Three Kingdoms

  Chapter 2666 One step ahead

  To be honest, Fei Qian never imagined that a big man can do this kind of surgery.

  Even Fei Qian knew that Hua Tuo was very powerful.

  Hundred Medical Center has been able to perform cecum surgery for a long time, but Zheng Xuan's operation is obviously not as difficult as cutting the cecum.

  Even in later generations, it may be necessary to take CT scans before doctors dare to perform surgery. Of course, it does not mean that the doctors of later generations are so bad, but that Hua Tuo was able to find the problem and solve it without any diagnostic equipment. right!

  The medical skills in ancient China have developed to such a point?

  With this kind of surprise and doubts in his heart, Fei Qian went to Baiyi Museum the next day.

   Fei Qian didn’t enter Zheng Xuan’s ward, and after the operation, Zheng Xuan was only out of the danger zone, so it wasn’t considered a recovery, so Fei Qian just stood outside the ward and watched.

  Outside the ward, there was the smell of alcohol.

   Especially on the doors and windows, it seems that someone just sprayed some high alcohol on them.

  The house was originally fumigated with wormwood, so the smell of blood is not too strong now.

  Although it cannot be completely aseptic, the Baiyi Museum has already had some experience in the care of surgical wounds. So if it is said that Zheng Xuan's wound can heal smoothly, it cannot be said that it can prolong his life for a few more years, as Hua Tuo said.

Although it is true that Zheng Xuan has the risk of subsequent infection, in comparison, later generations are always laminar flow operating room, sterile explosive packs, uh, surgical kits, and just like that, leaving a piece of gauze or hemostatic forceps from time to time As a gift…

  So Fei Qian feels that Western medicine is more like treating symptoms, while Chinese medicine is treating people.

  If it is said that Chinese medicine surgery can be passed down...

   Fei Qian touched the beard on his chin.

  After all, the history of surgery in Western medicine did not start from doctors, but from Mr. Tony.

If you want surgery in later generations, you must find a regular hospital, but in medieval Europe, you can only find a teacher Tony, because the versatile Tony can not only shave and cut hair, but also undertake tooth extraction, bloodletting and surgery, etc. series of engineering projects.

What?

  Sterile and dust-free?

  Don’t be kidding, you still have to wear high heels to the streets in the Middle Ages, or you’ll be **** your feet.

Because of religion, many people in the Middle Ages believed that contact with blood was a lowly occupation. Therefore, the clergy and medical personnel in the religious system are most likely to be of the line of the Holy Light. Basically, they are just holy water symbols and will not be contaminated with blood. Yes, so Mr. Tony, who often caused wounds when shaving his head and face due to the lack of sharpness of the razor, naturally started his part-time job process.

  At the same time, in order for some people with unsophisticated techniques to mix into the ranks of Mr. Tony, the Middle Ages also specially issued a license for hairdressing to Mr. Tony. Only with this license can I go to work for surgery, otherwise I can only have my hair cut and shaved.

   But having this license does not mean anything, and from the Middle Ages to modern times, the development of Western medicine surgery is actually the same. Even in order to remove the toxins from the wound, it is necessary to pour boiling oil on the wound, and use a branding iron to burn it...

  It was only later that a doctor accompanying the army invented methods such as ointment to clean and bandage wounds, and hemostatic forceps to clamp and sew blood vessels, etc., and the mortality rate began to decline. Of course, this military doctor is not a "doctor", he still holds a barber surgeon's license.

   It wasn't until the eighteenth century that haircuts and surgery were separated.

Moreover, in the course of the development of the surgery, there were many absurd practices, such as pouring oil on the wound and using a soldering iron to stop the bleeding, and the popular bloodletting therapy. Not many people were saved, but because of subsequent complications, or Many people died due to infection, just like the peanut stew in the United States. At the beginning, it was just a sore throat and cold, at most it was an upper respiratory tract infection. due to excessive bleeding...

However, from disorder to orderly development, from the appearance of surgery to the establishment of various surgical theories, strictly speaking, it only took two to three hundred years. The war provided a large number of cheap and even free surgical "experiments". , and Western surgery developed rapidly in such an environment.

  Yes, the cornerstone of medicine is life.

  Thinking of this, Fei Qian could not help but let out a long sigh.

