The middle-aged man unknowingly said too much: "after suffering from this disease, my mother is like a changed person. Originally, she was very gentle, talkative and laughing, and got along well with my wife and children. My wife often told me that she had never seen such a good mother-in-law, but now --"
Shi Xiaorui looks at the old woman lying motionless.
She doesn't look like 56 years old, she looks like a mummy who has lived for 100 years.
"It's a little better this month. One year ago, my mother suddenly came out in the middle of the night. She didn't know where she got a bone knife, shouting that someone was going to kill her and slashing at the air. It was really frightening."
"Sometimes, I was joking with you at the last moment, then I turned my face and smashed the teabowl on me, and then I laughed."
Shi Xiaorui listen, doubt more and more deep.
It is true that the long-term suffering of illness can change a person's character, but listening to the description, it is obvious that there are hallucinations.
"How many times has this happened? Does the rest of the family, including the neighbors who live nearby, have similar symptoms? "
The middle-aged man didn't know what Shi Xiaorui was doing when he asked this question. He carefully recalled: "there have been several times, but only that one time is the most frightening. Other times, he talks to the air and insists that there are insects in the food. No one in my family has such a situation, and the neighbors have never heard of it. "
In this case, the consumption of hallucinogenic effects can be ruled out. In this case, the patient himself has hallucinations.
Is there something wrong with the brain?
Shi Xiaorui is a little fidgety. It's better to be modern. What's the matter? All kinds of examinations should be done again. The etiology is determined very quickly.
Now there is nothing, but the patient can't help it.
Shi Xiaorui repeatedly recalled the known conditions of the patient, and the names of the diseases flashed and excluded from her mind.
Seeing that Shi Xiaorui didn't speak for a long time, the middle-aged man thought she couldn't make a diagnosis either. Although he was disappointed, he still kept the basic politeness: "doctor Shi, if she can't make a diagnosis..."
"Don't talk yet." Shi Xiaorui seems to have grasped something and put her hand on the old woman's wrist again.
Yes, it should be this one!
Porphyria, known as vampire disease!
Shi Xiaorui the symptoms of porphyria and the patient's situation one by one corresponding, good, completely consistent.
She finally asked, "did your mother's family have such a situation like your mother's?"
The middle-aged man said uncertainly, "I really don't know. My mother is not a local. She married my father from a far away place. She hasn't been back for so many years."
Shi Xiaorui asked this question because porphyria has a great possibility of inheritance, but some people are dominant, will be sick, some people are recessive, will not attack for a lifetime.
According to the situation of the old woman, she is likely to suffer from acute intermittent porphyria, which is a dominant inheritance. There should be relatives with the same disease in her family.
In particular, exogamy is also very suspicious. Because of the inconvenient transportation in ancient times, if the wife married too far away, her family could not get the living conditions of her daughter in time, which is very bad for her. But if you want to hide the family history, you can understand that the local people must know the actual situation of their family, and basically do not return home, which can effectively avoid the secret leakage.
Porphyria is commonly known as vampire disease, because the patient's performance after the onset is like a legendary vampire. There is no such saying in China. The external symptoms of an old woman after the onset are very obvious, and they are likely to be treated as skin diseases, liver diseases, psychosis and epilepsy. If the disease is not diagnosed correctly, there is no need to cure it.
The old woman lies motionless, and may have muscle pain, weakness or paralysis at the same time.
It is diagnosed, but the disease is not easy to treat.
Especially for genetic diseases, what's written in genes that is easy to change?
The middle-aged man mentioned earlier that a Taoist priest from Youfang came up with an idea to let his mother drink the blood of his family for treatment. If he didn't make a mistake, he really had some skills.
Because the vampire disease will affect the hematopoietic function, resulting in anemia, can really drink blood to alleviate the disease.
Shi Xiaorui thought it over for a while and said to the middle-aged man, "your mother's disease is brought from the fetus. It's not easy to cure such a disease, but I can prescribe a prescription to relieve this symptom."
Many years of medical career has made the middle-aged man's expectation very low. Even if he can't be cured completely, it's good to let his mother suffer less. He repeatedly promised: "no problem, no problem, follow doctor Shi's advice!"
"Well, come with me to the doctor's and I'll prescribe the medicine for you."
Out of the car, suddenly see the sun outside, Shi Xiaorui was stabbed by the sun for a moment, according to the eyes a little black.
The middle-aged man behind her was really experienced. He closed his eyes first and blocked them with his hands. After a while, he slowly opened his eyes.
When Shi Xiaorui returned to the hospital, she didn't rush to write the prescription first, but listed out the things that the patient taboo, especially the light, alcohol and garlic.
Then we start to make prescriptions. In modern times, western medicine is mostly used to treat this disease, and regular blood transfusion is also required according to the situation. Now blood transfusion is too shocking, and it is easy to be used as a monster to make a barbecue with firewood on the shelf. We can only use other methods to replenish blood.
Shi Xiaorui wrote as she thought about it. From time to time, she had to change what she had already written. It took several pieces of paper to finally determine the prescription.
She handed the final prescription and taboo to the middle-aged man. After thinking about it, she said to him, "although it's a bit presumptuous, after your mother takes the medicine and gets better, you can ask her about her family carefully."
What did the middle-aged man determine from Shi Xiaorui's words: "this disease, isn't it..."
Shi Xiaorui said softly, "yes, the disease is hereditary." Vampire disease sounds a bit frightening, Shi Xiaorui told him with the more difficult scientific name porphyria, "your mother's disease is called porphyria, porphyria is also divided into many kinds, I suspect that she suffered from this is inherited."
The middle-aged man's face turned pale: "that is to say, I will get it, too? And my children, can they too? "
Shi Xiaorui quickly appeased him: "not necessarily. May I ask you this year
The middle-aged man replied, "thirty nine." He immediately asked, "doctor Shi, does this disease have anything to do with age?"
Thirty nine?
Shi Xiaorui sighs in her heart. She is on the ridge.
She explained carefully: "don't be too nervous. The disease usually occurs at about 40 years old. Both men and women may get it, but it may not happen in their lifetime. And if it's properly controlled, even if it can't be cured, it won't affect normal life. "
"I didn't mean to divulge your mother's privacy when I asked this question before. On the one hand, I want you to pay attention to it and treat it in time after finding a similar situation, so as not to delay the time. On the other hand, I hope to contact your mother's family. This prescription may be helpful to them."