Chapter 345: The Right Medicine



Dapang had brought classmates from the same dormitory back home before, so the Zhu family naturally knew Cha Jiuzhang.

They also had a good impression of this handsome boy.

Unexpectedly, he brought his newlywed wife here today.

The Zhu family was very enthusiastic.

After introducing each other, Jiang Tiantian presented the gifts prepared for the Zhu family.

The first time you visit someone, you definitely can’t come empty-handed, so you give the women skin care cream and a set of comfortable underwear.

What was given to the man was a box of ancient tree black tea produced in Chajia Village.

The packaging is very beautiful, and it is very face-saving to give as a gift.

The Zhu family took the gifts and saw that they were not cheap items. The skin cream was now sold out in Beijing.

Even though the price was not cheap at all, because of its miraculous effects, young girls, wives and nannies all over the capital were scrambling to make reservations.

Da Pang's mother and grandmother smiled happily, "Hey, Jiu Zhang's wife, Jiu Zhang is Da Pang's classmate and good friend. When you come to our house, just treat it as your own home. Why do you bring such expensive gifts? It's so inappropriate."

"Next time, don't spend money anymore."

Big Fatty said nonchalantly, "Oh, grandma, mom, it's okay, just keep it."

"This skin beautifying cream is my sister-in-law's own property. She can have as much as she wants without spending any money."

"And this tea, this is the ancient tree black tea produced and sold by Jiuzhang's hometown, and it's even cheaper. Grandpa, Dad, if you drink it and think it's good, please help promote it."

After that, Big Fatty continued with a proud look on his face, "Don't underestimate my sister-in-law because she is young. She is very capable. This time, she saw directly that there was something wrong with my body. She said she had a way to cure me."

"In just three months, I can lose weight."

"Really?" Upon hearing this, the elders in the family could no longer sit still and came forward to ask.

In the past, they had thought of ways to deal with the problem. Dapang was a normal child when he was young, but when he was seven or eight years old, things started to go wrong.

His appetite increased greatly and he could never be full no matter what he did.

My weight started to increase rapidly, and I had more and more fat on my body.

They all looked very worried.

He went to all the major hospitals in Beijing, but the doctors could not find any problem. They just said, "This child can't be so fat any more. When people are fat, they will have many diseases. He must lose weight."

There are only two ways to lose weight: one is to control your diet, and the other is to move your legs.

He could only control his diet for a few days each time before Dapang couldn't stand it anymore. He felt miserable without eating.

As parents, what can they do? They can only prepare food for him.

It's even more difficult to move your legs.

After Dapang's weight soared, he was already out of breath and sweating profusely just by running or walking a few steps.

The next day, I couldn't even get up.

The adults who were running with them were exhausted, but there was no significant result.

At this moment, someone suddenly confirmed that Dapang was sick and could be cured.

How could they not be enthusiastic?

Jiang Tiantian understood their thoughts as parents and gave them a detailed explanation of the causes and mechanisms of Dapang's obesity.

Otherwise, at her young age, it would be difficult for her to truly gain their recognition.

During the treatment of this disease, the understanding and cooperation of family members are very important.

"The hypothalamus is the center for regulating appetite and body weight. Lesions in the hypothalamus can lead to morbid obesity, which is manifested as excessive appetite and rapid and persistent weight gain. In medicine, we call this hypothalamic obesity."

"It's obvious that this is typical hypothalamic obesity."

"When various reasons cause structural damage and functional disorders in the hypothalamus, the integration of these peripheral input signals by the hypothalamus will be problematic, further leading to changes in the output signals of the hypothalamus that control energy metabolism. These signals will act on energy metabolism tissues such as the liver, kidneys, pancreas and adipose tissue, and cause obesity."

"Patients with hypothalamic obesity often have increased appetite after hypothalamic damage, and they eat voraciously and uncontrollably. The patient's normal sense of fullness is reduced, and abnormal behavior may occur, such as hiding food and looking for food everywhere. This is the most prominent feature of patients with hypothalamic obesity."

"Another obvious point is that patients with hypothalamus invasion show obvious reluctance to move, and their physical activity is significantly reduced. The reduction in physical activity has also aggravated the obesity of patients to a certain extent."

The explanation was so well-reasoned and professional, and it was very consistent with Dapang's symptoms, which dispelled the doubts of several elders in the Zhu family.

"Jiu Zhang's wife, then tell me, how should Dapang's illness be cured?"

"Whatever medicine you need, just tell us and we'll find a way to get it."

“As parents, do we need to pay attention to anything?”

“…”

Jiang Tiantian understood their urgency, and smiled as she waited for them to finish asking before continuing, "This disease has actually been systematically studied abroad, and there is currently a set of scientific treatments, including lifestyle changes, medication, and surgery."

"Controlling diet and increasing exercise are the first steps in treating patients with hypothalamic obesity, but this approach often fails due to patient noncompliance."

"So, you parents must not be soft-hearted anymore, including Jiuzhang. As a classmate in the same dormitory, you must also shoulder the responsibility of supervising Da Pang to control his diet and increase his exercise."

"Jiuzhang's wife, you are right. We must not be soft-hearted this time. Don't worry, we will do whatever you say. This time, even if Dapang kneels down and begs for mercy, we can't indulge him again." Aunt Zhu, Dapang's mother, said firmly.

Big Fatty curled his lips and said, "Mom, I have made up my mind this time. You don't need to make a big deal out of it."

Jiang Tiantian smiled and continued, "With Da Pang's current condition, there are no suitable conditions in China for surgery, so medication is still the main treatment."

"In the pathogenesis of hypothalamic obesity, increased parasympathetic nerve excitability and decreased sympathetic nerve excitability are important pathogenic factors. Therefore, I will provide Dapang with sympathomimetic drugs in the future."

"Of course, I will change the medication according to his physical condition at any time."

As Jiang Tiantian spoke, she asked the Zhu family to bring paper and write down the precautions one by one.

Oh, of course it was she who said that Cha Jiuzhang should start writing.

"The first step is to control your diet, reduce greasy food, reduce junk food, eat less sweets, eat more vegetables and fruits rich in vitamins, and don't drink alcohol or beverages..."

"The second step is to increase the amount of exercise and do regular training, which will help lose weight. You can also find a good old Chinese doctor and try acupuncture, moxibustion, cupping and other treatments."

“…”


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