Chapter 148 Combination of ancient and modern medicine
Ji Zizhuan looked at Yang Mo and said, "Ready."
Yang Mo nodded and saw Ji Zi Zhuan cut Lu Zhi's belt. Shen Weiyan saw blood gushing out and was stunned. He didn't understand anything about surgery. Now looking at this situation My heart beat faster and my mind went blank.
Ji Zi Zhuan stretched out his hand to touch the tip of the gun. Yang Mo handed over the hemostatic wadding and stuffed it into Lu Zhi's wound. Soon the silk floss was completely soaked with blood.
Just when Shen Weiyan was in a daze, Ji Zizhuan reached out for the tweezers, and Yang Mo hurriedly handed them over.
Shen Weiyan couldn't help but blush. In this regard, he was not even as good as Miss Yang.
Ji Zi Zhuan took the tweezers and skillfully took out the gun tip.
This is the first time Yang Mo has seen Mr. Ji Zizhuan use surgical tools to treat patients. Many ancient surgical techniques that are already known to modern times have been lost. The methods of filling and removing foreign bodies she sees now are not very similar to modern techniques. The big difference is that the West always says that traditional Chinese medicine is not a product of science, but a therapy with ancient Chinese characteristics. Now it seems that modern people do not understand the history of traditional Chinese medicine.
Mr. Ji Zizhuan asked Hu Ling to bring medicine to wash the wound.
Yang Mo picked up the needle and put it into the wound to suck away the remaining disinfectant and blood.
Ji Zi Zhuan checked it repeatedly, then shook his head, "The bleeding can't be stopped and the intestines are damaged. I'm afraid it won't be easy to treat."
Yang Mo raised her head and looked at Lu Zhi who bit his lip to bleed.
I don’t know when Mr. Lu asked the Lu family to carry him outside the door. Mr. Lu looked inside through the curtain. Hearing these words, Mr. Lu struggled and said, "Save my nephew... Please help Miss Yang and Mr. Ji." Save...Lu Zhi."
Seeing this situation, Lu Zheng stepped forward and said, "Is there anyone we can help with? If you want more blood, I'll go find more people."
If the intestines cannot be repaired, even a blood transfusion cannot save Lu Zhi.
Lu Zheng looked at the blood-soaked cloth in the basin and felt panicked. Lu Zhi had delayed so long before starting treatment. If this was on the battlefield, he would definitely be hopeless. He was a person who had been on the battlefield. He was not familiar with these things. It couldn't be clearer how many people died from gunshot wounds like this.
"It's all because of me," Mr. Lu's eyes turned red. "Lu Zhi was concerned about my illness, so he didn't say anything. I thought the martial arts exam was coming soon, and I wanted to teach him more...who knows..."
Lu Zheng whispered to Mr. Lu, "With the doctor from Baohetang here, everything will be fine."
Having said that, everyone feels sad. Miss Yang has not said that it can be cured until now. Mr. Ji Zizhuan is already the best surgeon. Mr. Ji and Miss Yang are helpless, and no one else can do anything.
Although the last time she treated Yang Pan, she opened a drainage tube in the chest. Fortunately, the lung injury was not serious. She only used first aid. This time, Lu Zhi was cut by the tip of the gun, and the clever treatment no longer worked. .
Yang Mo looked at Ji Zi Zhuan, "Mr. Ji, can you sew up the broken intestines? "The Treatise on the Causes and Symptoms of Diseases" mentioned that if the intestines are seen at both ends, they can be repaired quickly. First, use the needle-stitching method to continuously cut off the intestines. So he smeared it with chicken blood."
Ji Zi Zhuan shook his head after hearing this, "It's all recorded in ancient books. I've used it before, but the effect is not good."
Then we cannot just watch the patient die without treatment.
Yang Mo said: "Now we are giving the patient a blood transfusion to buy time. Why don't Mr. Ji try again and sew up the damaged area while the intestines are not necrotic."
What Miss Yang said was usually very reasonable. Ji Zizhuan looked at Yang Mo, "Does Miss Yang have a better way?"
She is not as good as Mr. Ji Zizhuan when it comes to suturing alone, but she can be an assistant, "I can help him complete it together."
When Ji Zizhuan heard this, his heart lit up and he nodded.
Yang Mo hurriedly ordered Shen Weiyan to prepare things.
Mei Xiang brought a thick pile of soft cloths, salt water, and homemade anesthetics that she had prepared in advance and arranged them in a row.
Just now it was the Ji family's surgery, now it is the Yang family's method.
Lu Zheng's eyes were dazzled.
First, local anesthesia was used to rinse the area to reduce the patient's pain. Yang Mo told Mei Xiang, "Put down a towel."
A white cloth with holes was covered, and Yang Mo used a tool to open the wound so that Ji Zi Zhuan could see the wound more clearly.
"Rinse repeatedly with salt water before suturing." If the intestine ruptures, something will come out and be wrapped by the omentum. These foreign objects will cause inflammation in the future.
Although Ji Zizhuan tried to restore the treatment in the medical books, he was never prepared as carefully as Miss Yang. It was as if Miss Yang had seen this kind of surgery many times, and she was so calm and without panic at all.
Ji Zizhuan was stunned for a moment, and then he heard Yang Mo calling him in a low voice, "Mr. Ji." Ji Zizhuan finally came back to his senses.
The damaged intestine was right in front of him. Ji Zi Zhuan stretched out his clamp to pick it up, but he didn't expect to lose his grip just as he reached it.
Mei Xiang felt sweat pouring out of her body, her eyesight became blurry, and she felt an urge to vomit, so she finally couldn't help but walked out quickly.
