This was Qi Yue's first time watching ancient people's amputation surgery and she couldn't help but be excited, but Liu Pucheng refused to let her enter the operating room.
"This trauma department is a very simple matter for us." He said to Qi Yue, "It's enough for me and Zhang Tong. You should just watch from the outside. After all, there are people coming for consultation, and you can't just do it with a doctor."
I can’t find it.”
Qi Yue's eyes widened, and then she smiled again.
"Teacher, you're here again." She smiled, with a clear look on her face, "Teacher, you often teach me that if I don't have to be afraid, how come when something happens, I'm the one who's afraid of you."
Liu Pucheng smiled bitterly.
"It's not a good thing for a girl to be too smart." He smiled bitterly and said, "You have a lot to do, so there is no need to be distracted by unnecessary things."
Qi Yue rolled her eyes.
"Teacher," she said, "are you going to protect me for the rest of your life? If I don't dare to take any risks, then I will either hold back or become arrogant. You don't want to see me like this, do you?"
Liu Pucheng smiled and sighed.
"Okay, okay, it's time for surgery." Qi Yue clapped her hands and greeted.
The disciples outside responded loudly.
Watching Qi Yue enter the disinfection room, Liu Pucheng smiled and shook his head and followed in.
Since Liu Pucheng was the surgeon, he used his usual knife.
Qi Yue also saw Liu Pucheng's amputation tools for the first time.
"Well, let's do it this way. It's better for the lady to do the blood vessel suturing to make sure everything is flawless," Liu Pucheng said.
Qi Yue nodded. Since Hu San's dizziness and blood circulation could not be controlled, he had withdrawn from the operation. The only surgical assistants were A Ru and Zhang Tong.
"I'm starting." Liu Pucheng said.
People in the operating room nodded and watched as Liu Pucheng used his knife to cut open the patient's calf. The skin and muscles were separated. Qi Yue sat down in time to stop the bleeding. The skin and flesh were quickly separated and the large blood vessels were visible.
Liu Pucheng carefully picked it up with his usual stone pick. Qi Yue immediately clamped it with a hemostatic forceps and tied the upper part with a thread. Liu Pucheng stopped slightly and cut off the lower part under Qi Yue's gaze. Qi Yue immediately used fish gut.
suture.
"Okay." Qi Yue nodded and closed the line.
Liu Pucheng looked nervously at the ligation line above, and everyone looked nervous.
"Hey, you still don't believe me." Qi Yue shook her head and said, reaching out to untie the ligature herself.
No bleeding.
Everyone breathed a sigh of relief.
Outside the operating room, the sound of sawing bones seemed to be heard. The sound made everyone tremble. Fortunately, the sound stopped soon.
"This is a necrotic limb, burn it immediately." Aru handed out a cloth bag from the door with the words "Specific Infection Burn" written on it.
Seeing that it was shaped like a human calf, the disciple who was about to reach out to take it couldn't help but feel weak in his hand.
"This belongs to my mother..." the nanny's son asked in a trembling voice.
"Yes, but this cannot be kept. You can take it to your home, but it must be burned and buried, otherwise it will cause infection. People with wounds who come into contact will also be infected with your mother's disease." Qi Yue said inside.
.
The people outside the door suddenly took several steps back.
"Then, you go ahead and cook it." How dare the wet nurse's son take it?
The disciple's face turned pale and he hurriedly carried it to the specially built incinerator behind the courtyard.
After another suffocating period of time, the operation was finally over.
"It's still unclear whether sepsis infection can be prevented." A tired Qi Yue explained seriously to the wet nurse's son, "You must be mentally prepared."
The nanny's son nodded and thanked her with tears in his eyes.
That night, the injured person's body temperature was still high.
"This is much more ferocious than the hunter last time." He said and sighed, "I'm afraid it won't work."
"It hasn't reached the stage where the whole body is infected with septicemia, but there is still hope." Qi Yue frowned and said while clenching his hands, "Teacher, the soup and medicine are all up to you."
Liu Pucheng nodded.
"Aru, increase the intravenous drip of saline to balance." Qi Yue looked at Aru.
Aru nodded.
"Hu San, bring someone with me to extract the Chinese medicine injection." Qi Yue said.
