Chapter 324 ?
The envoy of Tangyuan said: "The streets are frostbite. Usually, you go out to the streets with frostbite patients with frostbite with frostbite, but when you really want to find this, this one is not suitable and that one is not suitable. Because I want to find a patient who can compete with the level of the test, the patient's choice is also my choice, so of course I have to choose one that both of you can't speak. So I will organize today's exercises for you according to this morning, so they finally picked a few that meet the requirements. The people they chose were doctors who specialized in treating frostbite such as Jin Chuang. According to what I said, I went all over the city and found the right one until now."
Qiu Wuhen once again looked at Fu Tianyuan's worried face of his old mother, bowed and said, "Thank you, two sirs, thank you for your hard work!"
The Tangyuan envoy smiled and waved his hand, "This is not a question. If you take it on the street, you will die. The most troublesome thing is the prisoner who beats the board in the yamen. The master gave up the case and sent the patient back to the prison. Only then can the prisoner go through the pressure procedures. Moreover, the prisoner cannot be the criminals who are extremely guilty. What if he runs away? They are all small-scale quarrels, but there are quite a few slaps for spanking, which also needs to be waited. Finally, two were waiting for them and they just came."
"It's a bit troublesome to find this. Various pharmacies have to check whether there is any of the kind that has just arrived and has not been cured yet? It's only meaningful to treat it in this way. If others have been cured half-baked, it's meaningless to treat it. Therefore, there are many patients with sores on their backs, but not many people who meet the conditions can find it."
He wanted to nag, but Shangshu Fu was impatient and said, "Hurry up, I'm sleepy. In this cold day, I want to hide at home and never go anywhere except for court."
Fu Tianyuan and Tangyuan were friends for many years, so they naturally spoke casually. Tangyuan reached out and clicked in front of Fu Tianyuan, but smiled helplessly and was not angry.
So the Tangyuan envoy brought Qiu Wuhen and the others out and arrived at a room next door. There were already several patients here, some frostbite, some sores on their backs, and some butts were bounced against the board.
Tangyuan Envoy said: "Let's treat those who have sores on the back first, and then take the next step after the treatment. Now there are three people with sores on the back. I will choose one for you to show you, and then you can do two relatively easy things, and I will give you a comment. But I am very straightforward, and you should forgive me if I say something heavy. I am right, but I am not right. I only look at the surgery method, don't ask others, and I don't care who you are. I hope you understand."
Mr. Fu was afraid that Qiu Wuhen would be unhappy, so he quickly explained: "The envoy of Tangyuan said harshly, but in fact he had good intentions. He was famous for his strictness, and he was also a seal officer. If it was too easy to talk to and the hospital would be in chaos, it would be troublesome. The emperor had to slap the table. So strictness is a last resort and a must."
This sentence made Tang Yuan Envoy very helpful. He nodded repeatedly and looked at Qiu Wuhen. Qiu Wuhen said sincerely: "My technique may not be scolded by the examination. If this is true, I can only blame myself for not being good at learning. But I dare to challenge Doctor Jin, and I will try it later. Tang Yuan Envoy, please give me some advice. I will naturally be grateful to you."
The envoy of the Tangyuan Hospital said that Qiu Wuhen would say a few humble words, but Qiu Wuhen said that his surgery basically did not require guidance, and that was roughly what he meant.
The old man likes young people to be more modest. Seeing Qiu Wuhen like this, he naturally has a little more to teach him well. Not to mention anything else, even for Fu Tianyuan's sake, he will do this.
The Tangyuan inspected three patients, picked one of the most serious sores on the back, and began to perform surgery on the patient, explaining to Qiu Wuhen while performing the surgery. However, when he saw that he had the surgery, Qiu Wuhen was shocked. The surgery learned from the medicine gourd originated from modern Western medicine was very different.
He found a gourd to cut off the upper mouth, took off the flesh inside, then poured it with white wine, sealed the mouth, and put it in the water of a large iron pot. He boiled the fire below, took out the gourd when it was boiling, and then poured out the whole wine. While the gourd was very hot, he aimed at the wound and suddenly covered it, pressing the poisonous sore tightly. Due to the air formed by the heat inside, the poisonous sore was sucked into the gourd. Seeing that it was almost done, he cut it directly along the flat mouth with a knife, forming a wound as big as a bowl.
The whole operation is similar to cupping, but the technique is too simple and rough, and the patient screams like a pig killing. Fortunately, he has made preparations in advance and tied his hands and feet to the bed and cannot move.
