Qiu Wuhen has now agreed to accept the guidance of the Tangyuan envoy, and he was satisfied. He immediately said, "Since that's the case, I will go and tell him. It has been agreed that the competition time will be the morning after tomorrow, so there is still one day tomorrow. Although this day is short, you have a foundation and can have a magical thoracic surgery. Although I have said this surgery, many people, including Tangyuan envoy, don't believe it, think that I'm bragging for you, only I know it's true. You have a good medical skills and have such a good foundation. If you get a little puncture by a master like him, it's easy to get started."

Qiu Wuhen saw Fu Tianyuan's face as if he was his child worried about him, and he was moved and a little funny. He bowed and said, "Thank you then!"

In fact, Qiu Wuhen felt that one day was enough because he was just here to verify how the medicine gourd helped him improve his skills the night before, and immediately sent Fu Shangshu away.

Qiu Wuhen said to the Medicine Gourd: "When will we start? Are we now? Or sleep normally?"

The medicine gourd shook a line of words: "Of course you are sleeping normally, don't be nervous, I will have everything."

"If you were to help me, of course I wouldn't be nervous. But now you are training me to improve my surgical ability. How can I not be nervous? Even if you have a bellyful of things, I would be suspicious if you can give me time in one night."

"In a dream, the time you have to undergo an operation will be much shorter than the time you have to perform an operation in a real situation. Maybe it will be done in an instant. Because the time in a dream can be freely controlled, that is to say, if you want to dream for a hundred years, he can dream for a hundred years. It's just a dream, so time has a lot of flexibility. Until you reach the best, there is plenty of time, not just a seven or eight hours of sleep at night."

"So you can practice repeatedly in your dreams, practice as long as you want, and practice until you are satisfied. Do you think this right is not enough? Maybe Dr. Jin has practiced for five hundred years, but he may have performed 5,000 or 10,000 surgeries on these three surgeries, but you can do 20,000, and you can do 50,000 or even 100,000 times, and you won't feel tired or bored, because you are dreaming, and you won't feel tired in your dreams."

"In fact, you don't need to practice for so long, because every time you practice, I will guide you and correct your mistakes, and you will be able to correct them. Only fools will make the same low-level mistakes again and again. In that case, the more time you practice, the more deeply rooted your mistakes will be and cannot be corrected. So all your movements will be perfect, and then a certain amount of training will be fixed to form conditioned reflexes, and the purpose will be achieved. Practice more than him. Do you understand what I mean?"

This is still a long passage of explanation that is very rare in medicine gourd, which surprised and moved Qiu Wuhen. He is so patient, what else can he worry about?

After Qiu Wuhen heard Yao Hulu say this, he went to bed very early and told his wife that he was sleepy and not disturbed him.

Su Jinsong also knew that his husband was going to compete with the people from the Imperial Hospital, so he naturally would not disturb him. He even asked him to move to the study and asked the Niushui Gate to serve him, but he would not go there anymore.

After Qiu Wuhen lay down, he soon fell asleep. In the dream, the medicine gourd appeared, and he arrived at an operating room, an ancient operating room, and everything was operated according to the scene of sore surgery in the Ming Dynasty. All the medicines and instruments used were Ming Dynasty-style Chinese medicinal materials and surgical instruments used in the usual use.

Yao Hulu said: "The three test questions you have tested are all operational and do not involve relevant written test questions, so you don't need to memorize the relevant knowledge, and you may not necessarily remember them. Because many theories of traditional Chinese medicine are different from Western medicine, then do you mainly learn Western medicine, and you should focus on mastering them from the perspective of surgery."

Qiu Wuhen felt that this was correct. The medicine gourd shook a line of words: "The first exam question is cervix, which refers to cervix on the back. In modern medicine, it is called acute cellulitis."

The word "Qiu Wuhen" in the Medicine Hulu said immediately. This is actually an acute diffuse suppurative infection that occurs in the subcutaneous subfascial muscle space or deep loose collective tissue. This disease needs to be treated in a timely and effective manner. Once the treatment is out of control, it is likely to cause toxic shock and concentration emia leading to death.

However, this disease is nothing in modern society, because there are antibiotics in society that can effectively kill bacteria and quickly control the disease. However, there were no antibiotics in ancient times, and Chinese medicine alone. Traditional Chinese medicine treatment is relatively weak, so many people who suffer from this disease in ancient times will cause the disease to worsen and die.

Yaohulu continued: "Treatment of this disease requires external treatment and internal treatment. Since it is a competition, you will definitely choose a case where incision and drainage are required. Therefore, you must focus on strictly mastering this kind of incision and drainage operation. Make a cross-shaped incision or Sichuan-shaped incision in the most obvious part of the surgery. The length of the incision should exceed the edge until the normal skin depth, and reach the deep fascia. This is the first step."

