Chapter 2780: 2577 Swallowing Fish Gallbladder Raw (Alliance Leader Blowfly Bonus Chapter 4)

Soon, Gao Jie came out, her expression a little strange.

"Gao Jie, what's going on?" Su Yun asked.

"He said his colleague went to Guang'anmen to see a doctor, the old Chinese physician prescribed him a dose of medicine, and after taking it he got better; he also took it as instructed. I keep strict control at home, but he sneaked it."

"Huh?!" Zheng Ren looked at Gao Jie dubiously.

"What medicine?"

"It's for the eyes, they said it's fish gallbladder. No wonder I bought two fish yesterday and even cooked sweet and sour fish." Gao Jie complained.

"Gao Jie, prepare to be admitted to the hospital, let's do dialysis first." Zhou Litao said from the side, "The BUN and creatinine are both high; I asked, the cause of diarrhea is one thing, but he hasn't urinated for over ten hours."

Gao Jie kept agreeing, Su Yun followed in to inquire about the details, and soon came out with a phone number.

Zheng Renze kept pondering: Chinese medicine emphasizes observation, listening, questioning, and pulse-taking; symptoms differ, surface conditions differ—can one just take medicine casually?

Seeing Su Yun come out with a helpless expression, Zheng Ren asked, "What's going on?"

"Gao Jie's husband is a bit stupid." Su Yun said directly: "The herbal decoction prescribed at Guang'anmen had no effect after taking it. Yesterday, while chatting idly, I told him fish gallbladder improves eyesight, so he bought two carp, went home, cut open their gallbladders, and swallowed them whole."

""

"He really has the gall, daring to eat anything," Zheng Ren muttered to himself.

"I'll make a call to check the situation there. Manager Zhou, is the duty room still yours?" Su Yun asked.

"Yeah, I moved back. The department has no one, I estimate I'll have to work a few more months." Zhou Litao also said helplessly.

Arriving at Zhou Litao's duty room, Su Yun first made a call, politely asking for the herbal prescription given by Guang'anmen.

"Everything's mixed up!" Su Yun said, "They diagnosed it as grand wind lepra, prescribed horseshoe crab gallbladder powder, which would have cured it. I don't know how it got transmitted, but by the time it reached Gao Jie's husband's ears, it turned into "fish gallbladder improves eyesight.""

With the message distorted like this, Zheng Ren couldn't do anything about it.

"Horseshoe crab gallbladder powder?" Zhou Litao asked.

"Horseshoe crab gallbladder, raw, half a tael; raw white alum, half a tael; raw green alum, half a tael; talc, half a tael; mercury, half a tael; musk, half a tael." Su Yun said, "It's not edible—how did he hear about it?"

"I guess it's the rumor that fish gallbladder improves eyesight; maybe he's getting older, his vision's starting to blur, so he thought to eat some fish gallbladder." Zheng Ren speculated, "It seems pretty well known that fish gallbladder improves eyesight."

"That's probably it." Su Yun said, "Can horseshoe crab gallbladder and carp gallbladder be the same? He only heard half the story; this time, even if we want to restore liver and kidney function, it'll take about half a month."

"Yun Ge'er, is the person okay?" Zhou Litao asked.

"He should be fine; use some hepatoprotective drugs to lower transaminases. After another half month of dialysis, once creatinine returns to normal, he'll be okay." Su Yun said.

"Isn't fish gallbladder said to be toxic? How could he just eat it like that?" Zhou Litao sighed.

"Not all fish gallbladders are toxic; I used to know someone in aquatic research who tested the gallbladders of 21 freshwater fish species, and 12 were toxic." Su Yun said.

"Well, the ones we commonly eat are usually toxic, especially crucian carp, black carp, culter, grass carp, and yellowcheek carp—their gallbladders are especially toxic. As for horseshoe crab gallbladder, I have no impression."

"Horseshoe crab gallbladder is fine, but Boss, you said it's also strange—people say fish gallbladder is the organ that detoxifies fish, and eating it will kill you. Yet horseshoe crab gallbladder seems fine; big fish eating small fish in rivers and seas also doesn't cause issues."

"Without further study, maybe those fish species that would die from poisoning after eating small fish have already gone extinct." Zheng Ren said.

"I don't agree with what you said. Hey, Manager Zhou, stop being the Inpatient Chief and go do basic research." Su Yun laughed and said, "Just research why bears can eat a whole fish without issue while humans can't. If there's a breakthrough, you'll become famous and successful—then you'll be beautiful."

"Don't listen to him." Zheng Ren said, "Talking about toxicity without dosage is just being a rascal."

Zhou Litao nodded repeatedly in his heart, but his face showed no sign of agreement. "Can Yun Ge'er be offended so casually?" he thought, "Better not join in the fun."

"Fish gallbladder contains bile toxins, bile salts, and cyanogenic compounds, which obstruct cellular energy metabolism, cause cell death, alter organ function metabolism, trigger systemic inflammatory response syndrome, and worsen tissue-organ damage. The toxicity mainly refers to cyanogenic compounds; I estimate non-toxic fish gallbladders have lower levels of these compounds."

Zheng Ren speculated.

"Folklore claims fish gallbladder clears heat, detoxifies, and improves eyesight, but actually no one knows which fish's gallbladder is being referred to. Later, it may have simply become "fish gallbladder" in general." Su Yun said.

"I remember when I was in school, there was an old professor nearing 80, his eyesight still sharp. He said it was a family-secret remedy: just eat fish gallbladder to improve eyesight." Zhou Litao said, "The old man looked particularly robust; I was envious back then."

"That's not the fish sold on the market nowadays; besides, when people eat fish gallbladder, they use monarch-minister assistance, warming-cooling counteraction, and there are many nuances. Eating fish gallbladder on an empty stomach—isn't that just nonsense? It's like NSAID painkillers and cold medicine; a few months ago a student overdosed, directly causing liver failure requiring a transplant."

"Isn't this just like eating pufferfish? You could die at any time; as long as it's not completely clean, problems arise." Zhou Litao grew a little fearful.

"It's not that serious; normally if the gallbladder breaks, the whole fish turns bitter. One bite and you can't eat more—the intake is extremely low, so it's basically harmless." Su Yun said, "But this kind of swallowing fish gallbladder—he probably swallowed two, which is practically suicidal. How much would that be? Now I estimate his liver function hasn't peaked yet; two gallbladders would likely push the numbers up to 2000."

"Yun Ge'er, what's the mechanism? Is it toxicity produced via absorption through the digestive tract?" Zhou Litao asked, probing deeply.

"The toxin first acts on the epithelial cells of the digestive tract; because those cells are stimulated, the patient immediately shows nausea, vomiting, diarrhea, or bloating—digestive tract symptoms. Boss, is that right?" Su Yun asked.

"Yeah, roughly that principle. I recall the onset is fast; this counts as a delay. Some cases reach the hospital within an hour. But there's no good specific treatment—only dialysis can solve the renal failure problem." Zheng Ren said.

"Saying it's cyanogenic compounds isn't very accurate; the academic name has been changed to sodium cyprinol sulfate." Zheng Ren immediately said, "I saw research on sodium cyprinol sulfate in a Chinese-character heading forensic medicine document."

"What's the point of reading forensic medicine books? Are you thinking of switching careers?" Su Yun, seemingly having forgotten about the fish gallbladder matter, latched onto the two words "forensic medicine" and asked.