Seeing that the meat that was dug out was bleeding, this method was too wild, but there was a certain reason, because it sucked the necrotic muscles in it by heat. Compared with other normal muscles, it is relatively soft and easy to be sucked into the gourd. However, the heat is not easy to control, so the tissues sucked in can be more or less. For example, from the current situation of the wound, there are basically no contaminated poisonous sores left in the wound.
However, the normal collective tissue of the muscle group was cut off, forming such a large wound. It is very difficult to heal the wound. In modern society, it is estimated that the skin needs to be done, and the wound is so big, it is easy to get infected. If it is sutured, the wound is too big, but it is actually easy to break if it is pulled too tightly.
However, judging from the techniques of the Tangyuan envoy, he was extremely skillful. From this we can see that he had used this move for many times and was very skillful.
He then took a piece of gauze and poured several kinds of medicine powder on the gauze, then stuck it on the wound, wrapping the wound with white cloth.
Qiu Wuhen saw that his gauze was taken out directly from his wooden box for practicing medicine. The medicines and instruments in the box were messy. It was obvious that the gauze had not been strictly disinfected and sterile. The same was true for the gauze stuffed to the wound. It would be strange if such gauze was not infected?
Qiu Wuhen didn't know how to score this operation? Because it was too much beyond his imagination. Fortunately, he asked Yao Hulu in his mind: "How many points can he get in this way?"
"good."
Qiu Wuhen said loudly: "You are right, you are so simple and crude treatment method, you actually got a good treatment."
Yao Hulu said: "My judgment is judged by the medical level of the Ming Dynasty, not by the modern one. If we use modern ones to estimate, we may not even pass the exam because it did not use sterile operations. However, there was no such priority in the Ming Dynasty. From the perspective of surgery alone, he was able to achieve the good level that this era could achieve."
Qiu Wuhen then realized that the score of medicine gourds was based on the medical level in the Ming Dynasty. The Tangyuan Hospital was used to treat back abscesses. This surgery was good at judging from the medical level in the Ming Dynasty. Fu Shangshu had explained that the Tangyuan Hospital was also a doctor in the Department of Sores. Later, after becoming an official, he had not actually performed it for many years. Therefore, the surgery level has dropped a lot, but it is still good to maintain a good level.
After the processing, Tangyuan Envoy looked at Qiu Wuhen with some pride. Unexpectedly, Qiu Wuhen saw a little surprised and puzzled, and was a little unhappy. He thought he would see his appreciation and admiration for him from the face of the young man. However, what does his current expression mean?
He asked now, "Master Qiu, do you think my operation is inappropriate?"
Qiu Wuhen smiled slightly, not wanting to praise him against his will. After all, this operation looks too bloody and terrifying. The patient is afraid that he will die of illness, but will suffer from pain.
Thinking of this, Qiu Wuhen bowed and said, "The level of the Tangyuan Hospital is already very good in the environment like the Imperial Hospital, and it can almost be said to be perfect. But in my opinion, there are too many areas that need to be improved in this operation. The operation itself is inappropriate, and there are many things that have not been handled well. I don't agree with your treatment. Because according to your treatment, the sore may be infected, and the patient will also be in great danger of dying due to the infection, and the treatment effect is very dangerous."
When Tangyuan heard that Qiu Wuhen had such a large string, his nose was crooked. At this time, Fu Tianyuan couldn't see such a scene and went out early, so no one spoke for Qiu Wuhen, who was straight.
I saw that the Tomyoji really turned cold and looked at him and said, "It seems that you have a better way?"
Qiu Wuhen has always been a stubborn worker. His former colleagues and relatives and friends around him know about this matter, and he has advised him a lot. He thought of an old man who asked him to practice for him for himself and showed him his own hands. Although he did not agree, he should not be too sad to speak.
After thinking about it, Qiu Wuhen said, "Don't be angry. I mean, my method may also be taken. I think my method is better than your method and it works better than yours. The patient will not suffer from pain and it is basically impossible to get infected. If the disease is cured, it will be cured. Unlike you, if you cure it, it is estimated that half of the probability of the patient will die because he will get infected."
The Tangyuan was stunned, but he didn't expect Qiu Wuhen to say so bluntly. However, he asked himself, most patients who have undergone such surgery were used when the sores on the back were already very serious, so he would use this more extreme flesh-cutting therapy. The mortality rate after this surgery was indeed more than half, which means that half of the patients would eventually die even after this treatment.
Fu Tianyuan heard someone talking in the room, as if he was about to start a quarrel, so he hurried into the door to take a look. Unexpectedly, Qiu Wuhen was so disrespectful to give the Tangyuan envoy so much that he said that his medical skills were not good, so he almost called him a quack doctor. In a hurry, he repeatedly slapped Qiu Wuhen and signaled him not to go too far.
Chapter completed!