Hu San responded loudly, stretched out his hand and pointed out seven or eight disciples.
After using it that time, Qi Yue still didn't plan to use this kind of unstable injection frequently, so he didn't prepare anything. Fortunately, everyone had done it once. Due to the novelty and deep impression, everything was ready in a short time.
In the room used for teaching, a battle array was set up.
At night, he reluctantly extracted a small bottle to quickly deal with this infection. Qi Yue's advantage was firstly the high-purity antibacterial Chinese medicine, and secondly the rapid intravenous administration.
Qi Yue administered all intravenous injections. After observation, the woman showed no signs of rejection and everyone breathed a sigh of relief.
"I will check your temperature today. You have to sleep for a while no matter what." Liu Pucheng said without refusal.
Qi Yue glanced at the unconscious woman and nodded.
The Tongpan Mansion here also knew about it, because a familiar servant girl came to take the old woman to the funeral, but found that there was no one at home. After asking, she found out that she had been taken to Qianjin Hall.
Mrs. Tongpan had mixed emotions after learning about it. Although she was unhappy, her life was at stake and she couldn't force him to carry it back.
"She was so sick that she rushed to the doctor." She finally shook her head and sighed, "It's also because her son has a filial piety."
While she was talking, the young master was eating snacks nearby.
"Mother, I also have filial piety." He said, handing a piece of snack to Mrs. Tongpan.
Mrs. Tongpan smiled, took a bite, and stroked her son's head.
"Yu'er is good." She smiled.
Just after stroking it with his hand twice, his son frowned and threw away the snack in his hand.
"Stomach hurts." He shouted, reaching out to hold his stomach.
Mrs. Tongpan turned pale with fright and hurriedly stretched out her arms to hug her son. This time, the young master was in severe pain and wanted to roll on the ground. The family panicked and called for a doctor. The doctor named Zhang came and the young master was fine again.
Lying on the bed panting.
"Did you have a bad stomach?" Mrs. Tongpan asked with lingering fear.
Doctor Zhang carefully diagnosed and checked the pulse. Seeing that the young master looked peaceful and had nothing to do other than the pain and sweating just now. He was also a little unsure and the pulse was fine, so he nodded.
"Eat less fruits and vegetables, and don't be greedy for cold drinks. You may be hungry in the past few days," Dr. Zhang said.
Mrs. Tongpan was relieved, thanked him, gave him a heavy reward, and sent the doctor out.
The sky was dark and Qi Yue woke up and walked into the ward.
"...High fever, nose flaring, black stool..." Aru, wearing a blouse and a mask, was taking notes.
"...The yin blood is severely injured, the liver wind is about to move, the pulse is heavy and thready, and the tongue is light and uncoated..." Liu Pucheng said while checking it, "then use snake gallbladder and tangerine peel to divide it into two halves."
Ah Ru responded yes, took the record list and hurriedly went out to prepare the medicine.
"Teacher, let me do it. You go and take a rest." Qi Yue said.
Liu Pucheng was not polite, nodded and left.
Every three hours, Qi Yue took an injection until all the medicine she had taken was used up. In the middle of the night, her body temperature finally dropped.
After receiving the news, everyone couldn't help but cheer.
"This shows that the infection has been controlled to a certain extent." Qi Yue said, her expression was not happy and relaxed, "but the situation is still not optimistic."
In her hand she held a white handkerchief with the patient's sputum on it.
At this time, she looked at it seriously, as if she was looking at some rare treasure.
"The phlegm is yellow and bloody, and the poison has indeed invaded the lungs." Liu Pucheng also looked at it carefully and said, looking up at Qi Yue, "Madam, if the poison attacks the heart, it will be really hopeless."
Qi Yue took a deep breath.
"I can cough up phlegm now, which is finally getting better." She said, "As long as she doesn't die, we will continue to treat her."
The disciples were still busy in the room used to extract the injection. Qi Yue slowly walked in and sat down at the table.
There was a simple culture medium on the plate on the table. She didn't use blood to culture it. If one culture couldn't be cultured, what could be done with the cultured culture? She didn't have penicillin, gentamicin, or any other antibiotic. At this time, she wanted to adjust the medication.
