Maintain the functional status of the elderly to the greatest extent, and comprehensive evaluation will help our parents live better and happier lives

The physical function of the elderly is very different from that of the young. It is like a machine that has been used for a long time. If this part is screwed, other parts may be loose. In recent years, geriatrics has gradually shifted from focusing on "disease" to focusing on "people", no longer pursuing the perfection of a single part, but focusing on the overall function of the "machine".

 

Through the comprehensive assessment of the elderly, it is possible to understand the abilities and existing problems of the elderly in medicine, psychology, social behavior, environment and their functional activities, so as to develop a comprehensive and coordinated short-term or long-term diagnosis and treatment for elderly patients. Rehabilitation and care plans to maximize the functional status of the elderly and improve the quality of life.

 

 

Grandma Jia found the culprit of her pain

70-year-old grandmother Jia often felt pain all over her body. She went to the hospital for various examinations but couldn't find out the cause. After taking a lot of painkillers, the pain did not relieve much. In late October this year, Grandma Jia was admitted to the Department of Geriatrics of Beijing Longfu Hospital because of acute exacerbation of heart disease and lung disease.

According to Grandma Jia's actual situation, six medical staff from the comprehensive assessment team for the elderly in Beijing Longfu Hospital came to Grandma Jia's bed, patiently asked about the condition, and performed a detailed physical examination of the elderly.

 

"Do you usually live with your family? Can you go out and buy groceries by yourself..." In the comprehensive assessment of old age, these seemingly ordinary questions are functional indicators for judging an old man's overall living ability.

Through "chat", the medical staff learned that Grandma Jia's only son lives abroad all year round, and that she and her wife have been empty nests for seven or eight years. Both elderly people suffer from a variety of chronic diseases, especially in the past two years, her husband's physical condition has been deteriorating, which makes her very worried.

 

And Grandma Jia's own sleep quality is getting worse and worse, only sleeping two to three hours a night on average. Finally, the anxiety rating scale indicated "moderate anxiety" and the depression rating scale indicated "mild depression", considering that the elderly were in an anxious and depressive state.

As a result, the doctor gave Grandma Jia a mood-regulating drug. After taking the drug for about a week, the elderly's pain symptoms were significantly improved. Four weeks after the medication, Grandma Jia’s pain symptoms disappeared miraculously and her sleep quality improved.

 

It turns out that Grandma Jia’s pain symptoms are medically called "somatization symptoms". In layman's terms, the patient has various symptoms of discomfort, but no organic abnormalities can be found on examination, mainly due to anxiety , Depression and other bad emotions.

"Comprehensive assessment of the elderly is one of the core technologies of modern geriatrics and an effective means of screening for senile syndromes." said Song Qingyang, standing committee member of the Comprehensive Assessment Branch of the Chinese Society of Gerontology and Geriatrics and director of the Department of Geriatrics, Longfu Hospital, Beijing , The elderly often have multiple diseases, that is, multiple organs, multiple tissues, multiple systems show degenerative changes, and more complicated diseases. Compared with common chronic diseases such as hypertension, coronary heart disease and diabetes, the elderly are more likely to be affected by the symptoms of elderly syndromes such as incontinence, malnutrition, weakness, senile depression, sleep disorders, memory loss, delirium, and falls. And family members and even medical staff ignored. In fact, old age syndrome has a great impact on the quality of life and life expectancy of the elderly.

Song Qingyang emphasized that the comprehensive assessment of the elderly can enable medical staff to fully grasp the physical condition of elderly patients, discover potential risks, prevent or reduce the occurrence of senile syndrome, avoid or delay the emergence of common problems in the elderly, and save or reduce the medical expenses of the elderly; At the same time, it can also enhance the health management awareness of the elderly and increase the healthy life expectancy.

When is the need for comprehensive elderly assessment

The concept of comprehensive assessment of the elderly was first proposed by the United Kingdom, and it has been carried out in some medical institutions in my country since about 2010. In view of the general inadequacy of Chinese geriatrics practitioners' understanding of comprehensive assessment of the elderly, and lack of operational norms for reference, in 2012, relevant experts in Beijing jointly wrote the "Comprehensive Assessment of the Elderly", which collected and sorted out a large number of assessment scales or questionnaires at home and abroad. , Aims to provide elderly medical workers with a tool to implement comprehensive evaluation of the elderly.

 

The Chinese Medical Association Geriatrics Branch organized experts to compile the "Expert Consensus on the Application of Comprehensive Assessment Technology for the Elderly in China", which was released in 2017. Beijing Longfu Hospital has also implemented a multidisciplinary collaborative diagnosis and treatment model based on comprehensive evaluation, and has accumulated a large amount of clinical experience. It has organized relevant experts to compile "Geriatrics Work Manual" and "Diagnosis and Treatment Routines of Common Diseases in the Elderly" and other books.

“In the initial stage of the comprehensive assessment of the elderly, most of the assessment scales were borrowed from and adapted from other countries, and the assessment tools were also single scales. With the continuous practice and development of this work, in recent years, many experts and institutions have been working Research on localized scales suitable for the elderly in our country. At the same time, the evaluation tool has gradually developed from a single scale to an integrated scale, which is more conducive to the overall graded evaluation of the elderly." According to Song Qingyang, more and more Medical institutions recognize the importance of comprehensive assessment of the elderly. Take Beijing as an example. Geriatrics in many secondary and above medical institutions are being developed. Some community health service centers and long-term care institutions also have applications, but the depth and breadth are different.

The reporter learned that the comprehensive assessment of the elderly is mainly divided into six major items.

1

General medical evaluation includes medical history collection, physical examination and various auxiliary examinations.

2

Physical function evaluation includes the evaluation of the elderly's ability of daily living, nutritional status, balance function and gait, vision and hearing, etc.

3

Mental and psychological status assessment includes the assessment of cognitive function, depression and anxiety, mood and emotion, and delirium in the elderly.

4

The evaluation of social behavior ability includes the evaluation of the role and role adaptation, culture, family and interpersonal relationship of the elderly.

5

Environmental health assessment includes the assessment of the living environment, social environment, spiritual environment and cultural environment of the elderly.

6

Other evaluations include the evaluation of the moral health of the elderly, dietary health, etc.

"The content of the assessment of elderly patients varies from person to person, especially some elderly people who can no longer benefit from routine assessment. For example, for elderly patients with end-stage cancer, the general assessment content is pressure ulcer risk, nutrition, mental status, and expectations. Survival period, etc.; for the disabled elderly, the assessment focuses on common risks such as mental psychology, swallowing, nutrition, pressure sores, and falling from bed; for the elderly with severe dementia, the assessment focuses on whether there are mental symptoms such as delirium, the risk of falling, and the risk of losing. "Song Qingyang said.

It is currently believed that 10 types of elderly patients should undergo comprehensive evaluation.

1

Hospitalized elderly over 60

2

Elderly patients undergoing neurological, respiratory, cardiac and other rehabilitation treatments

3

Elderly patients with 3 or more diseases

4

Patients with common symptoms of old age syndrome

5

Patients with common problems in the elderly, such as bedsores, constipation, malnutrition, motor dysfunction or physical disabilities

6

Elderly patients with multiple medication problems (using 5 or more medications at the same time)

7

Elderly patients requiring long-term care

8

Elderly patients with mental disorders or certain psychological problems

9

Elderly patients with certain social and behavioral abnormalities

10

There may be elderly patients with poor living, social and cultural environments

Promotion of this model requires policy support

"Personnel who implement comprehensive evaluation of the elderly need to have certain qualifications, and the evaluation should be completed by a multidisciplinary team." According to Song Qingyang, taking the hospital as an example, the comprehensive evaluation team for elderly is composed of geriatricians, clinical pharmacists, psychiatrists, and rehabilitation It is composed of doctors, nutritionists and other specialist doctors. Conduct multidisciplinary discussions for each elderly patient who needs to be evaluated.

 

Among them, screening assessments are mostly completed by doctors and nurses in the Department of Geriatrics. If further evaluation is needed, it will be detailed to the doctor in the relevant department. For example, if it is evaluated that the elderly have multiple medication problems, clinical pharmacists will conduct detailed evaluation of multiple medications; if the elderly have serious cardiovascular problems, cardiologists will intervene.

Uncle Ma, who underwent a comprehensive evaluation and diagnosis and treatment guidance program at Beijing Longfu Hospital, said with satisfaction: "I have been sick from head to toe, including hypertension, coronary heart disease, cerebral infarction, diabetes and osteoarthrosis. I have to take it. It’s okay to take medicine to cure the disease. They can be combined together. I have to take more than 20 medicines every day. I am full by taking medicine. It’s too much pain! After this assessment, I helped me reduce the medicine to 8. He gave me a nutrition prescription and instructed me how to exercise."