In Fei Qian’s conception of later generations, Chinese medicine has almost ceded the territory of all operations, but those who perform surgery are basically Western medicine. Everyone’s concept of Chinese medicine is maintenance, health preservation, chronic disease, and prevention. Yu Weiran, like yesterday's emergency, the immediate life-and-death surgery is almost not something Chinese medicine does...

This concept does not belong to only one or two people, even the whole of China thinks so, even the doctors of Chinese medicine in many Chinese medicine hospitals think so. Seeing a doctor is no longer about seeing and hearing, but about opening a list first. Looking for machines, blood and urine tests, color Doppler ultrasound, CT, etc.

  Pulse diagnosis?

   Sorry, no.

  China doesn't think Chinese medicine is so good, but the neighbor next door clamors every day how good Chinese medicine has changed its name.

this phenomenon…

   Well, it’s actually quite interesting.

  Speaking of which, no one wants to die. In other words, normal people all have the idea that it is better to live than die, but in "living", the most important thing is not how much money you have, but whether you are suffering from illness...

  If the pain caused by the illness is unbearable, if you can’t say it, you will choose to die directly.

  So whether you can "live" or not, in fact, the role of doctors is very critical.

  Being able to live and live well is perhaps the most simple expectation of ordinary people.

  But this "medical skill" that was originally held in Huaxia's hands and could save people's lives, was handed over at a certain period of time, under the explicit or covert methods of some people...

  So Fei Qian wanted to talk to Hua Tuo very much.

  In Fei Qian’s original concept, Western medicine in later generations is not bad, but too expensive. But what can ordinary people do? When you are sick, you have to go to the hospital, like pigs and sheep in a slaughterhouse, lying down and letting the hospital slaughter you.

   Note that it is not a doctor, but a hospital to cut flesh.

Although it is true that many doctors fell under the environment of later generations and became accomplices on their own initiative, there are still many doctors who have no right to choose, let alone the ability to fight against the hospital, and can only passively accept, or fight with the hospital. Like patients, they have become targets of oppression by the hospital system.

  Fei potential future generations seem to have heard a saying that the reason why western medicine can overwhelm traditional Chinese medicine is not because western medicine is necessarily better than traditional Chinese medicine, but because western medicine must be more expensive than traditional Chinese medicine!

   But everything that China can produce independently is cheap, so cheap that the whole world has to import from China, and those that China cannot produce...

  So, just like seeds, fertilizers, etc., medical skills are also a sharp blade for harvesting.

In the process of knife fighting, some of them won the fight, but suffered heavy casualties, and some still lost, and they would continue to lose blood, sending more flesh and blood to procrastinate and create for the next knife. time…

  So in many cases, Huaxia had to use human lives to fill it.

   Fill it in, fill it in, sometimes it makes some people feel very natural, and when the people don't want it, these people will jump and scold, saying that this is a malicious act, and they should be arrested and punished! It never occurred to me that they have actually changed from following me to following me.

  Fei Qian suddenly discovered that China already had such a sharp blade as early as the Han Dynasty!

   Then when did Huaxia discard this sharp blade?

   Is it active or passive?

   Did he not realize it, or was it corrupted by spies?

   Fei Qian didn't know, he just realized that he had to do something.

  So Fei Qian came to Baiyi Museum again and found Hua Tuo.

  Everyone was very tired yesterday, even if Fei Qian wanted to say something, it was not appropriate.

  Hua Tuo didn't treat patients today, maybe yesterday's operation also consumed a lot of his energy...

   When Fei Qian arrived, Hua Tuo was writing medical records.

  『General…』 Hua Tuo put down his pen and greeted Fei Qian.

Hua Tuo was a little puzzled. Of course, Hua Tuo thought that Fei Qian was paying attention to Zheng Xuan's condition, so he quickly said, "Zheng Gongfeng's saliva was stagnated in his brain, so he was in danger. Now that he has taken it out, although the conquest will damage his body, However, slowly recuperating, at least three to five years can be expected. 』

  Hua Tuo spoke very calmly, as if he was talking about a very ordinary thing, just like Zheng Xuan's operation and an ordinary person cutting a cecum...

   Feiqian nodded, and then said: "Someone just went to visit... I didn't go into the house, I just looked outside... Zheng Gong is still sleeping, it doesn't seem to be in pain..."

  『The effect of Mafeisan. Hua Tuo replied, "But after night, the effect of Mafeisan will fade..."