Yang Mo glanced at Mei Xiang's back. Such a scene was indeed too difficult for a person without any medical foundation. Fortunately, the rest of the people were persisting.
"The thread of mulberry's white skin." Yang Mo looked at Hu Ling.
Hu Ling immediately took it out of Ji Zi Zhuan's medicine box.
Yang Mo used a needle holder to thread the thread and handed it to Ji Zi Zhuan.
Ji Zizhuan couldn't help but be surprised when he saw what Yang Mo was using. He had only seen this kind of tool from Miss Yang, but he didn't know that Miss Yang was already so skilled in using it.
Using a needle holder can reduce contact with the patient's wounds. In surgery class, they use it most to practice knotting and suturing. Using modern things in ancient times gave her a sense of familiarity that she had not seen for a long time.
Ji Zi Zhuan was sewing carefully, and Yang Mo kept paying attention to Lu Zhi's condition, sweating profusely, and resisting the pain. After all, ancient anesthetics were not as good as modern ones and could not completely relieve the patient's pain.
Seeing Ji Zi Zhuan complete the suturing, Yang Mo looked at Shen Weiyan and said, "Bring the intestine tube."
Ji Zi Zhuan couldn't help but raise his head and looked at Yang Mo inquiringly.
Yang Mo said: "You need to place a drainage tube."
Intestinal anastomosis is the most basic surgical operation, and the most important parts are intraoperative irrigation and postoperative drainage tube placement.
"Bring a porcelain bottle after cooking. The mouth of the bottle should be tied with oil paper."
Ji Zizhuan felt that although he was doing the stitching, it was Miss Yang who really had control of the overall situation. Miss Yang just filled in the gaps he didn't know about, and maybe he could really succeed this time.
Yang Mo took the sheep intestine tube and put it into Lu Zhi's wound, and then helped Ji Zi Zhuan to suture the wound together. This was the first time she used sutures made from mulberry bark to suture the wound.
"In order to prevent the drainage tube from coming out, it is necessary to fix it simply." Yang Mo did it carefully step by step, then used a syringe to evacuate the air from the bottle, and then placed the drainage tube in the bottle.
After finishing the last step, everyone breathed a sigh of relief.
Lu Zheng outside opened his eyes wide, as if he could no longer breathe. What kind of method was Baohetang doing to insert a tube into a person's body? What was he doing?
Yang Mo washed her hands and walked out.
Seeing Miss Yang's strange dress, Lu Zheng didn't know what to say. He only heard Miss Yang say: "Young Master Lu and the Master must stay in Baohe Hall and ask the doctor in our pharmacy to take care of them."
Lu Zheng felt that the voice was very far away from him. He looked at Lu Zhi who was connected by several tubes.
Can you really live like this?
Can Lu Zhi come back to life like his father? Does Miss Yang really have the ability to bring the dead back to life, as people outside say?
He had only been away from the capital for a few months, but he had such a big change. Where did this Miss Yang come from?
Oh my god, the scenes that happened today would scare him awake even in his dreams.
Miss Yang's voice was so distant that Lu Zheng felt like he couldn't hear even a single sentence.
"Is this what Lu Zhi is going to do?" Lu Zheng said after a while.
Yang Mo nodded, "You need to take careful care in the past few days to have a chance to recover."
Lu Zhengdao: "Then can I stay?"
"If you want to stay, you can also leave a few members of the Lu family to help the doctor take care of him." Yang Mo stepped forward to check on Mr. Lu. Although this acute gastrointestinal bleeding has stopped temporarily, it may happen again.
Bleeding.
This is an internal medicine disease, and she is better at it. "I also need to fast. I can't drink alcohol or eat hard food on weekdays."
Mr. Lu nodded hurriedly. Miss Yang saved his life. Naturally, he would listen to Miss Yang in everything. "What should I do with Lu Zhi? Is it still okay?"
Yang Mo dared not make any guarantees. Peritonitis and various infections may occur. In ancient times, there were no anti-inflammatory drugs, and now she cannot take herbal medicine. She can only hope that topical powders and post-operative care can help patients tide over the difficulties.
Yang Mo said: "It depends on the situation."
As soon as Yang Mo finished speaking, there was a hustle and bustle outside. The door to the backyard was suddenly opened, and several people barged in. "Ms. Yang, come with us to the clan camp for treatment."
Yang Mo shook his head, "There are critically ill patients in my pharmacy, and we can't make visits now."
The man frowned fiercely and said, "Go if you are told. Why are there so many words?" As he said that, he went to grab the medicine box next to Yang Mo.
Lu Zheng immediately stretched out his hand to stop the man, "Since Miss Yang doesn't have time, why don't you go to another pharmacy and hire another doctor." He couldn't stand these people the most. They were obviously here to see someone, but they used such a tone.
He didn't even say a word of "please" in his speech.
The man stretched out his hand to push Lu Zheng, but Lu Zheng didn't move at all. The man had no choice, and the two people were immediately in a stalemate.
…
At Zhou Chengji's house in the clan camp, Mrs. Zhou, Mrs. Li, sighed and talked to the ladies around her, "This is the second time I have been called."
The lady next to me covered her lips with a fan after hearing this, "Why should you be so polite, madam? You are just a doctor."
Li said: "I heard that Miss Yang is better at delivering babies than other doctors."
As soon as she said this, she vaguely heard the sound of a baby crying, and Li's face lit up with joy. She had known that Yang was not needed, and asking her servants to invite Yang was just a show.
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Thanks to ssssphinx for the peace charm, and thanks to coolsake for the peach blossom fan.