistosoma japonicum by using host exosomes. The nucleotide sequence of a serum exosome miR-223-3p is shown as SEQID NO:1, and the methodfor detecting infection with schistosoma japonicum is established according to a primer of which the nucleotide sequence is shown as SEQID NO:2. In accordance with the detection method of the schistosoma japonicum, the method is quick, acute, excellent and stable in detection. According to the method, the serum of patients is directly extracted, the wound parts of the patients can be alleviated,and the wound parts are small. A q-PCR detection method is used, so that the sensitivity is high, and the q-PCR detection method is high in sensitivity. An exosome extraction kit being mature exists,and besides, q-PCR detection is a common technique for laboratories, so that the method is simple relatively. Therefore, the method is worth of promotion, and has a good clinical application value.