Ask Sword

Can, can it be cured?

Yong Hongzhong asked with both surprise and joy. During this period of time, he was tortured by this unknown and strange disease that made him dizzy when he squatted down. In order not to make people laugh, he deliberately kept standing and sitting upright.

But it's still possible to feel nauseous and even throw up every night when you lay down in bed and sleep.

Li Ang nodded calmly, Yes.

Doctor Li, what's wrong with my husband?

Yong Hongzhong's personal servant on the side asked respectfully, and his title was changed from Xiao Langjun to Doctor.

Benign paroxysmal positional vertigo.

In other words, otolithiasis.

Li Ang silently read the answer in his heart.

As a vertebrate, the reason why human beings can balance themselves during exercise is mainly because there are organs in the ears that regulate body balance.

The organ consists of three tubes and two sacs. The three tubes refer to the anterior semicircular canal, posterior semicircular canal, and horizontal semicircular canal, which are responsible for sensing the angle of the head.

The two sacs refer to the balloon and the utricle.

In the structure of the two sacs, there are some calcium carbonate crystals, which look like small stones or chalk powder, so they are also called otoliths.

The otoliths are usually fixed in the two sacs, which help the two sacs to sense the acceleration of the head and transmit the position signal to the central nervous system through the nerves.

It is precisely because of the three tubes and two sacs that human beings can perceive the balance and gravity of their bodies, and will not fall flat or feel dizzy.

And if due to some special reasons, the otoliths in the two sacs fall off, it will cause a chain reaction-the shed otoliths will swim in the endolymph fluid of the inner ear,

When the position of the human head changes, the otoliths will stimulate the hair cells of the semicircular canal, causing the semicircular canal to receive wrong signals, causing strong vertigo of the human body.

Otolithiasis mostly occurs in middle-aged people, and slightly more women. The cause may be head trauma, strenuous exercise, staying up late for a long time, or it may be middle ear and inner ear surgery.

Just now, Li Ang first ruled out the possibility of Meniere's disease and migraine through physical examination and questioning.

He also passed the Dix-Hallpike displacement test, that is, holding Yong Hongzhong's head, guiding him to lie down on his back quickly, and actively letting the otoliths touch the semicircular canal to induce a vertigo response.

It was finally determined that he had posterior semicircular canal otolithiasis.

(Posterior semicircular canal otolithiasis, that is, the otolith has moved to the position of the posterior semicircular canal. When this happens, the Dix-Hallpike displacement test will only cause nystagmus when the affected side turns its head and lies on its side. The healthy other Nystagmus does not occur on one side. In anterior canal otolithiasis, nystagmus occurs on both sides)

Of course, these processes are not easy to tell everyone in front of you.

People rely on the stones in their ears to grasp their position?

This is too unbelievable.

You must know that in the memory of another world, doctors discovered otolithiasis in 1921, but it was not until 1980 that a doctor named John Aprily realized that the cause of otolithiasis was the loss of otoliths. Repositioning manipulation for patients with otolithiasis.

In the middle of the process, doctors cure otolithiasis by cutting off the vestibular ganglion-the consequence is that the patient will lose hearing and balance.

Moreover, even after John Epley proposed that otolithiasis could be cured by repositioning, his research results were not widely recognized. Instead, he was ostracized, ridiculed by his peers, and even legally accused of illegal medical practice.

Li Ang's thoughts changed sharply. It was difficult for him to convince the people in front of him that the reason why people could feel gravity and position changes was because of stones in their ears.

Even if you are persuaded, there is no evidence, but people will suspect that you secretly did some shocking things like dissecting corpses

Yu State's medical level is relatively backward compared with architecture, material science, astronomy, etc.

On the one hand, this situation is because the monks in the academy rarely get sick and have no motivation to promote development.

On the other hand, it was because the act of dissecting and studying human corpses was taboo no matter in the former Sui Dynasty or the Yu Dynasty—it was almost a demonic practice.

Li Ang still remembered Pu Liuxuan's persuasion that one must first be admitted to the entrance palace to have a social status, a foundation for one's life, the right to speak and influence.

Doctors must protect themselves before they can protect patients.