In addition, Beijing Longfu Hospital, as the Dongcheng District Geriatric Medical Evaluation Center, has carried out the National Health Commission's evaluation project for disabled elderly people to achieve hierarchical management of disabled elderly people. At the same time, it also evaluated the elderly care accommodation for 17 elderly care institutions in the region.

 

Carrying out door-to-door assessment services for Dongcheng District and supporting the elderly, involving medical assessment, daily living ability, cognitive assessment, mental and psychological assessment, and elderly syndrome assessment. Through a standard and a set of procedures, complete the evaluation and draw conclusions. Based on the evaluation results, the elderly are divided into treatment, rehabilitation and palliative care, laying the foundation for the subsequent implementation of in-home medical services, and ensuring the realization of the elderly care service resources in the whole district Fair configuration.

The reporter learned that there are still certain difficulties that need to be broken through to further promote the comprehensive evaluation of the elderly. For example, the comprehensive evaluation of the elderly requires a lot of manpower. Under normal circumstances, it takes about 1 hour to conduct a preliminary evaluation of an elderly patient. If some problems are found, the detailed evaluation will take longer.

 

However, some evaluation items such as multiple drug evaluation and nutritional evaluation currently lack the support of the overall price system and lack relevant incentive mechanisms for medical staff, which is not conducive to the long-term development of this work. In addition, multi-disciplinary cooperation is indispensable for comprehensive evaluation of the elderly, which requires the support of the whole hospital. However, the current medical staff still lack understanding of comprehensive evaluation of the elderly.

In Song Qingyang’s opinion, comprehensive assessment of the elderly, as one of the essential core technologies of geriatrics, should be routinely carried out after patients are admitted to the hospital, during inpatient diagnosis and treatment, and during discharge follow-up; community service centers should also routinely carry out preliminary screening of comprehensive evaluation of the elderly. ; Medium- and long-term care institutions and elderly people who care for the elderly at home can use it as an important part of the integrated medical care management model.

"I hope that all levels will have a new understanding of the comprehensive evaluation of the elderly, so that more people will know how to screen for the elderly syndrome, know how to do the comprehensive evaluation of the elderly, and provide training and training for relevant practitioners to conduct comprehensive evaluation of the elderly in a more standardized manner. Guidance and policy support." Song Qingyang said.

 A "string" on the wrist, rub it to cure insomnia!

Where is this "rib"?

Stretch out your hand, palm up, and carefully touch one inch on the wrist on the side of your little finger (the one that is too fat, the fleshy one may not be able to touch it), and you will feel a "string".

 

On the radial side of this tendon, there is an acupoint called Tongli. Rubbing this point can improve sleep well.

why?

 

Tongli acupoint is the "collateral point" on the heart meridian of Hand Shaoyin, and is the "hub" that connects the heart meridian of Hand Shaoyin and the small intestine meridian of Hand Sun. The word "tong" should be used to communicate smoothly. "In", when talking about the neighborhood, outside and inside. Tongli acupoint means to communicate the two meridians of the outer and inner meridians, so that the meridians can flow unimpeded.

 

The heart is the yang viscera, which belongs to the yang within the yang, and it is especially prone to generate false fire and heat evil. Combine it with the small intestine to help the heart "remove the fire" by distinguishing the turbidity of the small intestine. The combination of the heart and the small intestine is a natural "fire-reducing" device in our body.

Tongli acupoint is undoubtedly the trigger to activate this "fire-reducing device", which has the effect of clearing the heart fire and calming the heart's deficiency and heat. Therefore, this Tongli point has the effect of helping sleep.

When the heart yin is insufficient, there will be deficiency and heat. Insomnia, poor sleep, multiple dreams and early awakening or difficulty falling asleep, are all different. At the same time, the heart is particularly annoying, the more you can't sleep, the more disturbed. At the same time, the hands, feet and heart are warm, thirsty and dry throat, night sweats, red tongue, or red tongue, less tongue coating, tongue pain. At this time, apply Tongli point to clear away heat and trouble, nourish yin and calm the heart.
When the effort is insufficient, there will also be signs of deficiency of heat and annoyance. This kind of people have poor sleep quality, insomnia and dreaminess, or wake up early, or can only fall asleep once a night, and it is difficult to sleep again when they wake up. At the same time, upset, palpitations, forgetfulness, physical fatigue, and mental exhaustion. The complexion is a bit yellow, and the tongue is pale with white fur. This kind of person is also suitable for using Tongli acupoint to calm the nerves and help sleep.
When phlegm fire disturbs the heart, it will also cause insomnia. Nightmares are varied, easy to wake up, restlessness in the heart, reduced diet, headache and flushing, red eyes, hot urination and impatience, abdominal fullness. The tongue is red and crimson, and the tongue coating is less active and yellow and greasy. In this state, it is also particularly suitable to use Tongli acupoint to treat, soothe the mind and calm the mind, eliminate troubles and calm the mind.

Of course, the causes of insomnia are not limited to these three, but in general, using Tongli acupoint can have the effect of clearing the heart, soothing the mind and removing heat, and it does have a regulating effect on the aforementioned insomnia. Especially for insomniacs who are upset and blushed, the effect is better.

Because of this feeling of upset in the heart, the ancients called it regretful, and "Acupuncture Dacheng" said that the master of this point was "sorrowful for several days." "Ma Danyang Tianxing Twelve Acupoints and Treatment of Miscellaneous Disease Songs" stated that it can cure "he can't speak, annoyed and embarrassed, but the limbs are heavy, the head and cheeks are red...". And "Jade Dragon Song" also said that it can cure "the day after day annoying face makeup, and it is hard to be frightened...".

Therefore, for the Tongli acupoint on this tendon on the wrist, we should indeed rub it more, rubbing it on each side for 15 minutes a day until sleep improves.

 

Some people say, what should I do if I can't find acupuncture points accurately? It's easy to handle. The four acupuncture points of Shenmen, Yinyun, Tongli and Lingdao on the wrist are next to each other. You can knead it, or use a scraper to scrape the wrist to help sleep. Simple and effective!

 The "Father of Chang'e" was screamed for saying that "the American moon landing is real". China has also begun to spread anti-intellectualism?

Chang'e 5 is back with the "local products" of the moon! People who care about the aerospace industry of the motherland will surely be inspired by this news.

 

However, this article is not about this. Just a few days before the return of Chang'e 5, Ouyang Ziyuan, one of China's "Fathers of Chang'e," was sprayed by some levers.

 

This is how things happened. Isn't it the fact that Chang'e 5 has become hot recently, and the conspiracy theory that "the US moon landing is fake" has been revealed again. For example, why does the national flag shake?...

 

 

 

Ouyang Ziyuan refuted this in an interview program, explaining why the national flag was shaking on the moon, and citing several evidences to prove that the US moon landing was real, and then some Chinese netizens were unhappy. This group of people insisted that the US moon landing was a fake, thinking that Ouyang was speaking for the Americans, and that it was a fan of the Americans who collected money from the Americans.

 

 

Ouyang Ziyuan, Chief Scientist of China Lunar Exploration Project, Academician of Chinese Academy of Sciences, Academician of International Academy of Astronautics and Technology. He participated in the formulation of the short-term goals and long-term plans for my country's lunar exploration, and designed specific scientific goals for the "Chang'e-1" probe launched in 2008.

 

Therefore, he is called one of the "Fathers of Chang'e" by many people.

 

The remarks made by such a top scientist in China were questioned and criticized by netizens for nothing.

 

 

 

 

A few ordinary people, relying on a few videos and photos of the moon landing seen on the Internet, can judge the authenticity of the American moon landing, and can confidently question an academician of the Academy of Sciences.

 

Brave? ignorance? funny!

 

The 21st century is an era in which anyone can slap experts.

 

Combining the comments of these sprayers, there are nothing more than three meanings: contempt-you don't understand it; buckle-your ass is crooked; abuse-you are stupid.

 

This is almost the usual trick used by the Trolls, Gangjing, and Keyboard Men in the Chinese Internet world. First of all, I feel that I know everything. Those of you who have been studying in certain professional fields for many years are not as good as me. I am the king of understanding.

 

The second thing is that if you say or do this, you are obviously not patriotic. If you are not patriotic, it is wrong. When you come up, you will be labeled with a hat and knock you down from the moral high ground.

 

 

 

Finally, it is unscrupulous abuse, which may be unreasonable, or it may be a frantic revenge after knowing that he is really wrong.

 

In fact, for a long time, I couldn't understand why there was so much hostility in the Chinese Internet world. On closer examination, one has to worry about the fact that "anti-intellectualism", which has a long history in the United States, has also begun to spread in China?

 

1
What is anti-intellectual

 

What is anti-intellectualism? The definition given by Encyclopedia Britannica is: "Anti-intellectualism depicts an attitude that is hostile to, or distrusts intellectuals and the pursuit of knowledge. It can be expressed in many ways, such as attacking science, education, and literature. the value of."

