Four Hundred and Seventieth Four Bile and Crack

Zhang Fan looked through the examination results. Although the examination results reported that she only had a little cholestasis, according to the patient's chief complaint, she had obvious discomfort.

Zhang Fan then asked the woman, "How old is the child? Do you usually eat properly? Do you like greasy food?"

"The child is more than four years old, and usually eats on time. I can't eat greasy food at all, and I feel nauseous when I eat it."

"Come on, let's go to the treatment room for a physical examination." Zhang Fan said to the two after thinking for a while.

"Hey~! Alright, thank you Zhang Yuan." The man's eyes and eyebrows were filled with joy, but the woman didn't respond.

In western medicine, the definition of the gallbladder is very simple: the gallbladder is a small central control organ attached to the dry surface, which can store and concentrate the 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 for the bile secreted by the liver.

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

Don't talk about ideals, don't talk about missions, people live to eat.

The same is true 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 the raw materials for metabolism. With these substances, the body can work.

The human body does not remain static, but a special kind of dynamic balance. The cells that make up the human body are also constantly dying.

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

Consume energy to make the absorbed substances form new and repair various cells of the human body, and the fat in it is the most difficult to digest.

It is wrong to be too old and have no teeth, or too young to eat some fat for digestion. Especially for children, one mouthful of fat will not eat for three days!

What exactly does bile do? To put it more simply, 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 and make them smaller, and then increase the contact surface between digestive enzymes and fat molecules, and then the fat molecules are broken down. That's what it's been found to do so far.

Fat is absorbed into intestinal cells after being combined with bile in the intestine, and then continues to be decomposed in the cells and enters the blood. Energy is generated in this series of processes.

Fat is like a car, which is broken down into many parts in the intestinal cells, 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 for fat to provide energy.

But if this thing cannot be consumed by the human body, it will be stored by the fat cells of the human body.

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

The storage of triglycerides in fat cells can make fat cells fat, and the storage of triglycerides in liver cells can lead to fatty liver.

And phospholipids have many uses, especially the headquarters of the nerves, the brain, 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 that of fat.

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

Cholesterol, this thing is rather strange, the human body can not produce it except the brain and red blood cells, and other organs can produce it to a greater or lesser extent.

The most place is still the liver, which is mainly used to synthesize some hormones. The more important hormones include some indescribable hormones that grow in the adrenal glands, testicles, and ovaries.

That is to say, only when you are full and eat well, the human body will think about making sex hormones. If you don’t eat well or you are too thin, your body won’t be able to think about doing other things!

The ancients said that warming drinks and thinking about sex is actually very reasonable.

But once cholesterol, phospholipids and triglycerides cannot be consumed by humans,

That would be a disaster.

Zhang Fan brought his husband and wife to the orthopedic treatment room, because there is a physical examination bed in this room.

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

The feedback to Zhang Fan was 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 you need me to go out?" the female teacher's husband asked politely.

"No need." After Zhang Fan said something, he said to the female teacher, "Lie down on this bed and expose your belly."

"Okay!" The female teacher didn't hesitate, and lay down on the bed, showing her belly. Too thin, the subcutaneous fat is almost negligible, and the ribs and forks can be counted clearly with the naked eye without touching them.

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

"Come on, curl your legs up a little bit. Okay, inhale and exhale gently." Zhang Fan began to palpate the lower abdomen little by little, and palpated the abdomen counterclockwise around the navel.

"Does it hurt?"

"It doesn't hurt!"

"Does it hurt?"

"It doesn't hurt."

There were no clinicopathological signs at all, but she was just unwell.

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

"How is Zhang Yuan? Is my wife okay?" The man wasn't nervous, but was looking forward to it. Since her wife gave birth to a child.

His temper immediately exploded, and he turned his face at the slightest disappointment, and he almost collapsed.

Zhang Fan thought about it a little and organized his language. It would be very troublesome to treat it according to the thinking of single-subject western medicine.

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

For the accumulation of biliary sludge, the patient can be instructed to have a light diet, and then take some drugs that soothe the liver and promote gallbladder.

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

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 professional western medicine doctor, the effect is really not good.

In Chinese medicine, gallbladder governs decision-making, which means that gallbladder has the function of judging things and making decisions in spiritual consciousness and thinking activities.

Brain control plays an important role in defending 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 internal organs.

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

People with weak Qi are indecisive and indecisive, and when they are affected by bad mental stimulation, they are prone to abnormal mental and emotional disorders such as timidity, fearfulness, insomnia, and dreaminess.