, simply too luxurious.
If there was penicillin, the condition could be controlled in half an hour, unlike them who had to stay up all day and night.
"Penicillin, penicillin, how did you make it?" Qi Yue murmured to himself.
What a pity. Why did she seriously study the extraction of traditional Chinese medicine for injection? If she was learning penicillin extraction, wouldn't it be...
Thinking of this, she laughed again.
She was suspicious of traditional Chinese medicine injections, so she wanted to know about them, but was she suspicious of penicillin?
She knew that penicillin was extracted from Penicillium, but she couldn't find out how to do it.
Qi Yue reached out and messed up her hair.
Don't think about what you can't do now. Thinking about it now is a complete waste of time. In this limited time, it's better to do what you can do first.
What can be done now is that she has the tools for intravenous injection and infusion, which can purify Chinese medicine so that its curative effect can be achieved faster and more efficiently than decoctions.
"Find a few more antibacterial Chinese medicines to see which extract has the greatest effect." She stood up and rushed out, asking for all the medicines in Liu Pucheng's prescription.
Throughout the day and night, the work of extracting the injection solution in the classroom never stopped. Finally, all the sores scraped from the patient's body were used up, and the patient's sputum was used. So whenever the patient coughed, the disciple
They couldn't help but cheer with joy.
On the third day after the operation, good news finally came from the extraction injection. A more effective one than the previous ones was found, which was an extract from a traditional Chinese medicine called Prunella vulgaris.
After intramuscular injections twice a day in the morning and evening, the patient's temperature finally dropped on the morning of the third day, and his spirit also improved.
"Where am I?" she asked weakly.
The son did not expect that his mother would really wake up. He cried with joy and threw himself on the bed to cry. After crying a few times, he heard a few puffs and the stench spread out.
Pulled...
The nanny's son was very embarrassed, but he was overjoyed to see Aru, who was watching over him.
"Madam, madam, pull it," she shouted loudly.
While busy, he washed and changed the woman.
"You prodigal bitch!" the wet nurse's son said urgently, kicking the daughter-in-law aside, "Who should do such a thing!"
The daughter-in-law was kicked so hard that she rushed forward.
"My dear, let me do it," she said hurriedly.
"No, no, we'll do this. It's very useful to us," Aru said.
Is pooping useful?
The couple were stunned, Qi Yue had already come in.
"Let me see, let me see." She said excitedly, taking the piece of doily from Aru's hand.
The nurse's son and his wife couldn't help but retched when they saw the beautiful little lady's movements.
Without laboratory equipment, all she could use were eyes, nose, smell, stool, sputum, saliva, sweat, etc. These can truly reflect the patient's condition.
"That's great." Qi Yue checked the stool carefully. "It's yellow-brown and mushy. The sepsis is under control."
She rushed out happily.
This news made Qianjintang, who had been nervous for several days, finally relax a little.
On the fourth day, no spread of infection was found at the amputation site, and the rales in the lungs were basically gone when checked with a stethoscope. The body temperature was conservatively estimated to be around 37 degrees. The patient's spirit improved and he recognized people, but did not want to eat.
Qi Yue was finally able to have a peaceful sleep, but she was woken up again in the middle of the night.
The patient's arm was red, swollen and painful, which was the symptom of inflammation described by Qi Yue.
"Could it be that the infection has spread?" Aru said nervously.
Qi Yue shook her head and sighed again.
"No," she said, reaching out to pull out the needle used for infusion, "It should be phlebitis caused by infusion."
She sighed.
"Stop the infusion." She said, looking at the tube in her hand that had been deformed after being sterilized many times. This, finally...
"Throw it away."
Aru was stunned for a moment and looked at the infusion tube thrown over by Qi Yue.
So, another thing is gone...
More and more people in Tongxuan Mansion are paying attention to the matter here, because they have never received any news about attending the wet nurse's funeral.
Is it really cured?
Some people couldn't help but ask about it.
"Really, really, alive, just sawed off his legs!" The inquirer soon came back and shouted throughout the yard.
Alive! But his legs were sawed off!
Both of these news are exciting enough.
"Oh, I see!" A boy whispered, taking out a piece of paper from his sleeve, "Is this what it says on it? Don't be careless about small wounds..."