 

Chinese Wikipedia directly believes that anti-intellectualism “is an attitude that exists in culture or thought, rather than a set of ideological theories. Anti-intellectualism can be divided into two categories: one is opposition to intelligence, knowledge or Suspicion is the belief that intelligence or knowledge is harmful to life but not beneficial. The other is suspicion and contempt for intellectuals."

 

 

When it comes to anti-intellectualism, we have to mention the United States. The United States has a long history of anti-intellectualism. What are the specific manifestations? Give a few examples.

 

The long-standing "milk production movement" in Western countries such as the United States and Australia is a typical representative of anti-intellectualism.

 

The milk we drink now, whether it is pasteurized milk or room temperature milk, is milk that has been heated and sterilized. This kind of milk eliminates all kinds of harmful bacteria and viruses to the human body, so it is safer and will not make people sick.

 

However, there are a group of people in the United States who not only believe that raw raw milk is more nutritious, but also that they are healthier and more suitable for humans. After all, if eating raw vegetables is better for us, why not eat raw milk? Why not eat in the “natural world” way and return to a purer and simpler era?

 

 

But what these people overlook is that it may be a simpler era, but it is also an era when people often die of foodborne diseases.

 

Raw cow dairy products are more likely to cause foodborne diseases than pasteurized products. This is the conclusion of scientists, but these people just don't want to believe it.

 

"In fact, ignorance has become fashionable, and some Americans now regard rejection of expert advice as a sign of cultural wisdom."

 

The anti-intellectual incidents in the Americans that entered the Chinese people's field of vision during the COVID-19 pandemic were even more shocking and ridiculous. For example, many Americans think that the new coronavirus does not exist, and many people think that wearing masks is harmful to them.

 

 

Including a large number of Americans who believe that the earth is actually flat, "the earth is round" is a lie made up by scientists all over the world...

 

Anti-intellectualism is not far away from us. Mr. Ouyang “perfectly” reflects this anti-intellectual behavior when he was sprayed. Although you are a scientist who has studied the moon for many years, I just don’t believe you, you just don’t. I know.

 

Such things are not rare.

 

For example, in the first half of this year, when Dr. Zhang Wenhong was talking about the children’s breakfast, he said that in order to enhance the children’s resistance, they must eat well in the morning. It is best to eat high-nutrition milk, eggs and sandwiches. It's good not to eat porridge, but some people scolded him, thinking that he "worships foreigners".

 

 

Co-authored Chinese people do not eat milk and egg sandwiches are patriotic. These highly nutritious foods that are vital to the growth and development of children can only be eaten by foreigners.

 

2
The more ignorant people are, the more they realize they know everything

 

How did anti-intellectualism form?

 

Let's first understand the famous "Dark effect".

 

What is the Duck effect? The simple understanding is that the more ignorant people are, the more they will overestimate themselves and do not feel that they are ignorant. The picture below is the Duck effect curve.

 

 

It is easier to understand this Chinese version:

 

 

It can be seen from the figure that the cognitive stages of a person are divided into four levels. I don’t know I don’t know; I know I don’t know; I know I know; I don’t know I know.

 

In the first stage, people's knowledge level, or cognitive level, is inversely proportional to their self-confidence, that is, "the stupid people are, the more they overestimate themselves, and the more they feel they understand everything."

 

Then I was immersed in the state of "I'm invincible in the world" created by myself. I can't extricate myself from it. What shit expert, can I understand?

 

 

However, some really good people tend to have a clearer understanding of their own cognitive level, and they will be more humble. Instead, they will express their opinions more cautiously. Moreover, the more knowledgeable people are, the more they can realize their own shortcomings, and the more they can discover, recognize, and learn from others' strengths.

 

Why does this phenomenon occur?

 

In the book "Death of an Expert", author Tom Nichols gives possible answers. He believes that one reason is that with the convenience of the Internet, people’s access to knowledge has become very convenient, and people can also publish anything freely on the Internet. "This makes the public space flooded with bad information and half a bucket of insights. , Flooding into disaster".

 

 

 

In other words, anyone can publish their opinions online based on their knowledge and cognition. No matter whether your opinions are correct or not, someone will believe it.

 

Obviously, the Internet is a double-edged sword. Mark Twain once said, "It is not ignorance that gets us into trouble, but the seemingly correct false assertions." In such an era of information explosion, it is more difficult than ever to tell right from wrong. They are receiving a large amount of fragmented knowledge every day, so what they lack is not knowledge, but judgment of right from wrong.

 

Therefore, "Death of an Expert" believes that "how unlimited information has made us stupid, the Internet is undoubtedly a huge achievement."

 

Another manifestation of confirmatory bias is that although many stories on the Internet are fake or inaccurate, once in 1 billion stories, Google is right and the experts are wrong. Such stories will It spreads like a virus.

 

For example, in 2015, there was a tragic case in which a British teenager was misdiagnosed by a doctor. The doctor told her, “Don’t Google your symptoms anymore.” She was right, the doctor was wrong, and she, died. . The story of this British girl was a sensation, and a rare mistake may have caused many people to believe that they could treat themselves.

 

However, some people use computers to misdiagnose their heart disease as indigestion and die. Such stories will never make headlines.

 

The reality is that you keep browsing the Internet until you come to the conclusion you want. This is the erudition of the Internet age. This also makes many people think that if you do a speculative search in the Internet world, it becomes a "research"-everyone is an expert and scholar!

 

 

 

"If people believe that if they spend a morning searching, they can master the knowledge that others have learned in 10 years. Such people can't get the hang of it."-"Death of an Expert"

 

The author admits that experts can also make mistakes, and their predictions are often inaccurate, but this does not mean that "professionalism is useless" or that experts get out. The reason is that professionals usually have relatively strict verification standards for relevant knowledge, and even if they make mistakes, they have a relatively strong self-correction mechanism, which makes expert judgments and statements correct much higher than non-experts.

 

The above is one of the reasons why anti-intellectualism prevails. In the information age under the mud and sand, the huge amount of information that is difficult to discern makes many people mistakenly believe that they have become experts.

 

 

 

This reminds me of the bureau seat that year, Zhang Zhaozhong, as a rear admiral, tutor of doctoral students in military strategy at the National Defense University. But every day netizens deliberately stabbed and sprayed. What "smog and haze anti-laser", "kelp wrapped around a submarine", etc., have become jokes after being taken out of context.

 

There is another reason, that is, people are eager for conspiracy theories. This involves the most primitive human nature.

 

The reason why conspiracy theories have an important connection with anti-intellectualism is that conspiracy theories have a deep appeal to such a group of people: their IQs are difficult to understand this complex world, but they are impatient to listen to some plain explanations.

 

 

 

 

Such people tend to have strong narcissism and self-esteem. Why is the content of conspiracy theories so popular with them? Because conspiracy theories can give them a sense of superiority that only they know about huge conspiracies, it makes their simple minds not so simple.

 

It is not difficult to understand why Ouyang Ziyuan was chased by some people-you are not right! You don't know as much as I do! This is a conspiracy! You see how awesome I am!

 

Zhang Wenhong actually advocated drinking milk and eating eggs? There must be some forces behind him to support him! Obviously drinking porridge is also very nutritious, do you think I understand?

 

Trump is also a fan of conspiracy theories, and his use of conspiracy theories can be described as culmination. This practice also allows him to establish a representative image of one person against the establishment elite.

 

For example, in the 2016 election, he was one of several "birthplace questioners" who asked Obama to prove his US citizenship. He stands with anti-vaccine fighters because most people in the United States don't believe in vaccines.

 

 

He doubted this and that on Twitter all day long. He even made "fake news" a popular vocabulary online. He confronted Dr. Fauci, an epidemic prevention expert, and aggravated the Americans’ disbelief in the existence of the new crown virus, causing the Americans to scold Dr. Fauci, and even threatening the safety of his family.

 

And under the lie of "downplay and deny the new crown epidemic", there are some sub-items-questioning hospitals, questioning scientists, denying vaccines, and the uselessness of masks...

But looking at the pandemic that is out of control in the United States, we can see the terrible aspects of anti-intellectualism. It can manipulate public opinion, or it can lead a country astray.

 

3
Reflection

 

Although the United States is the originator of anti-intellectualism, it is undeniable that domestic anti-intellectualism is also on the rise in recent years. The typical manifestation is that online mockery and even abuse of "brickers" abound. It even preached that reading is useless.

 

However, is this kind of mentality of negating experts really good?

 

Without the struggle of experts such as Ouyang Ziyuan, can Chang'e-5 come back? Without the guidance of experts such as Zhang Wenhong, can China's anti-epidemic work be successful?

 

Or to give a simple example, to build a bridge, without the architect's design, the construction workers alone will obviously not be completed.

 

 

To put it plainly, anti-intellectualism is the process of “bad money drives out good money” and “misinformation repels knowledge”.

