Occult pain in the liver area refers to the pain in the right quarter rib area, the cause of pain is firstly considered to be caused by hepatitis, but other diseases of the hepatobiliary system and lesions of the neighboring tissues and organs may also cause occult pain in the liver area. The causes of vague pain in the liver area are mainly in the following aspects. First, the pain is related to the different individual sensitivity of each hepatitis patient. Find the cause of hepatitis, such as viral, alcoholic, schistosomal liver disease, immune hepatitis, etc., according to the cause of the disease and then make the appropriate treatment adjustment. Gallbladder diseases such as gallbladder stones, gallbladder polyps, cholecystitis, etc. Surgery is needed when necessary. Liver cancer. Primary liver cancer is mostly found in middle-aged people, with the peak incidence between 40-50 years old, and there are more men than women. The cause and mechanism of the disease are not yet clear, but it is thought to be related to cirrhosis, viral hepatitis, aflatoxin and other certain chemical carcinogens to a certain extent. Fourth, the recovery period of liver disease, although the liver function has recovered and improved or basically normal, patients with liver disease will still feel vague pain and discomfort in the liver area, if frequent pain in the liver area, it is recommended to go to the hospital for a thorough examination to see if it is a recurrence of liver disease. Fifth, liver inflammation. Once inflammation occurs in the liver, or when it is stimulated by pressure, etc., pain, pinprick-like, obstructed-like sensation will occur. Hepatitis patients due to liver congestion, swelling, oozing, increased tension of the hepatic peritoneum, easy to appear distension, tonic pain, heavy pressure sensation, pinprick-like pain. During physical examination, patients often complain of tenderness and percussion pain. Sixth, during the recovery period of hepatitis, liver function has basically improved or normalized, and the tension of hepatic peritoneum has been relieved, but patients still feel vague pain, pinprick pain, burning sensation in the liver area. This situation is difficult to relieve for a while, after distraction can be reduced, hepatitis patients do not worry about this. But frequent pain must need to ask the doctor to do further diagnosis and treatment, in order to exclude perihepatic periinflammation, gallbladder and biliary tract infections, lung and pleural diseases. Seventh, biliary tract diseases, tuberculosis or non-tuberculosis inflammation, costochondritis, cirrhosis, etc. can also cause pain in the liver area. VIII.Other causes. As there are more adjacent tissues and organs around the liver, so pain in the liver area is not necessarily hepatitis, and the cause should be sought from several aspects. Chest wall lesions such as localized muscle injury in the right quarter rib area, rib fractures, chest wall contusions, osteomyelitis, herpes zoster, intercostal neuritis, epidemic chest pain, chest wall tuberculosis. Pleural or lung tissue lesions such as right-sided tuberculous pleurisy, pneumothorax, pyothorax, hemothorax, pneumonia, bronchopneumonia, pulmonary embolism. Others such as subdiaphragmatic abscesses. The cause of pain in the hepatic region should be clarified on the basis of the patient’s age, symptoms, past history, epidemiologic history, physical signs, and necessary ancillary tests.