In traditional Chinese medicine, hepatocirrhosis is includ-ed in the categories of "gan yu ", " zheng ji ", "pi kuai", "gu zhang", etc.

1. Compensatory Phase: Clinical manifestations include fatigue, loss of appetite, nausea, abdominal fullness and other symptoms of digestive tract. Slight edema and bleeding ten-dency may be present due to reduced liver function. The find-ings of physical examination are mild hepatomegaly with slight hardness, splenomegal, spider nevi and liver palms.

2. Decompensatory Phase :

(1) Portal hypertension syndrome: Splenomegaly with hypersplenism, esophageal and gastric fundal venous varices which may result in hemorrhage of the upper digestive tract.

(2) Impaired liver function syndrome: Fatigue and symp-toms of the digestive tract are aggravated, low fever, jaun-dice, edema and ascites are often present. Patients may have eminent bleeding tendency, darkish complexion and endocrine disorder. In severe cases complications such as hemorrhage of the upper digestive tract and hepatic coma may take their place.

3. Laboratory Examination :

(1)Liver function test: It is found that icteric index has increased, A/G Ratio decreased or reversed, y-globulin in-creased. Flocculation-turbidity test presents a positive; SGPT, transpeptidase and MAO, too elevated. The prothrombin time is often elongated.

(2) Ultrasonography (A and B Mode), liver scan, CT scanning and liver puncture are helpful in confirming the diag-nosis and type of the disease. They are also valuable in differ-entiation from other liver disease such as hepatic carcinoma and liver abscess.

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