 

If you are a person who is out of low-level tastes and meet such a person, don't reply, you will lose if you reply.

 India has filmed the "anti-China drama" again. How badly the Indian army was beaten, the movie was blown hard

Recently, I heard that India is making a movie again. The theme is the Sino-Indian conflict in June of this year. The movie’s name may be called "Galwan Valley".

As we all know, the Indian army suffered a big loss in this conflict. It can be confirmed that at least 20 people have died since the colonel battalion commander. In addition, there are wounded people several times this. The total loss is still very large.

In this "cold weapon" confrontation, the Indian army has been repeatedly beaten away. I believe everyone has seen such news on the Internet.

This blue camouflage thought it was to "capture" the US Navy

According to Indian practice, if you take advantage on the battlefield, you have to make a movie; if you lose money, especially after a big loss, you have to make a movie.

In this year's situation, India wants to make a movie to boost people's hearts, which is actually their practice.

Why is this an Indian practice? We didn't just open our mouths. Here are a few simple examples, because India has really become addicted to doing this kind of things in the past few years.

In 2018, India had a movie called "Partan" released. This movie was based on the 1967 Sino-Indian Nathula Pass conflict. The Indian army in the play is naturally too powerful, but compared with the real history, it is basically the other way around.

And informed the Indian army to bring the body under a white flag

In this battle, our army sacrificed 32 people, wounded 91 people, casualties totaled 123 people, and killed 607 Indian soldiers. This battle damage is even slightly more advantageous than the battle of 1962. The Indian army did not look for compensation in the movie, and it was also uncomfortable.

In 2018, India released a "anti-China drama" and "Captain Jokind Singh". The protagonist is a "brave" Indian army officer. With fewer enemies and more enemies, he used machine guns to play the game, and close combat was also close. Invincible.

It may be that this method of turning defeat into victory by film is effective. India released two more movies in 2019.

One is titled "72 Hours: The Indelible Hero" and the other is titled "Uri: Surgical Strike". The background of the previous film is a battle in the 1962 Sino-Indian War, and the background of the latter film is a retaliation operation by Indian special forces entering Pakistan after the Uri incident in 2016.

Let's talk about this "72 Hours: Heroes That Will Never Elapse" first.

The so-called indelible hero refers to the "God of War" Jaswang Singlavat in the history of Indian military warfare.

In the so-called 72 hours, according to the description of the history of the Indian army, this person blocked the PLA's offensive for three days with one person in the Nurulang area on the eastern battlefield in 1962, and eliminated more than 300 "Liberation Army." Then India used this bragging record as the material for the film to shoot.

But does the Indian Army really have such gods?

Going through the history of the PLA's eastern front, I really didn't find any position of the Indian army that could block the PLA's attack for three days.

The so-called Battle of Nurulang is actually part of what we call the Battle of Xishankou.

On November 17, the 163rd and 165th Regiments of the 55th Division contacted the Indian Security Guard Unit. When the Indian Army encountered our scouts, they opened fire with heavy firepower, and most of the firepower points were exposed.

After the start of the general offensive on November 18, the 165th regiment of the 55th Division took on a frontal attack task and took 42 minutes to break through the Indian frontier positions. The main force of the Indian army lost fighting spirit and fled south. The 165th Regiment pursued bravely with the 1st and 2nd battalions, and at the same time entered the second echelon. The regiment was supported by the 120th mortar battalion of the 306th Artillery Regiment and 1 company of the 308th Artillery Regiment. , Parallel pursuit or volley, chasing and fighting, successively conquering the unnamed highlands on the south side of the river, Nurulang, and No. 3 Bridge, and developing in depth.

The 163rd Regiment of the 55th Division, with 3 battalions, 9 companies and battalion-owned machine gun companies, captured the unnamed highlands in the northeast of Xishan Pass, and repelled the Indian army 3 counterattacks, then annihilated the rebellious Indian army, seized 3 artillery positions and seized Xishan Pass. One part of the Xishankou Indian Army resisted and the other escaped. The 163 Regiment chased the Indian Army with 1st Battalion and 8th Battalion with 3 Battalions.

The biggest trouble the Indian army caused to our army during the battle was the minefield. In this minefield, 19 soldiers of our army died and 10 soldiers were wounded and trapped. As for fighting the Indian defenders, it was not too difficult, of which 163 Regiment 1 company and 2 platoons were sharp knife platoons. Only 51 Indian soldiers were killed and 4 were captured by the defecation.

At 15:00 on the 18th, the 163 regiment and the 165 regiment merged. After the Indian army on the north side of the Xishan Pass was resolved, the battle basically ended at 18:00. From the general attack to the end of the battle, it took 10 hours and 30 minutes to wipe out more than 500 Indian troops.

It is worth mentioning that the famous Pang Guoxing combat team was fought during this battle. They went deep into the Indian army 7.5 kilometers, destroyed 2 artillery positions of the Indian army, and seized 7 artillery pieces. Later, Pang Guoxing and the others famously said: Instead of surrendering, the enemy dared to fight back.

Since the Indian army has been in the position for less than a day, is it possible that the "God of War" mentioned in the history of the Indian army will fight the PLA for three days?

Because the Indian army was in a state of disintegration, many troops were scattered and fleeing. Some people actually hid in the corners of the ravine after leaving their positions. If the People's Liberation Army did not pay attention, these people would slip away.

However, it just so happened that the subsequent task of the 55th Division was to search and suppress the remnants of the enemy near the Xishan Pass. In this way, more than 300 Indian troops were eliminated.

The so-called "God of War" Jaswang Singlavat, who blocked the PLA's three-day attack by the Indian army, was probably eliminated during the search and suppression phase, rather than blocking the PLA's three-day attack on the position.

Has this person eliminated more than 300 PLA?

According to statistics from the battle history of the 55th Division, our army sacrificed 97 people, and another 164 were injured, with a total of 261 casualties. Killed and captured 920 Indian soldiers, seized 90 guns, 920 guns, 21 cars and 105 radio stations.

In other words, the People's Liberation Army suffered less than 300 casualties in the entire Battle of Xishankou. Where did the Indian army brag about killing more than 300 people?

Moreover, the record of such a "God of War" in the Indian Army is so much.

Judging from the seizures of our army in this battle, there are more guns than the enemy. This shows that after the battle began, many Indian troops threw away their weapons and fled. This kind of army does not use movies to blow it up. Gild.

There is also the "Uri: Surgical Strike", which is a remake of contemporary real events.

In 2016, four Pakistani militants raided the headquarters of the 12th Brigade of the Indian Army, killing 19 Indians and wounding more than 30 others. The Indian army immediately organized a retaliatory counterattack, and even entered the Pakistan-controlled area twice for cross-border strikes. Then, Bollywood shot the movie and it was released in early 2019. Because the film effect was okay, it was extremely exciting for Indian citizens.

But what is more smashing is that not long after the movie was released, the Indian Central Reserve Police Force was attacked and 42 people died on the spot.

Subsequently, India planned a military operation for a cross-border air strike against Pakistan in February 2019. As we all know, the air strikes did not hit anything. One MiG 21 was shot down in the air battle. The pilot of the lieutenant colonel was captured, and the Indian army was the "only". The result of the battle was to shoot down a rescue helicopter in his country, killing 7 people on board.

Of course, according to Indian propaganda, it is impossible to admit that it has suffered a loss. According to Indian official propaganda, the "results" of the air raid were more than 300 people, and the MiG 21 killed a Pakistani F-16 before being shot down ——In front of the whole world, you can lie naked, and there is no one.

In the conflict in the Kalwan Valley in June this year, the Indian army suffered again. It is said that some Indians later mistakenly believed that Liangshan 108 would be the loss list of the PLA.

But now that India is unable to get a bargain on the front lines, and the domestic epidemic and economic situation are extremely serious, it has once again used traditional skills and relied on magic drama to boost the morale of the people.

Some friends will definitely say, what do you say about Indian oracles here? How do you think about the anti-Japanese drama in China?

In fact, although the two have certain things in common, they are really different in detail.

For example, in anti-Japanese dramas, few people regard those weird plots as real history. Even the target audience of the anti-Japanese drama, they would not think that plots such as hand-tearing devils, thunder hidden in the crotch, and Moto Gatling are true.

Even if the target audience is like this, let alone people who have a little knowledge of history, military, and common sense.

And what is the current situation of the anti-Japanese drama? Basically, it has reached the point where everyone is screaming and beating rats. Not only is it not recognized at the national level, but it is also not recognized by the people.

A related TV series was released some time ago, but after everyone’s unanimous opposition, didn’t it go offline before it was finished?

Moreover, my country directly stipulates that broadcasting organizations shall not broadcast TV dramas on the theme of the War of Resistance against Japan that violate common sense, jokingly interpreting history, and excessively entertaining.

Why is it so?