  Mafeisan is the earliest anesthetic. It was not until the 18th century in the West that there were relatively clear anesthetics. Unfortunately, Mafeisan was lost in history.

  『Mafeisan...』 Fei Qian nodded, then looked at Hua Tuo, 『I heard that Mafeisan is a unique study of Yuanhua? Why are you willing to dedicate it to Baiyi Museum? 』

  Nowadays, there are not only Mafeisan in the Hundred Medical Center, but also a certain amount of prepared Mafeisan in the army doctor's side. This is all thanks to Hua Tuo's willingness to hide his secrets and contributed the formula of Mafeisan.

  Hua Tuo was stunned for a moment, then shook his head and said with a smile: "I also wanted to pass on my own...General, do you know how I got this Mabosan?" 』

   Fei Qian shook his head.

  Hua Tuo sighed softly, "It was passed down to me by a refugee..."

  『Refugees? Fei Qian asked, "Is there no name?" 』

  『I don’t know the name. Hua Tuo shook his head, "I followed the refugees and migrated all the way... When I was in Yanzhou, I met a man with a swollen abdomen, which was like a drum, and he couldn't move up and down... When I arrived, he was preparing to open his own abdomen... 』

"what? ” Fei Qian couldn’t believe it, “Stomach yourself? 』

Hua Tuo nodded, "He prepared the Biantian knife himself...and this Mafeisan...Of course, I changed some of Mafeisan later...At that time, he only had one main medicine, which was hard to relieve pain at least, and at most It is fainting, it is contained in the mouth, and it is eaten gradually...』

   Bianstone knife is a stone knife made of Bianstone.

  Bianstone is the earliest surgical tool in China. The use of Bianstone as a needle knife has been recorded in the "Huangdi Neijing" as early as "breaking carbuncles". People use Bianstone to make various medical instruments, such as Bianstone needles and Bianstone sickles, and they come in different sizes. The Bianstone sickle is similar to a blade and can be used to cut off tumors and carrion. Bianstone itself is also used for health preservation and treatment, and has the functions of regulating qi and blood and dredging meridians.

   Among the later generations, the Bianstone sickle unearthed from the Shang Dynasty has a history of 3,400 years and can be called the earliest scalpel in the world.

   Then modern scientists found that meteorites contain at least 30 kinds of trace elements that are beneficial to the human body. But here lies the problem. In ancient China, where there were no research instruments, even in ancient times, who discovered the efficacy of meteorites, and how did they discover them?

"and after? ’ Fei Qian asked. Although Fei Qian also guessed some results.

  Hua Tuo shook his head, "Dead." Heartbroken must die. However, he also successfully cut open his own stomach and took the hardened matter in his intestines... He fled all the way, and the grass roots and bark had already been eaten up, so he could only eat soil, and the result...』

  Hua Tuo sighed.

   Guanyin soil.

   Eat the soil of Guanyin sooner or later.

   Fei Qian also sighed.

  Furthermore, Fei Qian knew that even though it was the same as cutting the intestines, cutting the cecum and cutting the large intestine, although there was a word difference, it was actually a world of difference. As long as the cecum is tied in a knot, it is not a big problem if the intestines do not leak, but the large intestine...

   Abdominal infection, death is certain. Although Hua Tuo didn't know what abdominal infection is, he knew almost the same conclusion, that is, if the intestines are not broken, there are still people who can be saved, but if the intestines are broken, they will die.

"Later, I used his main medicine and added the medicine of ministers to make Mafeisan..." Hua Tuo raised his head, as if he was caught in some memories, "At first, Mafeisan didn't work well. , I also adjusted it many times before I found the dosage...so, I can't keep it private...』

  Although what Hua Tuo said seems to be very simple, in fact, every dosage adjustment may represent a life.

  Hua Tuo felt that the reason why he could have his Mafeisan was the test of human life, so in order to respect the lives of these people, he was unwilling to keep it privately.

In history, Hua Tuo really never thought of keeping it private. He knew that he was going to die, so he wanted the jailer to teach him medicine on his behalf, and handed over the "green bag book" to the jailer. Unfortunately, the jailer was just an ordinary jailer. Afraid of being implicated, he burned the "green bag book"...

  Since then, Ma Feisan, who took the first step in Huaxia, has been lost.

  In the West, before there is no anesthesia, Western medicine surgery can only seek speed!