"The second step is to cut the subcutaneous tissue, and then remove the necrotic and rotten tissue under the skin. If the nerve membrane has been necrotic, it must be removed at the same time. Then rinse the wound with the potion I configured for you. Then fill the wound with drainage and conditioning, sprinkle the powder I gave you, antibacterial and anti-inflammatory, and then pressurize the bandage, but the elasticity and tightness must be moderate. This is the overall requirement. It sounds simple, but it is still difficult to operate. The most important thing is whether the inflammatory part you are in contact must be completely cut open, and no hidden dangers are left, otherwise it will be considered unqualified."

"But if too much normal tissue is removed, it is also unqualified. If the infiltrated part of the inflammation is not completely cut open and the normal tissue is not reached, it is of course not easy to do, because this will lead to poor drainage and the spread of inflammation. It is also necessary to prevent major bleeding during the operation. If there is a lot of bleeding during the operation, this is an inflammatory bleeding. Generally, it does not require special treatment. Just use my gauze to press and stop the bleeding. Of course, if the tissue is bad and the wound is very large, you can undergo skin grafting surgery after the granulation wound is fresh. This is an investigation and should not be involved, so don't worry about it."

"The key is that you have to judge the infiltrating parts of various sores and carbuncles. You must know what position to cut. It is difficult to cut more and less, and it is not easy to cut. This is the key to judgment. So you need a lot of practical operations to master it. You don't feel it verbally. For external use, you use the corresponding medicine, and I will memorize the medicine list. Because the exam is not mainly for medicine, it is just a coping, but it is necessary to take these medicines to be useful. It should be obtained, but not the main content. So you don't need to have too much in-depth understanding of the prescription and focus your energy on drainage surgery."

Qiu Wuhen roughly remembered that this is no big difference from related surgeries in Western medicine. The only thing is that the medicine used is pure Chinese medicine, because there is no Western medicine in this era.

Next, Qiu Wuhen started the operation, and Yao Hulu said: "You can operate one by yourself based on what I said, and I will judge it."

Qiu Wuhen first judged the patient's back and then cut it open and drain it. He cut a cross, cleared the rotten tissue inside, cleaned the wound with the medicine prepared next to it, then sprinkled with medicine powder for drainage, and finally bandaged it.

Yao Hulu didn't say a word. After he completed all the operations, Yao Hulu only flashed three words: "I passed the exam."

Qiu Wuhen was very depressed and said, "Although I am a forensic doctor, I still know about this surgical hand. I also had related debridement surgery during my internship. I have done all this in the traction and drainage. But after a long time, I forgot it almost, and it won't just pass the exam."

Yaohulu said: "The technique of cutting the free flap of the subcutaneous tissue is unhealthy, and the effect is not good. It is not thorough to remove the necrotic and rotten tissue under the skin. Some nerve membranes have been necrotic and you have not removed it. It is too simple to wash the wound surface. The drainage stone is not repeatedly flushed. The radiation position is not large, and the bandage and pressurization are too tight, which affects the drainage. Therefore, your surgery can only be barely passed. There is a great possibility that the incision and drainage must be re-examined, because the biggest problem is that the removal is not thorough, which may also lead to new infections. If the medicine is not enough to change it. So from the current point of view, your surgery can only be barely passed. Once an infection occurs, it is no problem to judge it as a failure."

Qiu Wuhen didn't expect the result to be like this, and he was very depressed. However, Yao Hulu was very polite and he had no way to refute. Yao Hulu said: "You don't have to be depressed. Start practicing from scratch and take it step by step. I will tell you what is not good enough."

When he cuts the drainage, he will give instructions to the next step after each step of the medicine gourd, pointing out his correct posture. Because each patient has different sores, carbuncles, the depth of infection, the degree of infection and the location of infection, and there is no standard operating mode for him to learn. He can only continue to summarize and accumulate experience, and have to contact various sores, and use various situations to cut the drainage.

After countless successes and failures, and repeated practices, he did this incision and drainage technique thousands of times alone.

Finally, he was able to complete an incision and debridement surgery independently. The Medicine Gour gave an excellent evaluation and he was extremely excited. However, he knew that one excellence does not mean that he can be excellent every time. He still needs to get more excellence. The excellent technique was fixed and continued to practice hundreds of times. He could even reach the level of excellence almost 100% in the end.

Yao Hulu said: "Because you just use the incision and drainage technique, no one in the Ming Dynasty could surpass you. In modern society, no doctor can do better than you, so you can go into battle with confidence."

But this is just the first of the three questions, and the second is trauma debridement.
Chapter completed!