Because the War of Resistance Against Japan is very serious to the Chinese people, the anti-Japanese drama is full of ridiculous plots, insulting the audience's IQ, and distorting history and disrespecting the heroes.

Any normal Chinese should basically make this judgment. If someone thinks that the anti-Japanese drama is real history, then "Congratulations", you and the vast majority of Indians are on the same level.

Why do you say that?

Because when Indians look at their Bollywood war drama, most people regard it as real history.

The reason for this situation is not only related to the self-confident personality of the Indian national fan, but also to the overall education level and quality of its citizens (please pay attention to the key point of quality).

In addition, since its independence, India has had the habit of modifying its history through official propaganda and films, so that in fact, the battles that India has suffered a lot can be promoted as great victories.

In this context, the Bollywood drama is not so much a film and television work, but rather a film and television smoke bomb that confuses the Indian public.

If someone insists that the anti-Japanese drama and the Indian drama have the same effect, then we can only regret to say that these audiences are at the same level as the behavior of the Indian nationals using film and television dramas as historical and real events.

After all, people don’t read much. When the drama is a real record, do you follow?

Take only US$5 to go abroad and finalize China’s first arms export order

 On December 6, the Stockholm International Peace Research Institute (SIPRI), Sweden, issued a research report stating that it is no surprise that the United States ranks first in arms sales in the world; the runner-up is actually China, with arms sales accounting for about 16% of the world. .

Among the top 25 arms dealers in the world, there are 4 Chinese companies, of which 3 are in the top 10. They are: China Aviation Industry Corporation, China Electronics Technology Group, China North Industries Group, China South Industries Group. In addition, there are several Chinese companies that can advance to the top 25 because of lack of data and fail to count.

As soon as the conclusion came out, some brick makers in the West were surprised.

 

If you go back in time 40 years ago, who would say that China would become one of the world’s largest arms dealers, not only foreigners would not believe it, but even the Chinese themselves would not believe it—however, China’s first arms order was precisely what It was finalized in 1979.

When it comes to arms dealers, many people tend to think of the scenes in the famous movie "The King of War": the suit is stiff, the bullets fly across the board, the death of a lifetime, diamond payment...

 

In the history of the "first order of Chinese arms sales", all these cool movie elements are absent! The whole process was full of rudimentary, hasty, and shabby: Before selling weapons, I didn’t know how high the unit price was, or how to write arms export contracts; when negotiating with foreign countries, even the country’s authorization letter was not included... even more miraculous Yes, when the entire military trade delegation departed, it only brought a mere US$5 in foreign exchange; when it returned, it finalized an arms order worth US$167 million.

Don't say that the Chinese are opening up, and don't laugh at them for stingy. The Chinese military workers of that year were too difficult.

In February 1979, the second year of China's reform and opening up, according to the results of the talks between the chief architect of reform and opening up and Hassan Tuhami, then Egyptian Deputy Prime Minister, China will export J-6 and J-7 fighter jets to the Egyptian Air Force. This is also the first time in decades to change the habit of free foreign aid, and become an "arms dealer" for an unprecedented time.

Want to be an arms dealer? It's really not that easy. AVIC, which is in charge of this business, was just established on March 3, 1979. From the third machine department of the superior unit to the company members, none of them have experience in foreign trade. According to Liu Guomin, the director of the AVIC Export Division and head of the delegation to Egypt, recalled:

“Because AVIC has just been established, there is no experience, no channels, and the construction of export business is almost blank. It is not only unfamiliar with basic export links such as drafting contracts, business negotiations, customs clearance, handling transportation insurance, and delivery of foreign exchange. The money for the flight tickets for Egypt to return to the country was not available; besides, Egypt was not ready to develop military business with my country at that time..."

Starting from nothing, knowing nothing, pits everywhere, uncertain about the future-what should I do? In order to complete the task of creating (earning) foreign exchange (money) in the country, the entire company has entered an open state from top to bottom.

To sell fighter jets, there must be a contract! Never did it, it doesn't matter. They borrowed two passenger aircraft import contracts from the General Administration of Civil Aviation, adopted a reverse operation method, changed their role as an exporter, and drafted a fighter export contract.

To engage in arms negotiations, you have to make a price! No reference, it doesn't matter. With the help of the Aeronautical Information Institute, they compared the performance of the J-6 fighter with the quotations of foreign aircraft, and on the basis of ensuring that they did not suffer a loss, they temporarily estimated the unit price of 1.2 million US dollars.

If you want to sell airplanes abroad, you have to pay for it! No money, it doesn't matter. They first went to the Ministry of Foreign Trade to borrow, but they were rejected: the country is tight on foreign exchange, want to borrow several thousand dollars? no way! After hitting a nail, they didn’t get discouraged, and they calculated the cost of going abroad: airfare abroad only cost renminbi; foreign board and lodging expenses need to be spent in US dollars, and try to get Egypt to entertain them. It is really impossible to ask the Chinese Embassy in Egypt for help; If you spend it, don't spend it. Who makes us poor?

Gives AVIC a chance to sell J-6 abroad

To go through the procedures of going abroad, you must have a foreign invitation letter! It doesn't matter if there is no letter. It happened that the Civil Aviation of Egypt sent an invitation letter requesting China to send a delegation to help repair the Soviet-made An-24 passenger aircraft. They seized this opportunity, in the name of negotiating to repair civil aircraft, obtained passports for going abroad, and sold fighter jets in other countries.

In this way, under the leadership of the head of the delegation, Liu Guomin, went to Cairo, the capital of Egypt, thousands of miles away, and embarked on a completely strange journey of military trade negotiations. Before departure, the comrades of Wailian gave Liu Guomin 5 US dollars in foreign exchange as temporary emergency funds. That's right, only 5 dollars.

 

Nowadays, the money for ordering a meal abroad is probably more than $5. However, at that time, there was really no way. At that time, the foreign exchange reserves of the whole country were running rats. The 5 US dollars was still the miscellaneous expenses saved by the overseas team of the Three Ministry of Machinery. In other words, it was pulled out between the teeth.

Not only that, at that time, Lu Dong, the Minister of the Three Aircraft Department, specially urged when the delegation went abroad to Egypt: "Insist on cash exchange. We need foreign exchange to develop the aviation industry, even one dollar is good." The main idea is two sentences: money! Want cash!

Going abroad for $5, still want to make a lot of money? These details may seem a little funny today. But at that time, our country was really poor! Special need for small foreign exchange money! ! !

Egypt is in a window of arms control

Little money, really sweet. But the small money from the first order of arms sales is really hard to make. When the AVIC delegation arrived in Egypt, this country had just signed the "Camp David Agreement" with Israel and was rejected by the entire Arab world. The Soviet-made arms channels had been cut off, and American arms had not yet come in. The Egyptian Air Force consumed a large number of aircraft in the Fourth Middle East War, and the number of fighters was very scarce. However, there are different opinions among the Egyptians on the question of whether to introduce Chinese aircraft for "temporary transition".

 

It is the Egyptian Air Force training department that most hopes to introduce the Chinese J-6 aircraft for emergency. Although the performance of this aircraft is not advanced, it is the spot that the Egyptians can get with the least money and the shortest time, and can meet the Egyptian Air Force pilot training needs in the shortest time. Soviet aircraft cannot be bought; the US and European aircraft are expensive and have to wait.

Even so, the Egyptians who are accustomed to "handling" from China still play the "feeling drama" and "emotional card" as soon as they come up, crying out that they have suffered heavy losses in the last war, and demanding that China continue to provide free assistance to Egypt. Change to paid trade again.

 

Want to empty the glove white wolf! Don't look at how poor the Chinese become? In order to earn foreign exchange, the Chinese at that time probably even had green eyes.

Regarding the small ninety-nine of the Egyptians, the Chinese negotiator Liu Guomin argued for reasons: From the perspective of gross national economic output, China's per capita is less than US$300, while Egypt has exceeded US$1,000; it is obviously that China is poor and Egypt is rich. For a long time, the Chinese people have been saving food and clothing, and have given a lot of assistance to friendly countries without compensation, and have done their utmost. Now, the Chinese government has changed free aid to equal and mutually beneficial paid trade. This is a reasonable and reasonable move.

 

This also has to pay tolls!

In order to persuade the Egyptian side, Liu Guomin also used the Suez Canal familiar to the Egyptians as an analogy: "The Egyptian people have regained control of the Suez Canal through a heroic struggle. The current annual income has reached more than 1 billion U.S. dollars. If there are developing countries, It is of course unbelievable to ask Egypt for the free passage of the canal.” This remark made it impossible for the Minister of Equipment of the Ethiopian Air Force to refute, and the issue of free assistance will no longer be discussed.

After going through twists and turns in Egypt, this is the scene after the negotiation

Even with a good beginning, the negotiation of China's first arms sale still took a lot of effort. Since the delegation arrived in Egypt on March 15th, it has gone through many twists and turns, and has talked about it for 50 days.