Because there is no anesthesia, the patient will struggle instinctively because of the pain, so he can only go quickly and cut down, not only the amputated patient did not react, even the assistants on the side also did not have time to react, not only cut off the patient's limb Limb, and by the way, cut off the assistant's finger...

  In addition to Mafeisan, Huaxia Surgery is also one step ahead in terms of equipment.

  With the increasing popularity of copper and iron ware, Chinese physicians also began to use metals such as copper and iron to make needles, knives, sickles and many other surgical instruments. In the Song Dynasty, there were relatively complete surgical instruments, such as needles, scissors, knives, forceps, and chisels, which were recorded in books such as "Shi Yi De Xiao Fang" and "Yong Lei Qian Fang".

  Even in the Ming Dynasty, surgical knives that were very similar to the willow-leaf scalpels appeared...

  At the same time, for the suture line of the incision, even without the guidance of Fei Qian in history, it is still one step ahead.

  During the Sui and Tang dynasties, in addition to the formation of relatively complete debridement and suture, the materials for suturing wounds were also improved. The most important invention is the use of mulberry suture to suture the intestines and skin, which has been widely used clinically and achieved good results. Suture is an important invention in the history of Chinese traditional Chinese medicine surgery.

   "Zhan Fan Fang" records the method of treating golden sores and intestines, "Sew the intestines with thin threads of mulberry bark, and use puhuang powder to powder it." 』

  In addition, the mulberry thread itself has mild medicinal properties, has the effect of clearing away heat and detoxifying, promoting wound healing, and can even be absorbed by the body, so there is no need to remove the stitches after suturing.

  For postoperative hemostasis and recovery, ancient Chinese physicians also invented various ointments, medicinal washes, and excellent surgical medicines such as decompression, muscle growth, and convergence and healing, to help postoperative hemostasis and healing.

   It's a pity that the rabbit ran fast and took a step ahead, but fell asleep on the way.

  Fei Qian looked at the various surgical tools, medicines, etc. displayed by Hua Tuo, and felt more and more emotional...

  If Zheng Xuan hadn’t performed such a major operation this time, Fei Qian would not even have imagined that Huaxia’s Chinese medicine practitioners are already ahead by such a large margin!

  If so, don't let the rabbit stop?

"I want to call all the doctors in the army, as well as the doctors in the counties and counties, to the Chang'an Hundred Medical Center for selection and reference..." Fei Qian said slowly, "Please ask the doctors of the Chinese University of the Hundred Medical Center to review and determine their grades... I don’t know What do you think of Yuanhua? 』

  『Evaluation rating? ’ Hua Tuo stroked his beard and asked, ‘Like a craftsman? 』

   Fei Qian nodded.

  The evaluation system of Huang’s Great Craftsman has already taken shape in Jingzhou. Later, it was also held in Hedong, and after Chang’an, there are different grades from apprentices to craftsmen, and then to master craftsmen.

  Hua Tuo nodded, then shook his head, "The general wants to rate doctors, which can be described as a good method... but I don't like things that have nothing to do with medicine, so this review... There are many talented people in the Hundred Medical Center, I'm sorry..."

  Hua Tuo is such a character. He doesn't like government affairs, and he doesn't even care much about the affairs of the Hundred Medical Center. He wants to specialize in medical skills, otherwise he wouldn't have declined the director of the Hundred Medical Center back then, and only wanted to be an ordinary doctor. Then every now and then, he went to the countryside to treat the common people.

  『Yuanhua’s words are wrong! Fei Qian pointed to the tools and medicines of these gold-creating surgeries displayed by Hua Tuo and said, "If Yuanhua is not judged for such gold-creating techniques, who can do it?" What's more, although this matter is complicated, it can benefit thousands of people. How can Yuanhua avoid it because of evil? 』

  Hua Tuo looked at those medical equipment, stroked his beard, thought for some time, finally nodded and said, "What the general said... is very true, no matter what, since it is beneficial to the people, Tuo will try his best to do it..."

   Fei Qian nodded and smiled.

  Many things are actually complicated and complicated, and simple and simple. Build a platform, exchange information, grade evaluation, and then spread the seeds, so that the roots of Huaxia Medicine can take root deeper, grow better, and bloom more beautifully!

  Run, rabbit, since you are one step ahead, let's continue to lead!

  (end of this chapter)