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Chapter 69 Hepatolenticular Degeneration

Please collect and recommend! This collection is too shabby. Handsome guys and beauties who read books, move your mouse and add "The Miracle Doctor" to your bookshelf! It only takes up a small space, and it will definitely get better and better as it gets written!

In addition, you are welcome to comment and make bricks! Of course, although I have a strong ability to withstand blows, I will be very happy if you say more good things, even if they are lies!

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Hepatolenticular degeneration (HLD), also known as Wilson's disease, was first reported and described by a person named Wilson. It is an autosomal recessive genetic disease, that is, cirrhosis of the liver caused by an inherited copper metabolism disorder.

and brain degeneration diseases mainly involving the basal ganglia.

Inherited copper metabolism disorders will cause large amounts of copper to deposit in various organs in the body, especially the brain's lentiform nucleus, liver, kidneys and cornea. Due to the different sequence and quantity of copper ion deposition in various organs, many clinical manifestations will occur.

A variety of manifestations, such as tremors, torsion spasms, mental disorders, hepatosplenomegaly, ascites, etc. In traditional Chinese medicine, they are classified into "tremor", "madness", "jaundice", "accumulation", "bulging", etc.

category.

"There's something wrong with your liver!" Ye Qing looked at Wang Liuyi and said suddenly.

"Pfft!" Li Xiaomiao had just taken a sip of Coca-Cola. When she heard Ye Qing's words, she almost spit it out and laughed, "Ye Qing, you are too stupid. How could you say that someone is sick when you meet her for the first time?"

Wang Liuyi also came back to his senses, forced out a few smiles, and said: "No way, someone as healthy and energetic as me can be sick?"

There was a hint of displeasure in the tone of this tall fashion model. In fact, everyone has a tendency to hide their illnesses and avoid medical treatment. This is also for Su Cong's sake. If it were another person, he would have fallen out with you a long time ago. If you don't believe me, go ahead.

Just find someone on the street and tell them he is sick. If they don't hit you, scold you, kick you or kick you, then that's good!

Su Cong shook Wang Liuyi's little hand and told her to calm down and not get too excited, and said to Ye Qing: "Liu Yi had a physical examination a while ago, and his liver function was very normal, and he usually looked normal.

He is no different from ordinary people, even slightly better, such as being tall and smart, haha."

Wang Liuyi immediately rolled his eyes at him and said shyly: "There are outsiders here, how can you be so boastful?"

"Haha!" Su Cong was immediately relieved and laughed.

Ma Xiaoling glanced at Ye Qing, feeling really unhappy in her heart. She pursed her lips and said to herself: "You don't need such a lame excuse to strike up a conversation with someone. I'm also a doctor. Although I don't know how to see, hear, and ask, I have been practicing medicine for many years.

You can still feel it even if you are not sick, this is a kind of professional sensitivity."

Obviously, no one believed him very much.

Ye Qing was not in a hurry, but said seriously: "Have you been feeling dizzy lately, not sleeping well, feeling flustered, easily tired, your body often feeling hot, having a bitter taste in the morning, bad breath, dry mouth, not wanting to drink, and irregular bowel movements?

Urine is yellow and red, menstruation is light and red in color?”

As soon as these words came out, before the real owner could say anything, Li Xiaomiao almost spit out the French fries he had just eaten, and cursed repeatedly: "You stinky Ye Qing, damn Ye Qing, how come you can say anything?

What to eat! It affects your appetite!"

A couple on the side may have heard it, and they immediately said "huh" a few times and moved to a seat farther away while holding the plate.

"How do you know?" Unexpectedly, Wang Liuyi was not unhappy at all this time. Instead, his expression changed drastically and he asked nervously.

Su Cong also said nervously: "Ye Qing, Liu Yi, will she be okay?" Wang Liuyi often complains of sleepiness and fatigue these days, and also suffers from panic and dizziness. He knows this, and thought it was caused by his excessive expedition, but

For a young man, six times a Friday was normal. He didn't take it too seriously. Instead, he was somewhat complacent about his bravery and endurance. Who would have expected that he was actually sick!