The function of gallbladder governing decision-making is closely related to the function of liver governing deliberation. Deliberation is the process of thinking planning, comparison and identification, analysis and reasoning;

Decision-making is to make the final decision on the multiple possibilities arising from the above-mentioned thinking process. The liver and gallbladder are the external and internal relations, the liver is the general's officer, and the chief planner;

Bravery is the official of integrity, the master of decision-making; decision-making comes from deliberation, and after deliberation, it is inevitable to make a decision, so that the decision is just and unbiased, just right. Therefore, "Suwen Linglan Secret Code" said: "The courageous man is the official of Zhongzheng, and he can make a decision."

This kind of thinking coincides with the idea of ​​hormones in which bile participates in the reaction of Western medicine, but because it cannot be quantified, Western medicine currently has no way to do it.

Zhang Fan doesn't understand Chinese medicine. However, compared with general specialist doctors, he has comprehensive knowledge.

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

"Well, I have several math classes with me, and I have to talk a lot in a day, so when I get home, I don't even want to open my mouth." The female teacher nodded and said.

His husband also nodded, as if reconfirming.

"Sex, isn't it rare? How many times a week?"

"How many times?" Before the female teacher spoke, his husband was startled. Although the female teacher rolled her eyes, he still said it: "Once a month is not bad! She is impatient."

"Die!" The female teacher's voice immediately increased a lot.

"Does it sometimes cause diarrhea with foul-smelling oily stools?" Zhang Fan asked hastily.

"That's right, that's right, after she flushed the toilet, there were oily flowers floating in the toilet! And the smell..." The man was probably too excited, because the symptoms Zhang Fan said were all in line.

Seeing that her wife was about to go berserk, he didn't dare to say anything, but he still muttered silently.

Look at the lips, it is probably something that cannot be cured.

"Hehe!" Zhang Fan smiled helplessly, no wonder women are prone to explosions, because her husband talks too much.

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

"Well, I'll prescribe some medicine for you, and you can change your living habits to see if it works." Zhang Fan went to the orthopedic office to get a prescription while talking.

"Ursocholic acid, multivitamins, calcium supplements, vitamin A 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 should talk less and let your wife talk more, which is the so-called nagging. If you can do this, she will recover from her illness!"

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

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

There is a huge difference between a nagging woman and a woman who takes things to heart.

And this female teacher, because of her profession and because she has a husband who is too talkative at home, has caused her to become less and less talkative. Over time, the secretion of hormones in her body has become abnormal.

Then there were various discomforts, and the medicine was only symptomatic, and she and her family had to make adjustments slowly if she wanted a cure.

If it cannot be adjusted, it is time to move the knife when the quantitative change changes qualitatively. It is either a stone or an obstruction.

"Thank you, Doctor Zhang." The female teacher felt that what Zhang Fan said was right. Zhang Fan smiled slightly at the couple.

He understands this man, the feeling of not getting what he wants is very painful!

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

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

What kind of wolf team, what kind of united team should be like a person, there must be coordination and tacit understanding. All kinds of theories prevail.

How to train, I don't know if it is scientific or not, anyway, it is to bring a group of middle-aged men and women who stay in the office all the year round into the barren mountains and wild mountains, and then carry out the so-called outward bound training.

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

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

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

Everyone went up, except for the fat boss who hadn't. Everyone shouted and encouraged. But the fat boss was afraid that he would trample the employees, so he hesitated.

"Come on! Go on, you are a team, are you going to hold everyone back? Go on!" The coach also blushed and cheered.

"Come on, Boss, everyone is waiting for you, I will stick to it, go!" The man who was a human ladder also shouted.

The men and women who have climbed over the human wall also kept encouraging. The adrenal glands soared, and the fat boss gritted his teeth and started to run.

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

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

He couldn't see his belly button when he sat down, because the fat on his stomach hung in his waist like a meat wheel.

Running meat balls, sweat flying, the road is shaking. The man under the wooden wall also exerted all his strength with his hands.

When the fat boss rushed over and stepped on his hand, he pushed it up hard.

As a result, the fat boss yelled like killing a pig. Immediately afterwards, the huge body fell on the man like a wall of flesh falling down.

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

Face to face, the fat boss's ferocious face, tears mixed with yellow pus and snot like a yellow-brown bug, twitched as the boss cried.

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

Originally being pressed under him, he opened his mouth to pant, but covered his mouth in horror.

"Mother, I will never be a wall again!" In his life, he would never forget that his nose was so disgusting.

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 thick, began to swell visibly to the naked eye.

"Hurry up and send him to the hospital!" The coach and company employees pushed the shelf cart and transferred the boss to the car. He was so fat that four or five people couldn't lift him.

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