In the blink of an eye, Li Ang wove a set of rhetoric that could be accepted by the people around him, and said without changing his face and heartbeat: Although there are many pathogenesis of vertigo, they are nothing more than two aspects.

Those who are deficient are mostly qi and blood deficiency, lack of marrow sea, and lack of nourishment of clear orifices.

Brother Hongzhong has been reading too much recently, using too much energy, coupled with his weak body and insufficient blood supply, which led to dizziness.

I see.

Song Shaoyuan and others showed expressions of Oh, so that's how it is, um, I completely understand now, and they all pursed their lips and nodded.

Qiu Feng faintly felt something was wrong, frowned and looked at Li Ang, hesitating to speak.

Doctor Li, do you want my husband to eat more meat?

Yong Hongzhong's personal servant asked respectfully,

Li Ang shook his head and said: Eating more beef, mutton, and fish that are absolutely cooked, and not drinking raw water is one aspect.

On the other hand, it has to be assisted by manual reset.

That is to rotate the mind, let the blood in the heart flow to the head, and unblock the head.

The combination of the two methods can be completely cured.

Come on, brother Hongzhong, sit down again.

Li Ang asked Yong Hongzhong to sit on the table again, supported his head again, and turned his head to the left affected ear by 45 degrees.

Then pull the head and guide Yong Hongzhong to lie down, with the head slightly protruding from the edge of the table, and the left affected ear facing down.

Brother Hongzhong, look straight ahead of yourself.

The sun rises on me, I'm dizzy.

Dizziness is normal, don't worry, I have never missed this reset method.

Then you, you have cured too many people, how many people?

Congratulations, you are the first.

Li Ang watched Yong Hongzhong lying on his back calmly until his dizziness and nystagmus symptoms disappeared,

Then turn Yong Hongzhong's head 45 degrees to the right, and observe for one minute until the dizziness and nystagmus disappear.

The last step is to turn the head and torso to the right together, that's right, to lie on your side.

Li Ang asked Yong Hongzhong to lie on his right side, and kept the position for a minute, and finally helped him up, Now, sit up and don't move, just concentrate and calm down.

Yong Hongzhong closed his eyes, and sat obediently. It was not until 5 minutes later that Li Ang asked him to open his eyes, Okay, it's done.

Yong Hongzhong stammered and said, Is this all right?

Didn't you get dizzy when you lowered your head before?

Li Ang said calmly, Try again now.

With the support of his personal servant, Yong Hongzhong carefully got off the table,

Under the gazes of everyone around him, he slowly bent down and lowered his head, and said in astonishment: No, I'm not dizzy anymore.

Hoo--

You can cure a disease just by turning your head? Is there such a thing?

Unbelievable

Song Shaoyuan listened to the noisy voices around him, and stood proudly beside Li Ang.

The corners of the mouths of Ji Linlang and other Weizhou students turned up slightly, revealing a proud smile.

Qiu Feng, the daughter of the imperial doctor, pursed her lips tightly and nodded in admiration, but at the same time, a trace of doubt, stubbornness and unwillingness flashed in her eyes.

Thank you, brother Risheng.

Yong Hongzhong thanked Li Ang excitedly, Li Ang waved his hand and said casually, We are all classmates, don't worry about it.

No, no, a gentleman must repay his kindness.

Yong Hongzhong couldn't help but take off a piece of pure white and flawless jade pendant carved in the shape of a fish from his waist, forcefully stuffed it into Li Ang's hand, and kept patting the back of Li Ang's hand gratefully.

Brother Hongzhong, you are being polite.

Li Ang showed an awkward but polite business smile, and his ears keenly caught the murmur of the chubby student in the crowd, Wow, Khotan nephrite

Khotan nephrite? Is it worth it?

Li Ang thought loosely about the value of the gift money, Yong Hongzhong paused for a while, as if he just remembered, turned around, and respectfully said to the girl in Chinese clothes on the other side of the crowd: Yes, thank you, Dr. Qiu and He Le Princess An.

What princess, just call me cousin.

The girl in Chinese clothes, known as Princess Le'an, smiled at Yong Hongzhong in a gentle and friendly manner, and her gaze accurately caught the eyes of everyone present.

And, Li Ang's strange gaze.