A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); asterixis; NYSTAGMUS; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes.

The recommended herbs are:

• Rhizoma Acori Tatarinowi,
• Radix Curcumae,
• Radix Polygalae,
• Styrax, 
• Moschus,
• Arisaema Cum Bile, etc.