Ma Xiaoling stared at Ye Qing with blinking eyes, as if she was wondering what he was thinking.

"Here, let me take your pulse." Ye Qing stretched out his hand, and Wang Liuyi obediently placed his hand on the table.

Ye Qing checked his pulse for a while, then nodded and said: "Fortunately, it's just a preliminary attack now, very mild. This disease is one of the few that can be treated with drugs. It is one of the hereditary metabolic diseases. The treatment begins more slowly.

The sooner the better. You will go to the hospital soon for a ceruloplasmin and urine copper screening, and then I will help you prescribe a prescription. This kind of disease is better treated with traditional Chinese medicine. With Western medicine, currently only copper-removing agents can be used.

Copper depletion treatment is prone to drug resistance and has major adverse reactions."

Then Ye Qing told them about the mechanism of the disease. Both Chinese and Western medicine explained it clearly. He also cited many cases where treatment was not timely. For example, some people died of liver failure, some fell into a vegetative state, and others

Some people died from pneumonia and other complications.

Of course, Ye Qing did not exaggerate intentionally, he was just talking about the matter, but it frightened Su Cong and Wang Liuyi so much that they stopped eating and hurried back to the hospital for examination.

Li Xiaomiao said: "Ye Qing, you are really amazing. You can see the root cause of the disease at a glance, just like Bian Que looking at Duke Huan of Cai!"

Ma Xiaoling is also a doctor herself, and she is also the attending physician. At this time, she was quite shocked and asked Ye Qing: "Is your Chinese medicine really so good? You can tell at a glance?"

Ye Qing suddenly felt ashamed and thought to himself, how could I be that powerful? It was just with the help of foreign objects. Hehe, that liver tester is really good. But of course he couldn't tell his secret, so he just quibbled:

"It's not that exaggerated. I just made a guess at first, and then I checked my pulse to confirm it. The specific situation depends on their examination results. Maybe I have misdiagnosed?"

The two women looked at him with burning eyes, obviously not believing him!

Ma Xiaoling thought in her mind: "This guy is becoming more and more mysterious. Could it be that his medical skills are really so good?"

…………………………………………

After Ye Qing and the other three finished eating, they went back to work. Then Ye Qing and Ma Xiaoling went to visit the newborn mother and child for a while. Everything was normal, but the newborn was born prematurely due to a bump and had some congenital deficiencies, so he still needed to be in the hospital.

Rest for a period of time.

The child's father was also present. He was a simple migrant worker brother. He wanted to kneel down to Ye Qing and Ma Xiaoling on the spot, but the two persuaded them to stop him. After chatting with the family of three for a while, they were about to leave.

, Su Cong rushed over with Wang Liuyi, holding a report sheet in his hand.

Ye Qing took it and took a look, only to see three indicators above the normal range: serum ceruloplasmin (CP) <200mg/L, liver copper content >250ug/g (dry weight), and urinary copper excretion >100ug.

"How's it going, Ye Qing, is the situation serious and can it be cured? I didn't ask the doctor to prescribe medicine. I came to you directly after taking the report! You have to be more careful this time!" Su Cong said very worriedly.

Seeing his anxious look, Wang Liuyi felt sweet in her heart.

Ye Qing smiled slightly, picked up the pen and wrote a prescription with a "swish" stroke, handed it to Su Cong, and said: "Don't worry, it was discovered early, there is no problem at all! In terms of traditional Chinese medicine, the main pathogenesis of this disease is

It means that the innate endowment is insufficient, which leads to the deficiency of Yin and Essence in the kidneys, and all the syndromes arise from it. This recipe I have is called 'gandou decoction', one dose a day, a course of three to four weeks, and then go to the hospital for treatment.

Check. If all indicators are qualified, you don’t have to worry about recurrence in the future.”

Su Cong took the prescription and saw that it read: Rhubarb 6g, Alisma 15g, Turmeric 6g, Coptis 6g, Desmodium 15g, Panax notoginseng 1g.


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