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Many survivors lost their homes and livelihoods in the quake
Chinese rescue teams are struggling to reach survivors of a powerful 6.6-magnitude earthquake in remote hill villages in Sichuan province.
Emergency workers dressed in bright orange uniforms were making their way to remote areas on foot after roads were blocked by landslides.
Soldiers worked all night to search villages and treat the injured, while local people slept in shelters or cars.
The quake killed 203 and injured some 11,500, state media said.
Among the injured were 960 people who were seriously wounded.
Premier Li Keqiang is overseeing relief efforts, and told reporters the rescue was "our first duty".
Ya'an Number 2 Hospital was evacuated as soon as the earthquake struck. Doctors on duty, with memories of the 2008 quake, knew all too well what the powerful jolting and shaking might mean. And now under red and blue canopies to keep off the sun, with the beds wheeled on to the concourse outside, the existing patients have been joined by dozens more.
There are two operating theatres, inside two black canvas tents, and there are old people, children, mothers and fathers; a snapshot of everyday family life at home, indoors, on a Saturday morning at 08:02, the time the quake struck. They are battered, bruised and distressed.
The toll is high, but not as a bad as 2008, when an earthquake, around 50 times as powerful, killed almost 70,000 people. Doctors do expect further spikes in casualties from the harder to reach villages once roads are reopened, but the death toll is not expected to rise significantly.
Mr Li, who arrived on Saturday afternoon by helicopter, has visited hospitals and tents, and climbed on a pile of rubble to view the devastation.
The BBC's John Sudworth in Ya'an, the closest city to the epicentre, says dozens of injured people are still being treated in a triage centre outside the city's hospital.
Some villages close to the epicentre in Lushan county were left in ruins.
A number of aftershocks followed the quake, which struck at 08:02 local time (00:02 GMT) on Saturday.
"It was as if the mountain was alive," a 68-year-old woman with a broken arm, who had lost her home, told AFP news agency.
China has received offers of help from countries including Japan, which is currently embroiled in a territorial dispute with Beijing over an island grouping in the East China Sea.
Beijing said overseas help was not needed at the moment, but added that it would contact Tokyo if that changed.
Chen Yong, the vice-director of the Ya'an city government earthquake response office, said the death toll may not rise much more.
"We understand the situation in most areas. Most of the casualties have been reported," he said.
"In some remote mountain areas, it is possible that we don't fully understand the situation."
Boulders dynamitedAmbulances, fire engines and military lorries piled high with supplies were waiting in long lines along blocked roads in the province on Sunday.
Correspondents say the hill villages, where farmers grow rice, vegetables and corn on terraced plots, were hit the hardest.
Kevin Xia of the Red Cross said: "Supplies have had difficulty getting into the region because of the traffic jams. Most of our supplies are still on the way."
In Longmen village in Baoxing county nearly all the buildings were destroyed, officials said.
Rescuers were forced to dynamite boulders that had fallen across some roads, while overnight rain slowed rescue work.
A military vehicle carrying 17 soldiers came off the road, killing one soldier and injuring others.
Tens of thousands of people spent the night in tents or cars, unable to return home or too afraid to go back because of the aftershocks.
Sichuan province was devastated by a massive quake five years ago. Tens of thousands of people were killed and five million lost their homes.
Many of the collapsed buildings were schools and nurseries, leading to widespread criticism of local government's planning policies.
But Mr Chen said that this had not happened this time.
"The Chinese government has put a lot of money into building schools and hospitals. I can guarantee that no schools collapsed," he said.
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