"You are no longer allowed to drink alcohol. No hard liquor, especially beer. If you are really greedy, drink a small glass of wine a day."
The fat man's blood pressure returned to normal, and after slowly waking up, he no longer dared to question Gretel's words. Gretel carried him and told him things to pay attention to one by one, and he kept nodding and bending down to listen, and there were piles of fat on his belly.
Pleated:
"Yes Yes Yes."
"Stop eating sea fish and shrimp. Eat less oysters, raw oysters, and all shells."
"What... we live by the sea, we don't eat sea fish and shrimps... OK, OK, yes, yes."
"Eat less beef and mutton."
"Then... Pastor, what can I eat?"
"You can eat chicken, duck, and pork. Foie gras is not allowed! Forget it, don't eat all animal offal!"
The fat man rubbed his belly sadly. Grete scared him with a stern face:
"Your disease is caused by food! Even if I give you a cure today to remove the disease, and if you continue to eat and drink a lot for a few days, the harmful things in the food will accumulate in your body, and you will still feel pain! I see the stone in your belly.
No? By then, your kidneys and bladder will be filled with stones, and going to the toilet will hurt like a knife!"
The muscles on the fat man's face trembled. It wasn't because of pain, it was because of the money:
So far today, although I have spent a lot of money, it is still bearable. One is to delay pain, level 2 magic, two magic detection, level 0 magic, a mage's hand, level 0 magic, and one to treat minor injuries.
Level 0 magic (photographed by Gretel to prevent urinary tract infection after stone removal) - the total amount is less than one thousand gold coins.
Removable disease is a level 3 magic, and it costs thousands of gold coins to start with! He transported a shipment of goods from the mainland to Nevis, and the weather was calm and calm, without any loss, and he only made a few thousand gold coins.
Looks like this! If this happens once, the trip will be in vain...
And it can’t be completely cured! If I take it for a few more days, it will still relapse!
"Then...how can we cure it completely?"
If he wanted two, three, even four! The fat man gritted his teeth and smashed four of them in one go to remove the disease and cure it, then he would pay for it! He couldn't eat this, and he couldn't eat that either.
Eating is simply not a human life!
Uh...Modern medicine can't completely cure this kind of thing. Gretel touched his chin. Before he traveled through time, the academic community was still not very clear about the cause and pathogenesis of gout. Is the treatment method advocating dietary restraint?
, reduce uric acid, reduce inflammation, relieve pain, and if necessary, surgically remove tophi——
As for a cure?
The Level 6 [Medical Technique] claims to be able to get rid of all diseases and injuries, but I don’t know if it is effective. If not, I’ll try something like the [Great Wish Technique]...
The other party was still staring at him eagerly. Gretel thought for a moment and started talking nonsense:
"You get this disease because there are too many harmful things in your blood. It should be possible to purify all the blood, filter out these things and then reinject it back into the body. But how to purify it and how to protect you after the blood is released?
I don’t know about his life..."
There is a saying, dialysis or something like that is indeed good for lowering uric acid. As for going too far, clinically it is usually not that serious. Well, anyway, his liver can’t produce dialysis equipment here, so he can just get high.
Grete shrugged. The fat man's fat face turned pale and blue, then blue and yellow, and cold sweat broke out. He bent over again and hurriedly wanted to say goodbye, but Grete stopped him:
"Why are you so anxious? I haven't finished speaking yet! - Remember to drink at least four glasses of water every day, exercise moderately, but don't be too tired; eat more fruits and vegetables; by the way, don't eat asparagus.
ah!"
"Then what else can I eat-"
The fat man wailed miserably. Gretel folded his arms and remained unmoved.
He has seen many people like this. Those who promised well in person, and indeed kept taboos for two days, could forget about them in a week at most. Then, it would take as little as a month, as long as half a year, and then they would crawl into the hospital and scream.
Doctors save lives.