In order to win this precious foreign exchange for military trade, all the Chinese Embassy in Egypt mobilized. Envoy Yao Guangda personally led the AVIC delegation to deliberate the negotiation plan 13 times. The Chinese Deputy Military Attache in Egypt also enthusiastically joined and helped Delegation members who are familiar with foreign languages ​​type; in order to ensure confidentiality for delegation meetings, the embassy’s charge d'affaires personally handles the door.

Later Chinese Vice Minister of Foreign Affairs

When the Egyptian side wavered and announced the suspension of negotiations, Ambassador Yao took Liu Guomin and an interpreter and tried every means to meet with the then Egyptian Vice President Mubarak (former Egyptian Air Force Commander), playing the "emotional card" of China-Egypt diplomacy. Playing the "technical card" of Chinese weapons, I hope he will come forward to facilitate this military trade order.

Mubarak quickly summoned my ambassador and delegation and asked in detail about the technical status of the aircraft available to China. Liu Guomin said: "The J-6 is equivalent to the MiG-19. It is available in stock and can be delivered that year; the price is low, the quality is reliable, and it is suitable for training."

After the assassination of President Sadat (right), he took over as President of Egypt

The friendship between China and Egypt and the sincerity of the Chinese side finally moved Mubarak. He said on the spot: "The situation of the aircraft is clear. I heard that the negotiation has encountered some difficulties. It doesn't matter. I let the Air Force resume negotiations immediately. Looking back, Egypt and China The friendship between China and China has a long history. After we recovered the sovereignty of the East Canal in 1956, China sent a large number of navigators to support the resumption of the canal. After that, we purchased a large number of our long-staple cotton to support China’s economic development. This time we sent a delegation. Talking about air force equipment, we welcome it!...I read your draft contract, and I can sign with you even if I close my eyes!"

 

Under the personal intervention of the Vice President, China-Egypt military trade negotiations have entered a fast lane. The most dramatic thing was that during the China-Egypt meeting that day, the commander of the Egyptian Air Force, who had not participated in the negotiations, appeared for the first time. He mistakenly thought that the Chinese interpreter was not present and had a confident and bold conversation in Arabic. The Egyptian negotiators also reported to him on the spot in Arabic: "The Chinese fighter's offer is still acceptable." After hearing this sentence, the interpreter of the Chinese embassy didn't show up on the surface, and turned around and informed the delegation of the unexpected gain.

After grasping the true intentions of the Egyptian side and the bottom line of the offer, the Chinese delegation took the initiative in the subsequent arms sales price negotiations, and did not compromise on the offer. In the end, the two parties agreed that China will export 44 J-6 and 6 J-6 aircraft to Egypt, and provide 220 turbojet-6 and 28 turbojet-8 backup engines; in addition, a contract has been signed for the supply of spare parts and engine repairs. And other ancillary contracts.

When the two parties were preparing to sign the contract, there was another episode. The head of the Egyptian negotiating team presented the "Credentials" (the government authorization letter), and I hope Liu Guomin will also produce the Chinese "Credentials" equally. AVIC, which lacks military trade signing experience, is unprepared for this. At that time, the Chinese Embassy in Egypt was unable to act as an agent, and it was too late for domestic reorganization. What should I do if I am so swollen?

What an eager and intelligent Liu Guomin, he took out a seat card he received at the State Banquet in the Great Hall of the People, with his name and national emblem printed on it, to indicate to the Egyptian side that this is the Chinese "Credentials." Since Egypt could not figure out the format of China's certificate, it approved it smoothly.

After the vicissitudes of the poor and the bright future, China's first arms export order was finally finalized, with a total value of 167 million US dollars! Chinese arms finally got its first pot of gold. Equivalent to 14% of the country's foreign exchange reserves in 1979! ! !

 

Soon after, AVIC received an advance payment of US$27.69 million from Egypt. This is the first foreign exchange income of the new China Aviation Industry in 28 years. As a result, China’s aviation technology introduction project was quickly launched, and the improvement of aviation products will not be ashamed...

As for the 5 dollars before going abroad, Liu Guomin was not willing to spend it, but brought it back intact and returned it to the organization. This is the Chinese aviation people of that era! In the most difficult days of China's foreign exchange, they used the least price to win the country's first pot of gold in arms exports.

 

Starting from the first "zero breakthrough" in arms sales in 1979, Liu Guomin and his team continued to fight in Vietnam, and signed a number of aircraft and engine export contracts with Zambia, Bangladesh, Egypt, Pakistan and other countries.

From the 1980s to the 1990s, Liu Guomin became a “leading player” with outstanding achievements in China’s military trade. He successively made the export of the J-7 series fighters, K-8 trainers, and Xiaolong fighters. Important contribution. According to incomplete statistics, during his work, he personally signed export contracts with a total value of approximately US$1.15 billion, and directed and participated in decision-making export contracts totaling approximately US$6.7 billion.

 

According to statistics from the SIPRI report, in the mid-1980s, China once jumped to become the world's fourth largest arms exporter after the Soviet Union, the United States, and France. From 1984 to 1987, China’s arms sales peaked, bringing China 8.2 billion US dollars in revenue, equivalent to 7% of China’s total exports during this period! ! !
The large amount of foreign exchange won by China's military trade has injected vitality and vitality into the development of the national economy and technological upgrading of the defense industry. Today, with the successive installation of advanced weapons such as the J-20, Y-20, and domestic aircraft carriers, the Chinese army has become a decisive military force in the world.

The more brilliant we are, the more we must not forget that those Chinese who dared to go abroad and won the "first order of China's arms sales" with only 5 dollars back then did not admire vanity or vanity. , Regardless of self-interest, it has become an integral part of the history of China’s defense industry. Those legendary opening stories will be passed on forever...

 If the liver is damaged, these 3 parts of the body will become "black" and 2 parts of the body will become "stinky", pay attention!

The "Huangdi Neijing" compares the liver to "the officer of the general". As the general organ of the human body, the liver is not an exaggeration, because the liver is very important to the human body.

As the saying goes: "A good liver doesn't fall." The liver is responsible for the digestion and absorption of the three major nutrients of human fat, protein, and carbohydrates. Once something goes wrong, there will be hidden dangers to human health. Therefore, it is important to find the signal of liver disease in time!

With liver damage, 3 parts of the body will become "black" and 2 parts will "stink". Be vigilant!

1. Three "blackening"

Face turned dark

People with poor liver will have a bloodless, sallow and dull face. This is due to insufficient liver blood and insufficient qi and blood nourishment on the face, so there is no blood on the face; and stagnation of liver qi will reduce the liver’s detoxification function and lead to toxin accumulation. The reaction on the face is dull and sallow skin. The face is spotted.

In addition, one of the causes of acne is liver hormone imbalance, endocrine disorders, and acne. The main reason for these problems is that the corpus luteum hormone in the body increases, the liver is damaged, and the hormone balance cannot be adjusted.

Dark circles

Dark circles under the eyes are sometimes a manifestation of certain liver diseases. Frequent dryness, itching and photophobia in the eyes indicate that there is insufficient liver blood and insufficient liver yin to nourish the eyes. Excessive liver irritation can cause eye irritation. Red, even inflamed.

In addition, poor liver can also affect sleep, leading to insomnia, dreaminess, and easy awakening; poor sleep can also cause dark circles under the eyes.

Black nails

Chinese medicine believes that the liver is responsible for the tendons, and the nails are part of the “tendons”.

If there is a problem with the liver, there will usually be obvious signals on the nails: the surface of the nails is smooth and the color is ruddy and shiny, indicating that the liver is healthy; black vertical stripes appear on the nails, or the edges are black and white in the middle, and unevenness. It means that there is a problem with the liver, and it is best to go to the hospital for related examinations.

2. The second place will "smelly"

Body stinks

The liver is the body's largest detoxification organ. It is like a computer. When it is overloaded, it will "heat" and cause slow operation.

Due to changes in people's diet and lifestyle, the pressure on the liver is also increasing. When it is overworked and unable to decompose toxins, harmful substances from the body will be excreted through the pores of the skin, resulting in peculiar smell.

So when there is body odor, it is enough to show that the liver has been severely damaged, so don't ignore it.

Bad breath worsens

Bad breath is not only a digestive problem, but also a liver problem.

In the case of impaired liver function, the body’s toxins cannot be excreted. At this time, the content of the two elements of ammonia and urea nitrogen in the blood will increase. Ammonia is a gas with a strong pungent odor. It is discharged from the human mouth and nose, so bad breath appears, which is also a manifestation of poor liver function.

If it is a liver disease patient who has obvious bad breath and body odor, it means that the liver has a deep "toxin" and needs to improve liver function in time and strengthen liver metabolism!

