Medical road

Zhang Fan glanced through the examination results. Although the examination results reported that she was only a little cholestasis, according to the main complaint of the patient, there was obvious discomfort.

Zhang Fan then asked the woman: "How old is the child? Do you eat regularly. Do you like to eat greasy food?"

"The child is more than four years old, and he usually eats on time. Greasy foods can't be eaten at all, and they become nauseous when they eat."

"Go, let's go to the disposal room for a physical examination." Zhang Fan said to the two after a little thought.

"Hey~! Okay, Zhang Yuan, thank you." The man's eyebrows were full of joy, but the woman didn't respond.

Western doctors have a simple interpretation of the definition of the gallbladder: the gallbladder is a centrally controlled organ attached to the dry surface, which 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 effect.

In layman's terms, it is a container for bile secreted by the liver.

Bile, a kind of digestive juice.This thing is that after the red blood cells in the blood are eliminated by aging, the hemoglobin in the blood is reused by the liver to synthesize bile.

Regardless of ideals or missions, people live for food.

The human body is the same, the body's three major energy sources, sugar, protein, and fat.

These substances not only provide the energy needed by the human body, but also bring the raw materials for metabolism. With these substances, the body can work.

The human body does not remain unchanged, but a special dynamic balance.The cells that make up the human body are constantly growing, aging, sick and dying.

These energy substances provide energy and substances for the human body to continuously repair.

Consuming energy allows the absorbed substances to form new ones that can repair the various cells of the human body, and the fat among them is the least digestible.

It’s all wrong to be too old to have teeth, too young to have teeth, and to eat some fat for digestion.Especially the child, a bite of fat, no food for three days!

What exactly does bile do? To put it in a simpler way, it is actually a medium.Because fat is insoluble in water, it cannot be fully contacted by digestive enzymes if it is insoluble in water.

And bile is to emulsify fat molecules into smaller ones, then increase the contact surface between digestive enzymes and fat molecules, and then the fat molecules are broken down.This is the function it is currently discovered.

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. This series of processes produces energy.

Fat is like a car. It is broken down into many kinds of 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 the triglyceride is decomposed, it can produce a lot of energy, which is also the main substance that fat provides energy.

But if this thing is not consumed by the body, it will be stored by the body's fat cells.

If you store too much, fat cells will become fat, and people will also get fat. Obesity can be understood in this way.

The storage of triglycerides in fat cells can make fat cells fat. When stored in liver cells, a large amount of triglycerides will become fatty liver.

Phospholipids have many uses, especially the headquarters of nerves, the brain, which has a lot of demand for phospholipids.If some special neurons in the brain are removed, the structure of the brain is actually similar to the structure of fat.

This is also the reason why eating brain flowers can taste fat flavor.

Cholesterol is a peculiar thing. Except for the brain and red blood cells, the human body cannot produce it. Other organs can produce it more or less.

The most common place is the liver, which is mainly used to synthesize some hormones. The more important hormones are the adrenal glands, testicular (a) pill, and some unspeakable hormones in the ovaries.

In other words, only when you are full and eat well, the human body will think about making sex hormones. If you don't eat well or the person is too thin, then the human body can't remember to do other things!

The ancients said that warm drinking thoughts are actually very reasonable.

However, once cholesterol, phospholipids and triglycerides cannot be consumed by humans, it will be harmful.

Zhang Fan took the couple to the orthopedics treatment room because there was a physical examination bed in this room.

Although the female teacher's cholesterol and triglycerides are normal.However, according to her own main complaint.

The feedback given to Zhang Fan is that this female teacher should be a fat man with excessive blood lipids.

But this female teacher is not fat, but a little malnourished.Zhang Fan had to come for a detailed physical examination.

"Do I need to go out?" the female teacher's husband asked politely.

"No." Zhang Fan said to the female teacher after saying: "You lie down on this bed and then expose your abdomen."

