Zhang Fan looked through the examination results. Although the examination results reported that she only had some biliary sludge, according to the patient's main complaint, she still had obvious discomfort.
Zhang Fan then asked the woman: "How old is the child? Do you eat regularly? Do you like greasy food?"
"The child is over four years old, and he usually eats on time. He can't eat greasy food at all, and he will feel nauseated when he eats it."
"Let's go to the treatment room for a physical examination." Zhang Fan said to the two of them after thinking for a moment.
"Hey~! Okay, thank you Zhang Yuan." The man's eyebrows were filled with joy, but the woman didn't react at all.
In Western medicine, the explanation and definition of the gallbladder is very simple: the gallbladder is a small central organ attached to the surface of the trunk. It can store and concentrate bile synthesized by the liver. The vagus nerve controls the contraction of the gallbladder, and the gallbladder mucosa has a special absorption function.
In layman's terms, it is a container that holds bile secreted by the liver.
Bile, a type of digestive juice. This thing is that after the red blood cells in the blood age and are eliminated, the hemoglobin in them is reused by the liver to synthesize bile.
Regardless of ideals or missions, people actually live just to eat.
The same goes for the human body. The three major energy sources of the human body are sugar, protein, and fat.
These substances not only provide the energy needed by the human body, but also bring raw materials for metabolism. With these substances, the body can work.
The human body does not remain unchanged, but is a special dynamic balance. The cells that make up the human body are also constantly growing, old, sick and dying.
These energy substances provide the energy and substances for the human body to continuously repair.
Energy is consumed to allow the absorbed substances to form new cells that can repair the human body, and fat among them is the least digestible.
It is wrong to be too old and have no teeth, and to be too young to have teeth and to eat some fat for easy digestion. Especially for children, one bite of fat will make them go without food for three days!
What does bile do? To put it simply, it is actually a medium. Because fat is insoluble in water, it cannot be fully contacted by digestive enzymes if it is not soluble in water.
Bile emulsifies fat molecules and makes them smaller, then increases the contact surface between digestive enzymes and fat molecules, and then the fat molecules are broken down. This is what it has been discovered to do so far.
In the intestine, fat is absorbed into the intestinal cells after being combined with bile, and then continues to be broken down in the cells and enters the blood. In this series of processes, energy is produced.
Fat is like a car. It is broken down into many parts in the intestinal cells, and then enters the blood and is transported to the liver.
These parts include the famous triglycerides, total phospholipids, and cholesterol.
After triglycerides are decomposed, they can produce a large amount of energy, which is also the main substance that fat provides energy.
But if this stuff cannot be consumed by the human body, it will be stored by the body's fat cells.
If there are too many stored, the fat cells will become fat, and the person will become obese. Obesity can actually be understood this way.
Triglycerides stored in fat cells can make fat cells fatter. When stored in liver cells, triglycerides can become fatty liver in large amounts.
Phospholipids have many uses, especially the brain, the headquarters of nerves, which has a lot of demand for phospholipids. If you remove some special neurons in the brain, the structure of the brain is actually similar to that of fat.
This is also the reason why eating brain flower can give you the aroma of fat meat.
Cholesterol is a strange thing. Except for the brain and red blood cells, the human body cannot produce it. Other organs can produce it to a certain extent.
The most common place is the liver, which is mainly used to synthesize some hormones. The more important hormones include some indescribable hormones grown in the adrenal glands, testicles, and ovaries.
In other words, only when you are full and well-fed will your body think about producing sex hormones. If you don't eat well or you are too thin, your body will not be able to think of doing anything else!
The ancients said that warm drinks make people think about sex, which is actually very reasonable.
But once cholesterol, phospholipids and triglycerides cannot be consumed by people, it will be harmful.
Zhang Fan took the couple to the orthopedic treatment room because there was a medical examination bed in this room.
Although this female teacher’s cholesterol and triglycerides are normal. However, according to her own complaint.
The feedback given to Zhang Fan was that this female teacher should be a fat person with excessive blood lipids.
But this female teacher is not fat, but rather malnourished. Zhang Fan had to come for a detailed physical examination.
"Do you need me to go out?" the female teacher's husband asked politely.
"No need." After Zhang Fan said this, he said to the female teacher: "Lie down on this bed and expose your abdomen."