He held the piece of paper and read, "...it may cost your life or break your leg...disinfection and sterilization must be done..."
This was the first time everyone heard this, and someone grabbed the paper in his hand to see what it was.
"This is the order issued by Qianjintang..." the boy introduced, "Many people in the city have it. It said that if you are cut or hit, you must not spread dust or anything, but first use running water.
Rinse, rinse with salt water, you can also go to Qianjintang, they say it’s free..."
Everyone passed it around one after another and found that what was written on it was simple, easy to understand and novel.
"This Qian Jin Tang is really so powerful." Someone asked, "It's not like they only treat bruises and injuries."
"Yes, they do specialize in treating bruises, but think about it, what kind of bruises do they treat these days." The boy said seriously, counting on his fingers, "... those who were trampled by horses.
The prefect son was sentenced to death by the city's doctors, but was cured by Lady Qi. Orion, who injured his leg, Wang Qingchun knelt down and bet that it would not be cured. As a result, Lady Qi cured him again.
Tian cut open the chest with a saw and cured another one. Now, the wet nurse who is wearing a shroud is also left alive..."
He told them one by one, and everyone was shocked to realize that Qianjintang had already done so many things.
Although these things all involve injuries caused by falls,...
"In addition to injuries from bruises, these people also have another characteristic, that is, they are all judged to die." The waiter said with full of sighs, "What she treats is not just injuries from bruises, but life!
Those are all incurable diseases!”
Yes, if a person who can cure a person who is destined to die is not powerful, who else in this world can be called powerful!
Everyone suddenly had an epiphany, and the magic about Qianjin Hall spread like wind in Tongpan Mansion.
But at this time, Mrs. Tongpan didn't care whether these things would affect the relationship between her family and Dingxi Houfu. She was already confused by her youngest son's stomachache.
Since the two sudden pains and sudden absence of pain, the young man thought that he would be fine after eating something to warm his stomach. Yesterday, he had a stomachache again. This time, it didn't go away in a moment like the previous times, but it hurt.
Fainted.
Doctor Zhang's complexion also turned slightly pale after diagnosing the pulse.
"Young Master, what did you eat?" he asked.
Mrs. Tongpan was trembling all over.
"It's just eating. Those meals are all eaten with me." She said tremblingly.
"But this pulse shows that the young master has injured his internal organs." Dr. Zhang said in a deep voice, "There is no external injury, no symptoms, and the abdominal pain is unbearable. It is only caused by eating something that should not be eaten."
Mrs. Tongpan fell down on the bed.
"Oh my god, who wants to harm my son?" She burst into tears and shouted to check quickly.
The Tongxuan Mansion was immediately thrown into chaos. The girls and women who followed the young master were beaten, and they were beaten to the point of crying and howling, but they could not ask any questions.
In the end, Dr. Zhang used acupuncture and moxibustion to wake up the comatose young master. The family cried and begged and asked him what he had eaten.
The young master has unbearable abdominal pain, and there is no answer except crying.
"Spoon!" The girl next to Mrs. Tongpan suddenly shouted.
People in the room heard the sound and looked at her.
The girl pointed at the young master's neck.
"The young master's silver spoon!" she screamed.
The Tongpan couple immediately reacted and rushed over at the same time, hugging the young master and checking his neck.
Like all children, the young master wears a collar, five blessing bells, and a jade pendant and silver chain around his neck.
At this time, the silver chain was empty, and there was a spoon as big as a finger hanging there.
"Where is your spoon?" Mrs. Tongpan grabbed the silver chain and shouted in horror, "Where is the silver spoon your grandmother gave you?"
"Is it lost?" Lord Tongpan asked tremblingly with the last glimmer of hope.
The young master had abdominal pain and cried loudly.
"I ate it. I made a bet with my cousin that I dared to eat it..." he shouted.
Tongsuan and his wife swayed and fell down on the bed.
"Doctor... help me quickly." Mrs. Tongpan cried and grabbed the doctor's sleeve.
The doctor was frightened and quickly backed away.
"How many days?" he asked.
The child couldn't explain clearly, and finally rolled over in pain.
