I am far from being an expert, but this is what I think is happening. I think that Hepatitis C as such does not exist. In the condition of nonb, the patient has damage to their liver in the form of a scarring or inflammation, which is localized to one or two areas in the liver, then slowly spreads whenever the liver is depleted or stressed. The condition is hot and dry, which slowly cooks the cells. Glutathione levels are probably down.
Toxic dampness can also be present.
The stressed cells in the damaged hardened area leak out pieces of human RNA, which is what the test picks up. The numbers on the HCV RNA PCR test show how much leaking there is going on. This RNA leaking is a symptom, not a cause. In this condition, the Yin depleted areas gradually get harder, and this hardness is what is called cirrhosis eventually. The areas that are not hardened function normally, dealing only with the inflammation, which they show on the liver enzyme numbers, which go up and down.