Zhang Fan looked through the examination results, although the examination results reported that she was only a little cholestasy, but according to the patient's complaints, she had obvious discomfort.

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

"The child is more than four years old, and he usually eats on time. Greasy food, you can't eat it at all, and you will feel sick to your stomach when you eat it. ”

"Let's go, let's go to the disposal room for a physical examination. After thinking for a while, Zhang Fan said to the two.

"Hey~!Okay, thank you. The man's eyes were full of joy, but the woman didn't react.

In Western medicine, the definition of gallbladder is very simple: gallbladder is a small central control organ attached to the dry surface, which can store and concentrate bile synthesized by the liver, the vagus nerve controls gallbladder contraction, and the gallbladder mucosa has a special absorption effect.

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

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

Don't talk about ideals or missions, people actually live just to eat.

The human body is the same, the three major energies of the human body, sugar, protein, and fat.

These substances not only provide the energy that the body needs, but also bring the raw materials for metabolism, with which the body can work.

The human body does not remain the same, but is a special kind of dynamic equilibrium. The cells that make up the human body are also constantly birthing, aging, sickness and dying.

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

Consumes energy to make up new and repairs the body's cells, and fats are the least digestible.

What is too old to have no teeth, too young to have no teeth, and eating some fat meat to digest is wrong. Especially children, a bite of fat down, three days without eating!

What exactly is bile for, to put it in layman's terms, is actually a medium. Because fats are insoluble in water, they cannot be fully touched by digestive enzymes if they are insoluble in water.

Bile is to emulsify fat molecules into smaller sizes, 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 currently being discovered.

Fat is absorbed into the intestinal cells after binding to bile in the intestines, and then continues to be broken down in the cells and entered the bloodstream, and this series of processes produces energy.

Fat is like a car that is broken down into many parts in the cells of the intestine and then transported into the bloodstream and transported to the liver.

These parts include the famous triglycerides, total phospholipids, and cholesterol.

When triglycerides are broken down, they can produce a large amount of energy, which is also the main substance that fat provides energy.

But if this thing can't be consumed by the human body, it will be stored by the body's fat cells.

If you store more, the fat cells will become fat, and people will be fat, and obesity can actually be understood in this way.

Triglycerides stored in fat cells can make fat cells, stored in liver cells, and large amounts become fatty liver.

Phospholipids, on the other hand, have many uses, especially the headquarters of the nerves, the brain, and have a lot of needs for phospholipids. If you remove some of the special neurons in the brain, the structure of the brain is actually similar to the structure of fat.

This is also the reason why eating brain flowers can bring out the flavor of fatty meat.

Cholesterol, this thing is more peculiar, the human body can't produce it except for the brain and red blood cells, and other organs can produce it more or less.

The most important hormones are adrenal glands and testicles (A), and some unspeakable hormones in the ovaries are the adrenal glands and testicles (A), and the ovaries.

That is to say, only when you are full and eat well, the human body will want to get some popping hormones, if you don't eat well or the person is too thin, then the human body will not be able to think of doing something else!

The ancients said that warm drinks are actually very reasonable.

But once cholesterol, phospholipids and triglycerides can't be consumed, it's harmful.

Zhang Fan took the couple to the orthopedic treatment room, because there was an examination bed in this room.

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

The feeling fed back to Zhang Fan is that this female teacher should be a big fat man, a big 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?" asked the female teacher's husband politely.

"No, I don't. After Zhang Fan said a word, he said to the female teacher: "You lie down on this bed, and then expose your abdomen." ”

"Okay!" The female teacher did not hesitate, and lay down directly on the bed, exposing her belly. It is so thin that the subcutaneous fat is almost negligible, and the rib fork does not need to be touched by hand, and the number can be counted with the naked eye.

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

"Come, curl up your legs a little. Okay, inhale and exhale gently. Zhang Fan began to palpate the lower abdomen little by little, and did abdominal palpation 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 just wasn't feeling well.

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

"How is Zhang Yuan, my wife is fine. "The man is not nervous, but a little expectant. Ever since her wife gave birth.

His temper exploded directly, and he turned his face at the slightest disappointment, and he was about to collapse.

Zhang Fan thought about it a little and organized the language, if it was treated according to the idea of single Western medicine, it would be very troublesome.

The melasma on the face of the female patient is related to ultraviolet rays or oral contraceptives and pregnancy, and can be treated with some depigmenting agents, such as hydroquinone and tretinoin.

For biliary sludge precipitation, the patient can be instructed to eat lightly, and then take some drugs to soothe the liver and relieves gallbladder.

As for irritability, if you can't self-adjust, you have to prescribe benzodiazepines, which are called diazepams. Directly treated as a psychiatric symptom.

This is how Western medicine diagnoses and treats.

Because the patient has no obvious symptoms, and many things are not well studied and cannot be quantified. Therefore, if this disease is treated by a specialist Western medicine doctor, the effect is really not good.