"Okay!" The female teacher did not hesitate and lay down on the bed, revealing her belly.Too thin, the subcutaneous fat is almost negligible, and the ribs and forks are not touched by hand, and the number can be counted clearly by the naked eye.

Zhang Fan turned on the faucet, washed his hands, put on a mask and started to do a physical examination.

"Come on, curl your legs up a bit. Okay, inhale and exhale gently." Zhang Fan started palpating from the lower abdomen little by little, and palpated the abdomen counterclockwise around the belly button.

"Does it hurt?"

"It doesn't hurt!"

"Does it hurt?"

"It doesn't hurt."

There are no clinical pathological signs, but she just feels uncomfortable.

"Get up!" Zhang Fan washed his hands after checking.

"How about Zhang Yuan, my wife is okay." The man wasn't nervous, he just looked forward to it.Since her wife gave birth to a child.

His temper exploded directly, and he turned his face when he felt unsatisfactory, and he was about to collapse.

Zhang Fan thought and organized his language a little bit. It would be very troublesome to treat according to the thinking of single-disciplinary Western medicine.

The chloasma on the female face of the patient is related to ultraviolet rays, oral contraceptives, and pregnancy. If you want to treat it, you can use some decolorizing agents, such as hydroquinone and tretinoin.

If the biliary sludge deposits, the patient can be instructed to have a light diet, and then take some drugs that soothe the liver and promote bile.

As for irritability, if you can't adjust yourself, you have to prescribe benzodiazepines, which is the so-called stability.Treated directly as mental symptoms.

This is the diagnosis and treatment method of western medicine.

Because the patient has 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 doctor, the effect is really not good.

In Chinese medicine, courage is the master of decision, which means that courage has the function of judging things and making decisions in the activities of spiritual consciousness.

Bold decision-making plays an important role in defending and eliminating the adverse effects of certain mental stimuli (such as panic attacks, etc.), maintaining and regulating the normal operation of qi and blood, and ensuring the coordination of the relationship between the internal organs.

Generally speaking, people who are brave and brave have the courage to make decisions, and external mental stimulation will have less impact on them and recover faster;

People who are weak and timid are indecisive and undecided. When they are affected by bad mental stimulation, they are prone to abnormal mental and emotional diseases such as timidity, panic, insomnia, and dreaminess.

The function of the guts to decide is closely related to the function of the liver to decide.Thinking is the process of thinking planning, comparison and identification, analysis and reasoning;

Decision is to make a final decision on the multiple possibilities that appear in the above thought process.Liver and gallbladder are the relationship between the outside and the inside, and the liver is the officer of the general and the mastermind

Courage is the official of the righteousness, the master of decision; the decision comes from deliberations, and after deliberations, the decision must be made, so that the righteousness of the decision is just right.Therefore, "Suwen·Linglan Secret Code Theory" says: "The brave person, the official of the Zhongzheng, decides to come out."

This kind of thinking coincides with Western medicine's hormonal thinking that bile participates in the reaction, but because it cannot be quantified, Western medicine currently has no good way.

Zhang Fan does not understand Chinese medicine.However, compared to general specialists, he has comprehensive knowledge.

After thinking for a while, he looked at the female teacher and asked, "Are you not talking at home?"

"Well, I took several classes of mathematics. At the end of the day, I had to talk a lot, so I didn't want to open my mouth when I got home." The female teacher nodded and said.

His husband also nodded, as if to reconfirm.

"Intercourse, aren't there anymore? How many times a week?"

"How many times?" Before the female teacher spoke, his husband was shocked. Although the female teacher rolled his eyes, he still said: "It's good once a month! She is still impatient."

"Dying!" The female teacher's voice immediately rose a lot.

"Is there sometimes diarrhea and foul-smelling oily stool?" Zhang Fan asked quickly.

"Yes, 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 Zhang Fan's symptoms were consistent.

Seeing her wife's posture about to run wild, he didn't dare to say anything, but he still muttered silently.

Look at the lips, it's probably something that can't help but avoid doctors.

"Haha!" Zhang Fan smiled helplessly, no wonder women tend to explode because her husband talks too much.