"Don't move, don't bend down." The doctor shouted, hurriedly holding down the young master's body, "It's already in the stomach, don't move around, if it pierces the internal organs, you will die on the spot."
Upon hearing this, the judge and his wife hurriedly held down their son.
"Quickly eat some leeks and celery to see if it can be pulled out. Then I'll prescribe medicine." Doctor Zhang said.
"What if it still doesn't work?" Mrs. Tongpan couldn't help but ask.
Doctor Zhang was silent for a moment.
"He may die from falling due to swelling, or he may die from intestinal rupture." He said slowly.
All in all, it’s a death…
Tongsuan and his wife looked pale.
"But that was before." The doctor suddenly said again.
Tongsuan and his wife felt that their hearts were about to stop.
Don't wait for such a big gasp!
"Now, Qian Jin Tang may be able to save me." Doctor Zhang said slowly.
Mrs. Tongpan’s heartbeat stopped again.
Qian Jin Tang?
"Mrs. Qi from Qianjin Hall has the skills to perform a disembowelment. Now this is the only way we can remove the spoon from the young master's belly," Doctor Zhang said.
Lady Qi from Qianjintang...
Mrs. Tongpan put her hands on her heart and was sweating like rain.
Is it...the so-called retribution?
It's... what the old people say, don't talk. If you talk, you will be slapped.
No matter how much the young master cried that day, he stuffed leeks and celery into his mouth and ate it, but it had no effect except for the ever-increasing pain.
"Master." Mrs. Tongpan's voice was hoarse from crying. She could not sit still as she was supported by two servants.
"Why are you still crying! Go to hell Dingxihoufu! Dingxihoufu is not my son! Why should I care about his face!" Master Tongpan shouted, "Go to Qianjin Hall to invite Madam Qi!
The servants ran away in a hurry.
In the Qianjin Hall, the wet nurse had completely recovered. Qi Yue then told her about her legs being sawed off. It was inevitable that mother and son would hold each other's arms and cry.
"I'm useless, I've become a cripple." The nanny clapped her chest and cried, "I'd rather die."
"Mom, you raised me so big, it's my turn to raise you. As long as you are here, let alone losing a leg, you are paralyzed, blind and stupid. As long as you are here, I am the one who has my mother." The son cried loudly.
road.
"Don't worry. When the time comes, a prosthetic leg will be made and attached. It should not affect walking with crutches." Qi Yue comforted her.
These words made mother and son very happy.
"If you just want to be the same as before, it will definitely not work." Qi Yue was ashamed by their shining eyes and said hurriedly.
"Thank you so much, the miraculous doctor. Thank you so much, the miraculous doctor." The mother and son kowtowed and said.
Qi Yue hurriedly helped him.
"You can't afford other miracle doctors," she said.
After settling the mother and son, Qi Yue returned to the office. She was finally able to sit down in the past few days, but she still couldn't rest because people waiting for consultations were also lining up outside the door.
As time goes by, more and more people come to Qianjintang. Although it doesn't matter whether it makes money or not, it seems to be very popular.
"Doctor, doctor..." A man lifted the curtain and rushed in, followed by the disciples who could not stop him.
Qi Yue was auscultating a woman's heart and lungs when this man suddenly barged in, scaring the woman into shrieking and hiding her clothes.
"What to do?" Qi Yue asked with a frown.
The man was so frightened that he stood outside the door.
"Ms. Qi, Miss Qi." He saluted anxiously, "I am from the Tongpan Mansion, and I would like to ask Mrs. Qi for a consultation."
Qi Yue put down the stethoscope in her hand.
Tongpanfu?
She looked out the door with a half-smile.
Ouch, that's really rare.
"I'm sorry, our doctors at Qianjintang don't make visits." She said, "If you want to see a doctor, please come to Qianjintang."
**********************
The two chapters are merged into one chapter, 6,000 words, in return for yesterday’s fan votes.
Speaking of which, everyone is still enthusiastic and motivated. It’s really lonely to code, and it all depends on everyone’s support. Thank you very much. I really appreciate it.
Also: The previous chapter has been revised. Remember to look back. It overlapped with another case. I revised it a bit. Sorry, the removal of canker sores and the treatment of canker sore infections are different, so they are mixed up.*** (To be continued)