If the liver is not good, it cannot be ignored blindly, otherwise it may eventually develop into fatty liver, cirrhosis, or even liver cancer, causing irreparable losses.

So in life, how can we protect the health of the liver?

1

Get up early and urinate in time

Many people suffer from bed conditions in the morning. Even if they have a urge to urinate, they don't bother to get up. They will only get up and go to the bathroom when they can't help it.

But the European Association for Liver Research expert Dr. Daniel Paradi said that urination is also a way of detoxification in the body.

Urinate as soon as possible after waking up in the morning, and the toxins accumulated overnight can be excreted from the body in time to prevent the toxins from staying in the body and causing liver "poisoning".

2

Go to bed early and stay up late

We all know "sleeping at night to nourish the liver". While the body is resting at night, it is also the time for the liver to repair itself. Therefore, if you often stay up late, the liver cannot get a good rest, which is bound to cause great damage.

In addition, staying up often will not only lead to lack of sleep and lower body resistance; it will also affect the liver's self-repair at night; and for people who have been infected with hepatitis B virus, the damaged liver cells will be difficult to repair and worsen. may.

Therefore, before going to bed at night, try not to play with mobile phones, close your eyes and rest your mind, so as to fall asleep as soon as possible.

3

A cup of liver-protecting tea between meals

Prepare 30g of dandelion root, 30g of orchid chrysanthemum root, 20g of rose flower, and 15g of osmanthus, crush them all, put them in a storage tank and seal them, take one-tenth each time and soak in water.

Dandelion root can protect the liver and prevent liver damage. It is most commonly used in patients with liver disease. It can enhance the regeneration of the liver and help the body excrete more metabolites!

Lanju root has a good hepatoprotective effect, can help cells to accelerate the repair speed, and has obvious protective effect on liver cells.

Roses can calm the liver and nourish the stomach, promote blood circulation, nourish the heart, liver and blood vessels, promote blood circulation and remove blood stasis, remove the garbage accumulated in the body, and help lighten chloasma.

Osmanthus fragrans has the functions of expelling metabolites from the body, nourishing the liver and nourishing the lungs. It can improve bad breath, cold stomach, and stomach pain. It can also remove bad breath and moisturize the skin.

The four can be matched together to make a tea substitute between meals, which is very beneficial to protect liver health!

4

Press more liver protection points-Ganshu points

Ganshu acupoint is located on the back, under the spinous process of the 9th thoracic vertebra, and 1.5 inches laterally. It is a "water pool" where the vitality of the liver gathers on the back of the body. Ganshu is an indispensable point for nourishing the liver.

Traditional Chinese medicine believes that frequent massage of this acupoint can not only soothe the liver and regulate qi, reduce fire and fever, but also benefit the liver, improve eyesight, and relieve pain.

li1995.com

 The woman’s postpartum gauze stayed in her body for two weeks, and the hospital said she had been expelled because the midwife was in bad mood

The age of quadrivalent HPV vaccination in China has expanded to 9-45-year-old women

On November 23, Merck Research and Development (China) Co., Ltd. announced on its official website that the quadrivalent human papillomavirus vaccine (Saccharomyces cerevisiae) it developed has been approved for use in women aged 9 to 19 years old. . This means that the vaccine has been extended to 9-45-year-old women of the appropriate age, and the three-dose immunization program is still used.

The quadrivalent HPV vaccine is suitable for preventing cervical cancer, grade 2 and 3 cervical intraepithelial neoplasia (CIN2/3) and cervical adenocarcinoma in situ (AIS) caused by high-risk HPV16/18, and grade 1 cervical epithelium Internal tumor-like lesion (CIN1).

On December 5th, Merck stated that although its 4-valent cervical cancer vaccine has been approved by the China National Medical Products Administration, it will take some time before the actual market launch of population appointments, and the specifics need to be announced by local disease control departments. information. (Source: MSD, The Paper)

The woman’s postpartum gauze stayed in her body for two weeks, and the hospital said she had been expelled because the midwife was in a bad mood

Recently, Mr. Tong from Hefei, Anhui, said that his wife gave birth at Xin'an Hospital in Feidong County, Hefei City at the end of October. Within two weeks of postpartum, the body smelled badly and it was uneasy to lie down. The inspection found that the gauze left in the body during the delivery was not taken out.

On December 1, Mr. Tong stated that the hospital had dismissed the relevant midwife and the two parties were coordinating compensation. The hospital stated that it is possible that the midwife’s family may cause bad moods, and the work has not been handed over in time. In the future, the hospital will strengthen management in this area to prevent this from happening again.

On December 3, the staff of the Feidong City Health Commission stated that the hospital had compensated 40,000 yuan, and the midwife on duty was fired and waited for the next step. (Source: The Paper)

"Mistaken Life for 28 Years" The biological mother of the subject withdrew the lawsuit, and the Health Commission replied that the hepatitis B vaccine has long been universal

On December 4, the case of "Musical Change of Life for 28 Years" by Yao Ce's biological mother, Du Xinzhi, v. Kaifeng City Health and Health Commission of Henan Province, was heard in Kaifeng, and the court did not pronounce a judgment in court. On December 6, it was learned from the lawyer Zhou Zhaocheng that Yao Ce’s biological mother, Du Xinzhi, had reached an out-of-court settlement with the defendant’s Kaifeng Municipal Health Commission.

Jiangxi youth Yao Ce was diagnosed with cancer in February 2020. His mother wanted to "cut the liver to save her son", only to find that she had carried the wrong child in the hospital where she gave birth. The two mothers questioned that the medical staff did not take measures such as hepatitis B virus prevention and blockade on the child in time based on the mother's examination, which led to Yao Ce becoming a hepatitis B virus carrier since he was a child, and now he is diagnosed with liver cancer.

Du Xinzhi revealed that on the morning of December 5, the Kaifeng Municipal Health Commission replied that the hepatitis B vaccine had been popularized in Kaifeng as early as 1988. Yao Ce was born in 1992, when the hepatitis B vaccine was basically fully popularized in Kaifeng City. "In this case, the hospital did not get the vaccine. The result is obvious. It can be said that we have gained theoretical support from the document provided by the Kaifeng Municipal Health Commission."

Yao Ce's biological mother, Du Xinzhi, is very satisfied with the Kaifeng Municipal Health Commission’s active handling of the incident. The Kaifeng Municipal Health Commission is still communicating and coordinating with the Huaihe Hospital of Henan University, but the attitude of the Huaihe Hospital is not clear. "Hopefully, with the support of the Health Commission, the hospital can give us a good result, so that this case can be successfully concluded." (Source: Elephant News, The Paper)

1 new case confirmed locally in Tianjin: a 6-year-old girl who has tested negative for nucleic acid 7 times

On December 5, Tianjin added a new confirmed case of new coronary pneumonia in Tianjin, the daughter of the 144th confirmed case of new coronary pneumonia in Tianjin, and has been under quarantine before.

The patient Yang Moumou, female, 6 years old, lives in Kanhaixuan, Dongjiang Port District, Tianjin. The grandfather (the 142nd local confirmed case), grandmother (the 143th local confirmed case), and his father (the 144th local confirmed case) Cases) were confirmed on November 19, 2020.

As a close contact, the child has been isolated and observed with his mother at a centralized medical observation point in Binhai New Area since November 20. During the quarantine period, the health department has been monitoring the health of the children and conducting nucleic acid testing and serum antibody testing. So far, his throat swabs, sputum, and stool samples have been tested for nucleic acid 7 times, all of which are negative.

On November 27, the child developed nasal congestion and runny nose. On December 2, the third serum antibody test was positive for IgM and negative for IgG. On December 4, the 4th serum antibody test was positive for IgM and IgG. On December 5, the re-examination of serum antibodies IgM and IgG were positive, and CT examination revealed mild inflammatory lesions in the upper lobe of the left lung.

According to the "New Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial Eighth Edition)", the child has an epidemiological history, is positive for IgM and IgG, and has imaging features, laboratory examinations and clinical manifestations of the new coronary pneumonia, which is consistent with the new coronary pneumonia Diagnostic criteria for confirmed cases. After a comprehensive study and judgment by the Tianjin municipal expert group, it was determined that Yang was the 147th confirmed case of new coronary pneumonia (common type) in Tianjin, and it has been sent to a designated hospital in Tianjin for further diagnosis and treatment. (Source: Tianjin Municipal Health Commission)

National Health Commission: The results of tuberculosis physical examination will be included in the student's health file

On December 4, the National Health Commission released the "Guidelines for the Prevention and Control of Tuberculosis in Chinese Schools" on its official website. Among them, it is clear that schools of all levels and types should carry out tuberculosis-related examinations in the physical examination of freshmen and regular physical examinations of faculty and staff, and incorporate the results into the health records of students and faculty.