After a series of examinations and medical history, the diagnosis was also clear, cholestasis.But it is not a simple cholecysticosis.

"In this way, I will prescribe some medicine for you, and then you will change your life habits and see if it works." Zhang Fan said as he went to the orthopedics office to get a prescription.

"Bear decholic acid, multivitamins, calcium, tretinoin cream." After writing, Zhang Fan said to the woman: "Take a course of treatment and take a look."

Then he said to the man: "In the future, at home, you will talk less and let your wife talk more, which is the so-called nagging. If you can do this, it is estimated that her illness will be cured!"

"Uh, nagging is also medicine?" The man was dumbfounded.

"Yes, this is the most important medicine." Women, no matter how strong, are women, because of estrogen and genes, nagging is a very good way to relieve stress daily.

There is a big difference between a nagging woman and a woman who likes to take things to heart.

And this female teacher, because of her career, and because she has a husband who can talk too much, then she becomes less and less talkative. Over time, the hormone secretion in the body is abnormal.

Then there are all kinds of discomforts. The drugs are only symptomatic. If you want a radical cure, she and her family have to make adjustments slowly.

If you can't adjust it, wait until the quantitative change and qualitative change, it is time to move the knife, 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 wanting to be uncomfortable is very uncomfortable!

After the two left, Zhang Fan didn't return to the office, but went directly to the operating room. There was a special operation today.

A patient with a ruptured Achilles tendon came yesterday!I don't know when it started, but the tea plant suddenly became popular in corporate culture.

What kind of wolf team, what kind of unity team should be like a person, there must be coordination, there must be tacit understanding.Various sayings prevail.

How to train? I don’t know that science is unscientific. Anyway, a group of middle-aged men and women who stay in the office all the year round are brought into the barren mountains and ridges, and then carry out so-called expansion training.

The expansion coaches in small cities are a bit unreliable, and the amount of training is a bit too large.

Then add these middle-aged men and women who have already been blessed, and inappropriate body mass index.An accident happened while playing a survival wall.

The strongest man in the company acts as a human ladder, letting colleagues sprint and sprint one by one and step on his hands to climb a wooden wall that is as high as one person.

Everyone went up, and only the fat boss was left, everyone shouted and encouraged.But the fat boss was afraid that he would trample on his employees and hesitated.

"Come on! Hurry up, you are a team, are you going to hold everyone back? Hurry up!" The coach also cheered on with a blush and a thick neck.

"Chong, boss, everyone is waiting for you, I insist on staying, rush!" The man who was a human ladder also shouted.

The men and women who had climbed up the wall kept encouraging.The adrenal glands soared, and the fat boss gritted his teeth and started running.

No wonder he was afraid of stepping on others, and the running boss was rolling like a dumpling.

How fat are you?It can be said that his feet do not come together when he is standing because his legs are too thick.

I couldn't see the belly button when I sat down, because the fat on his belly hung in his waist like a fleshy reel.

The running dumplings, sweat flying, the road is shaking.The man under the wooden wall used his hands fully.

When the fat boss sprinted over and stepped on his hand, he pushed up vigorously.

As a result, the fat boss shouted like a pig.Immediately afterwards, the huge body slammed on the man like a fallen flesh wall.

"Mom! Oh!" Like a long note, the fat man shouted sharply and loudly.Snot, tears and sweat came out.

Face to face, the fat boss's hideous face, tears mixed with yellow pus and snot, like a tawny worm, he smoked as the boss cried.

It was about to drip into this man's mouth.

He opened his mouth and panted under his body, and covered his mouth in horror.

"Mother, I won't be a human wall anymore!" He can't forget how disgusting his nose was in this life.

After everyone tried to pull up the fat boss, the coach felt a sigh in his heart. The already thick ankle began to swell up with naked eyes.

"Hurry up to the hospital!" The coach and company employees pushed the truck to transfer the boss to the car. They were so fat that four or five people couldn't lift him.