In Chinese medicine, courage is the main decision, which means that gall has the role of judging things and making decisions in spiritual consciousness and thinking activities.

Courage decision plays an important role in defending against 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, people who are bold and decisive have less impact on them from mental stimulation from the outside world, and they recover faster;

People who are timid and timid, indecisive, and indecisive, and when they are affected by bad mental stimulation, they are prone to timidity, fear, insomnia, dreaminess and other mental and emotional disorders.

The function of the gallbladder master is closely related to the function of the liver's main decision. Deliberation is the process of thinking planning, comparing and identifying, and analyzing and reasoning;

Decision is the final choice of the many possibilities that arise from the above thought process. The liver and gallbladder are the relationship between the inside and the outside, and the liver is the general's officer, the mastermind;

Courage is the official of righteousness, the main decision; the decision comes from the consideration, and the decision must be made after the consideration, so that the decision is impartial and just right. Therefore, the "Su Wen Linglan Secret Classics" says: "The brave one, the righteous official, decides to go out." ”

This idea coincides with the hormonal idea of bile involvement in the response of Western medicine, but because it cannot be quantified, Western medicine currently has no good way.

Zhang Fan does not understand Chinese medicine. However, he is well-versed in knowledge compared to general specialists.

After thinking about it, he looked at the female teacher and asked, "Is it that you don't like to talk at home?"

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

His husband nodded his head as well, as if to confirm again.

"Isn't there very little intercourse? How many times a week?"

"How many times?" Before the female teacher could speak, her husband was directly shocked, although the female teacher rolled her eyes, but he still said: "Once a month is not bad! ”

"I'm going to die!" the female teacher's voice immediately raised a lot.

"Sometimes you don't have diarrhea and foul-smelling, oily stools. Zhang Fan hurriedly asked.

"Yes, yes, yes, after she flushed the toilet, there were oil splashes floating in the toilet! And the smell was ......" The man was probably too excited, because the symptoms Zhang Fan said were all consistent.

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, probably something that can't be avoided by the doctor.

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

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

"In this way, I will prescribe some medicine for you, and then you can change your lifestyle habits and see if there is any effect. Zhang Fan said as he went to the orthopedic office to get a prescription.

"Ursodecholic 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 talk less and let your wife talk more, which is the so-called nagging, if you can do this, it is estimated that she will be cured of this disease!"

"Uh, nagging is medicine, too?" the man was dumbfounded.

"Yes, that's 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 on a daily basis.

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 profession, and because she has a husband who is too talkative, which caused her to become less and less talkative, and over time, the hormone secretion in her body became abnormal.

Then there are all kinds of discomforts, the medicine is only symptomatic, and if you want to cure it, you have to rely on her and her family to slowly adjust.

If you can't adjust it, when the quantitative change changes and the qualitative change occurs, it is time to move the knife, either a stone or an obstruction.

"Thank you, Dr. Zhang. The female teacher thought that what Zhang Fan said was good. Zhang Fan smiled slightly at the two of them.

He understands this man, and the feeling of not being able to do it is very uncomfortable!

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

Yesterday a patient with a ruptured Achilles tendon came! I don't know when it started, and the corporate culture suddenly became popular.

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

How to train, I don't know whether science 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 mountains, and then carry out the so-called outward bound training.

The outward bound coach in a small city is a bit unreliable, and the amount of exercise trained is a bit too large.

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

One of the strongest men in the company served as a ladder, allowing his colleagues to sprint one by one and then step on his hands to climb the wooden wall more than one person high.

Everyone went up, but the fat boss was not on yet, and everyone shouted and encouraged. But the fat boss was afraid that he would trample on the employees, so he hesitated.

"Rush, rush, you are a team, do you want to hold everyone back? Hurry up!" The coach also blushed and cheered on his neck.

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

The men and women who have climbed the human wall also keep encouraging. The adrenal glands soared, and the fat boss gritted his teeth and ran.

It's no wonder that he's afraid of stepping on others, the running boss is rolling like a meat ball.

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

When he sat down, he couldn't see his navel, because the fat on his belly hung like a fleshy wheel from his waist.

The meat dumplings are running, sweat is flying, and the road surface is shaking. The man under the wooden wall also used his hands with full strength.

When the fat boss sprinted over and stepped on his hand, he jerked it up.

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

"Oh yes!" the fat man shouted sharply and loftly, as in a long tune. Snot, tears, and sweat poured out.

Face to face, the fat boss's hideous face, tears mixed with yellow pus, snot like a yellow-brown bug, with the boss's cry, and sobbing again and again.

When it was about to drip into this man's mouth.

He was originally pressed under him, panting with his mouth open, and covered his mouth in horror.

"Mother, I will never be a human wall again!"

After everyone struggled to pull up the fat boss, the coach looked at it, and his heart was also chuckled, and the already thick feet and necks began to swell visibly to the naked eye.

"Hurry up to the hospital!" The coach and the company employees pushed the rack car to transfer the boss to the car, and he was so fat that four or five people couldn't even lift him.