The guidelines require that schools at all levels and types of schools should carry out tuberculosis-related examinations in the physical examinations for freshmen and regular physical examinations for faculty and staff, and include the results of the physical examinations in the health files of students and faculty and staff. In principle, it should be completed before the student enters the school, and should be completed within one month after the start of school at the latest. The main content of the physical examination is the close contact history of pulmonary tuberculosis patients and the questioning of suspicious symptoms of pulmonary tuberculosis, TST (tuberculin skin test) testing and chest X-ray examination.

According to the guidelines, if a school has 10 or more epidemiologically-related tuberculosis cases or deaths from tuberculosis in the same semester, the county (district)-level health administrative department where the school is located should be based on on-site investigations and public health risks. Evaluate the results and determine whether it constitutes a public health emergency. (Source: National Health Commission)

On the 5th, 31 provinces, autonomous regions, and municipalities added 17 overseas imports and 1 domestic import

On December 5, 31 provinces (autonomous regions, municipalities directly under the Central Government) and Xinjiang Production and Construction Corps reported 18 newly confirmed cases, including 17 imported cases (6 in Shanghai, 6 in Fujian, 2 in Guangdong, 1 in Sichuan, and Yunnan 1 case, 1 case in Shaanxi), 1 local case (in Tianjin); no new deaths; 2 new suspected cases, all imported cases (all in Shanghai).

On that day, 12 new cases were cured and discharged, and 717 close contacts were released from medical observation. The severe cases were the same as the previous day.

As of 24:00 on the 5th, there are 279 confirmed cases (including 6 severe cases), 9 suspected cases, and 5540 close contacts who are still under medical observation.

2 new cases of asymptomatic infection were added on the same day (all imported from abroad); 6 cases were converted to confirmed cases on the same day (all imported from abroad); 11 cases were released from medical observation on the same day (all imported from abroad); asymptomatic infections are still under medical observation 234 cases (227 cases imported from abroad).

 The 26-year-old beauty has never been in love, and the reasons behind it are hard to tell! More and more young people are recruited, you have to be careful

More than 20 years old is a brilliant and wonderful time in life.

At this stage, most people will meet their spouse and take them to the next stage of life.

However, Li Qian (pseudonym), a 26-year-old beautiful girl from Hangzhou, has never been in a relationship so far. Seeing all her peers around her get married, her family is dying of anxiety.

In fact, Li Qian herself is also very anxious, but she has a secret that has been buried for more than ten years, which is really hard to tell...

26-year-old beautiful girl has never been in love

Just because of the unspeakable secret...

"I put a lot of farts every day, especially when there are a lot of people or nervous, and the smell is very heavy, can you imagine the embarrassment?"

In the consultation room of Dr. Yin Yan from the Department of Psychosomatic Medicine of Hangzhou Seventh Hospital, Li Qian finally mustered up the courage to tell the secret that had been buried for a long time.

It turned out that since the age of 14, something very embarrassing happened to Li Qian-love to fart.

Farting was originally a normal physiological phenomenon, but Li Qian's situation was very different.

Not only does she fart frequently, but the smell is also particularly strong.

Therefore, Li Qian couldn't concentrate on class at all. She was always worried that her fart would suddenly come, and she often saw her classmates discussing herself.

Later, Li Qian went to the hospital for treatment. Both Chinese and Western doctors saw it, but the problem of farting has not been alleviated at all. Instead, it "increased stronger" and the number of farts has doubled than before!

Because of this unspeakable concealment, Li Qian became very inferior, unwilling to have close contact with others, dare not make friends, let alone fall in love.

Over the years, although Li Qian has sought medical advice from various places, her symptoms have not been relieved at all.

This summer, Li Qian once again plucked up the courage to seek medical treatment.

According to the inquiry and comprehensive examination, the doctor diagnosed Li Qian as a physical symptom caused by mental anxiety, and told Li Qian: "Your problem is probably not in the stomach but in the emotions. As long as you find the crux, I think you can Cured."

Then, through oral anti-anxiety drugs, combined with relaxation training, after 4 weeks of continuous treatment, Li Qian fart significantly reduced, which gave her the confidence to pursue a better life.

Looking at the whole matter, I really feel sorry for Li Qian, but fortunately, this matter has been resolved in a better way. (News source @健康杭州)

Seeing this, will everyone also have this question-

Emotional tension, why does it cause frequent farts?

In fact, the organs of the human body, including the digestive organs, are governed by the nervous system (autonomic nerves), and are closely related to the brain and human emotions.

In other words, the stomach and intestines are all "feeling" organs, and their activity status changes with people's emotions.

For example, under negative emotions such as anger, pain, anxiety, gastric juice secretion increases, stomach acid is too high, and gastric motility increases, resulting in symptoms such as stomach pain, bloating, constipation, diarrhea, and farting.

Li Qian also mentioned that when she was 14 years old, her parents often quarreled, and she was worried about her parents' divorce, so she was always enveloped by anxiety, fear, and anxiety.

In addition to gastrointestinal reactions, the effects of emotions on the body can also manifest as other symptoms.

Previously, actor Ma Sichun had exposed in the show that when the mood is worst, his body will become stiff, his legs will be soft, he will not stop breathing, and even his eyes will not see anything. Finally, he needs to be controlled by drugs▽

Source: Sina Weibo

There is no doubt that negative emotions are the "big enemy" of health. The World Health Organization once pointed out: No disaster can cause people as much pain as a psychological crisis.

When it comes to negative emotions, we have to mention "depression".

According to statistics, there are about 350 million depression patients in the world, and 1 million people have died as a result, of which 1/4 are in China.

The heartbreaking thing is that in the second half of this year, many people chose to commit suicide to relieve themselves——

A 24-year-old Chinese chess player died at home and was diagnosed with depression during his lifetime▽

Korean comedian and his mother were found dead at home▽

Last month, a Japanese actor committed suicide▽

Source: Sina Weibo

Every time I see such news, it is so uncomfortable! I hope everyone can give more understanding and care to depressed patients, and we should pay more attention to our emotions!

And in a year, winter is a season prone to "depression", so we must remind everyone-

In winter, we must not only prevent colds, but also prevent emotional colds

Have you ever noticed that in winter, people tend to become depressed and depressed, can't lift the energy for anything, and have no appetite for anything...

This is really not hypocritical!

There is a gland called the pineal gland in our brain, which is mainly responsible for secreting the hormone melatonin that affects the human biological clock and sleep patterns.

When the secretion of melatonin increases, it will cause depression, slow thinking, fatigue, and drowsiness.

And winter is precisely a factor in the increase of melatonin secretion-

In winter, the sunshine time is shortened, the secretion of melatonin will increase; coupled with the cold weather, the body's metabolism and physiological functions are in a state of inhibition, the blood supply of the brain is relatively insufficient, and the autonomic nervous system functions are disordered.

As a result, the human body will show signs of depression, fatigue, fatigue, depression, and lack of concentration.

In addition, low temperature, high humidity, and dirty air will also affect the human body’s psychological and physiological functions, leading to neuroendocrine disorders, and thus affect human emotions.

This kind of "emotional cold" in winter, medically called winter depression, is a mild psychological disorder that can be managed.

Generally speaking, these people are most likely to be targeted by "winter depression":

Women are four times as many as men; people aged 23 to 30; people who work indoors all the year round; mental workers who are weak or rarely participate in physical exercise; people who are more sensitive to cold.

What to do?

Maybe you can try the following method-

Do 5 things well to "keep warm" for your emotions

1. Get more sun

Light can inhibit the secretion of melatonin and help prevent and relieve winter depression.

Therefore, it is recommended that you spend more than 10-20 minutes outdoors during the day in the sun.

Tips: For people who are prone to depression in winter, turn on the electric light in the room or turn on a few more lights after getting up early or 1 to 2 hours before going to bed to make the brightness close to the natural light during the day and increase the body's light.

2. Keep exercising

Moderate exercise can promote the body's metabolism and blood circulation, and relieve tension, insomnia and depression caused by autonomic dysfunction.

3. Social activities

As the saying goes, "be happy but forget the worries." In winter, try to participate in some useful social entertainment activities to help maintain a happy mood.

4. Have fun eating

Eating well can also make you happy and drive away depression!

Diet tips:

Eat some sweets appropriately to relieve stress and improve mood;

Protein is rich in raw materials for producing mood hormones. It is recommended to eat more foods such as milk, fish, soybeans, and poultry;

Fat is an important part of nerve cell membrane, and vegetable oil and fish oil can be taken appropriately;

Eat more fruits and vegetables, it is very beneficial to relieve mental depression, especially menopausal depression;

Drink 1000 to 1500 ml of water every day.

5. Rational use of drugs

When you have hard-to-eliminate upset, sleepless dreams, and unhappy mood in winter, you should make timely psychological adjustments.

For example, talk to relatives and friends; you can also ask a psychologist for help. If necessary, you can take antidepressants appropriately under the guidance of a doctor.