"Okay!" The female teacher didn't hesitate and lay down directly on the bed, exposing her belly. He was so thin that his subcutaneous fat was almost negligible. He could count the ribs with the naked eye without touching them with his hands.
Zhang Fan turned on the faucet, washed his hands, put on the mask, and began to do a physical examination.
"Come on, curl your legs up a little. Okay, inhale and exhale slowly." Zhang Fan began to palpate the abdomen bit by bit starting from the lower abdomen, palpating the abdomen counterclockwise around the navel.
"Does it hurt?"
"It doesn't hurt!"
"Does it hurt?"
"It doesn't hurt."
There were no clinical signs at all, but she just wasn't feeling well.
"Get up!" Zhang Fan washed his hands after checking.
"How is Zhang Yuan? Is my wife okay?" The man was not nervous, but just looking forward to it. Since her wife gave birth to a child.
His temper exploded, and he would fall out at the slightest dissatisfaction. He was about to collapse.
Zhang Fan thought a little and organized his words. It would be very troublesome to treat him according to the ideas of Western medicine alone.
Chloasma on the face of female patients is related to ultraviolet rays, oral contraceptives, and pregnancy. If you want to treat it, you can use some depigmenting agents, such as hydroquinone and retinoic acid.
If bile sludge precipitates, the patient can be instructed to eat a light diet, and then take some liver-soothing and choleretic drugs.
As for irritability, if it cannot be adjusted on its own, benzodiazepines, also known as diazepam, may be prescribed. Treat it directly as a mental symptom.
This is how Western medicine diagnoses and treats diseases.
Because patients have no obvious symptoms, and many things have not been thoroughly studied and cannot be quantified. Therefore, if this disease is treated by a specialist Western medicine doctor, the effect will not be very good.
In Chinese medicine, the gallbladder governs decision-making, which means that the gallbladder plays a role in judging things and making decisions in mental consciousness and thinking activities.
The gallbladder master's decision plays an important role in preventing and eliminating the adverse effects of certain mental stimuli (such as panic, etc.), maintaining and regulating the normal operation of qi and blood, and ensuring the coordination of the relationship between the organs.
Generally speaking, people who are courageous and courageous in making decisions will have less impact on them from external mental stimulation and will recover faster;
People with weak courage and timidity are indecisive and undecided. When affected by negative mental stimulation, they are prone to develop timidity, fear, insomnia, dreaminess and other mental and emotional abnormalities.
The decision-making function of the gallbladder is closely related to the planning function of the liver. Planning is the process of thinking, planning, comparison and identification, analysis and reasoning;
Decision is the final choice among the multiple possibilities arising from the above thinking process. The liver and gallbladder have an internal and external relationship with each other. The liver is the officer of the general and the master of planning;
Courage is the official of uprightness and governs decision-making; decision-making comes from planning, and after planning, one must make a decision, so that the decision can be upright, impartial, and just right. Therefore, "Suwen·Linglan Secret Code" says: "The courageous person is the official of the Zhongzheng, and he is decisive."
This idea coincides with Western medicine’s idea that bile is involved in hormone reactions, but because it cannot be quantified, Western medicine currently has no good solution.
Zhang Fan doesn’t understand Chinese medicine. However, compared to ordinary specialist doctors, he has comprehensive knowledge.
After thinking for a while, he looked at the female teacher and asked, "Do you don't like to talk at home?"
"Well, I took math classes for several classes, and I had a lot to say at the end of the day, so when I got home, I didn't even want to open my mouth." The female teacher nodded.
His husband also nodded as if to confirm.
"Is it rare to have sex anymore? How many times a week?"
"How many times?" Before the female teacher spoke, her husband was shocked. Although the female teacher rolled his eyes, he still said it: "Once a month is not bad! She is impatient."
"I'm going to die!" The female teacher's voice immediately became louder.
"Do you sometimes have diarrhea and foul-smelling oily stools?" Zhang Fan asked quickly.
"Yes, yes, after she flushed the toilet, there were oily flowers floating in the toilet! And the smell..." The man was probably too excited, because all the symptoms Zhang Fan mentioned were consistent.
Seeing that his wife was about to go berserk, he didn't dare to say anything, but he still muttered silently.
Looking at the lips, it probably means something like a disease that cannot be cured and should not be cured.