Fortunately, gout is a disease that most emergency surgeries don’t need to worry about. In addition to having a headache when seeing high uric acid levels during surgery, I also heard colleagues in the next door department complain:
"That old patient is here again..."
After explaining the precautions, giving the medicine, and explaining how many times a day and how many pills to take at a time, Grete waved and let him go. The fat man cherished a small box of white pills, slightly bent at the waist, and hooked his neck, like holding a pearl.
Walking forward like that, when you reach the door, you suddenly turn back:
"Master Pastor, you are so awesome! You are right about everything! - I have several friends who are like me, and I asked them all to come to you!"
Gretel: "......???"
Is it all gout?
Don't, I don't know the magic of pain relief, I haven't mastered ultrasonic lithotripsy yet, the accuracy is very limited, even if I insert a urinary catheter, I can't find a suitable vine... I asked Brother Matthew for help later...
If you introduce me to a lot of gout patients, what I can do to help them is really limited!
Grete returned to his seat filled with anxiety. Pastor Matthew was standing beside his table. Grete didn't wait for him to speak, and rushed forward to grab him:
"What medicine did you give him?"
"Colchicum powder - add some starch, add honey, knead into a ball -"
"Powder? Just powder? How much powder is added to how much starch? Is it mixed evenly? How is it mixed in?"
"Shake and mix well..."
Grete stroked his forehead. Colchicum, brother, that thing is poisonous. Just shake it and mix it well. What if there is more and less here? This is not a pancake. If the salt is not sprinkled evenly, you can only eat a salty one.
This is going to kill people!
And, even if the colchicum powder is really mixed, will the colchicine content of colchicum powder from different plants and different parts be the same? It is impossible to imagine...
What if you are unlucky and happen to encounter a part with a high content, or the powder is not mixed evenly, and if you eat one pill, it will be ten or twenty times the average amount?
Don’t look at the beautiful paintings.
Gretel pursed his lips. It’s okay if he didn’t notice it before. If he noticed it, he would never ignore it. He raised his head and glanced at the top of the floor:
"Brother Matthew, is there colchicum powder in the alchemy room? Can I use it?"
"Yes! It's on the second floor. You can use it if you want!"
"okay!"
Grete ran up. He had searched in his memory before and actually found several papers on measuring the content of colchicine in medicinal materials. In short, based on the dry weight, the average content was about 0.30%.
That's easy, I'll do it myself!
Grete rolled up his sleeves and worked hard. Doing the same thing, setting up the balance, the test tube, the square beaker... One gram of colchicum powder contains 0.3 mg of colchicine. The usual dosage for adults is 0.5 to 1 mg every 1 to 2 hours.
No more than 6 mg per day. 6 divided by 0.3 equals 20, then... just dispense the medicine!
Weigh out 20 grams of colchicum powder, divide it into 5 equal portions, put it into an Erlenmeyer flask, and add 100 ml of alcohol to each portion. Fix it on the shaking stand and shake vigorously for 15 minutes - Grete shook the shaking stand so hard that his hand almost broke. It was very
I suspect that I haven’t reached the oscillation frequency yet. But, whatever, that’s it!
Filter, let it stand, and then add evaporated alcohol to get the crude extract of colchicine. Ignore any strange things in it. In short, add a little water to dissolve the crude extract, weigh 12 grams of starch, and mix it with water.
Dough. Knead and knead, knead into dough, roll into long strips, cut into 12 parts, perfect!
The content of each pill is 0.5 mg. This batch is the amount for one day. Maybe the content is not particularly uniform, but it is definitely much more uniform than the powder mixed directly into the pills. Next time if possible, remember to measure the content, um, UV spectrophotometry
How to figure out the plan...
Grete got rid of his long-term goal, put away the pills with satisfaction, and found a small bottle to put them in. He also wanted to find a rabbit or something to try, when he heard someone shouting from below:
"Master Priest, I have introduced a patient to you!"