"Haha!" Zhang Fan smiled helplessly. No wonder women explode easily because her husband talks too much.
After a series of examinations and medical history, the diagnosis was made clear: cholestasis. But it's not a simple case of cholecystosis.
"In this way, I will prescribe some medicine for you, and you can change your living habits and see if it has any effect." Zhang Fan said as he went to the orthopedic office to get a prescription.
"Urocholic acid, multivitamins, calcium, and retinoic acid cream." After finishing writing, Zhang Fan said to the woman: "Take a course of treatment and see."
Then he said to the man: "From now on, at home, you talk less and let your wife talk more, which is also called nagging. If you can do this, her disease will probably be cured!"
"Uh, nagging is also medicine?" The man was stunned.
"Yes, this is the most important dose of medicine." Women, no matter how powerful they are, because of estrogen and genes, nagging is a very good way to relieve stress on a daily basis.
There is a big difference between a woman who likes to nag and a woman who likes to take things to heart.
As for this female teacher, because of her career and because she had a very talkative husband at home, she became less and less talkative. Over time, the hormone secretion in her body became abnormal.
Then there are various discomforts. The medicine is only symptomatic. If you want to cure it, you still have to rely on her and her family to slowly adjust it.
If it can't be adjusted, when the quantitative change changes qualitatively, it's time to go under the knife. It's either a stone or an obstruction.
"Thank you, Doctor Zhang." The female teacher thought Zhang Fan was right. Zhang Fan smiled slightly at the couple.
He understood this man, the feeling of not having what he wanted was heart-wrenching and uncomfortable!
After the two left, Zhang Fan went directly to the operating room without returning to the office. There was a special operation today.
Yesterday, a patient came in with a ruptured Achilles tendon! I don’t know when it started, but tea suddenly became popular in corporate culture.
A wolf team or a united team should be like one person, with coordination and tacit understanding. Various theories prevail.
How to train? I don’t know whether it is scientific or not. Anyway, it is just to take a group of middle-aged men and women who stay in the office all year round into the wilderness, and then conduct so-called expansion training.
The development coaches in small cities are a bit unreliable, and the amount of training is a bit too much.
Then add in the inappropriate body mass index of these middle-aged men and women who have put on weight. Something happened while playing on a survival wall.
The strongest man in the company served as a ladder, and he asked his colleagues to sprint one by one and then use his hands to climb up the wooden wall that was as high as one person.
Everyone went up, except for the fat boss. Everyone was shouting and encouraging. But the fat boss was afraid that he would trample his employees, so he hesitated.
"Go for it! Go for it! You are a team, are you going to hold everyone back? Go for it!" The coach was also blushing and cheering.
"Come on, boss, everyone is waiting for you. I'll hold on, go on!" The man on the ladder was also shouting.
The men and women who had climbed up the human wall kept encouraging them. Adrenal glands surged, and the fat boss gritted his teeth and started running.
It’s no wonder that he was afraid of trampling on others. The running boss was like a rolling meat dumpling.
How fat are you? It can be said that when he is standing, his two feet are not together because his legs are too thick.
When he sat down, he couldn't see his belly button because the fat on his belly hung like a meat wheel on his waist.
I was running like a dumpling of meat, sweat was flying, and the road was shaking. The man under the wooden wall also used his hands with full strength.
When the fat boss rushed over and stepped on his hand, he pushed it up hard.
As a result, the fat boss yelled like he was killing a pig. Immediately afterwards, the huge body hit the man like a falling wall of flesh.
"Mom! Oh!" The fat man shouted sharply and high-pitched like a long tune. Snot, tears, and sweat came out.
Face to face, the fat boss had a ferocious face, with tears mixed with yellow pus and snot like a yellow-brown worm, twitching as the boss cried.
When it was about to drip into the man's mouth.
He was originally pressed under him and had his mouth open to breathe, but he covered his mouth in fear.
"Mom, I will never be a human wall again!" He would never forget how disgusting snot was in this life.
After everyone struggled to pull up the fat boss, the coach felt his heart skip a beat when he saw it. The ankle, which was already very thick, began to swell visibly to the naked eye.
"Send him to the hospital quickly!" The coach and company employees pushed the trolley and moved the boss to the car. He was so fat that four or five people couldn't even lift him.
