Du Wenhao took the priest to find Lin Qingdai and Pang Yuqin, and said that after lending funds in advance to the yamen for disaster relief, since it was Du Wenhao's idea, the money was earned by the isolation suit and gas mask designed by Du Wenhao, of course the two readily agreed.

During the period when Du Wenhao went to Zhuang Zhixian, he sold some equipment, and in total, he has earned three thousand six hundred taels. Zhuang Zhixian personally wrote an IOU to Du Wenhao and stamped the county government's seal. Cao Abssi followed Du Wenhao to keep accounts.

Zhuang Zhixian immediately reported the appointment of Du Wenhao as a doctor of medicine in the Medical Bureau and was fully responsible for epidemic prevention affairs, and sent it to all departments of the Yamen and the quarantine area outside the city, and notified Dr. Qiu. Dr. Qiu doesn't care about this position, he just needs to save his life now.

After a brief discussion, everyone agreed that the medicinal materials donated by the city pharmacy were enough for the time being, so the first disaster relief money should be used to purchase disaster relief tents, cold quilts and food for treatment. After everyone calculated the tents that the patients needed at present, there was still some money left, and Du Wenhao decided to send Assistant Teacher Tang to take Minzhuang to Fucheng overnight to order the medicinal materials they needed.

By the time all this was arranged, it was already dawn. It snowed heavily all night, and it finally stopped, but the snow did not turn cold, but fortunately, there were dozens of bonfires to keep warm, so no one was frozen to death that night. However, hundreds of people have died of illness.

After more than 10 doctors treated overnight, all the 1,000 patients outside the city have been examined and medicated, but the medical skills of these dozen doctors are uneven, and only a small number of the patients treated have improved significantly, and the condition of quite a few patients has only been controlled to a certain extent, but not improved, while a small number of them have no effect, and their condition continues to deteriorate further. The death toll is estimated to continue to rise as severe cases increase.

Du Wenhao's front-line epidemic prevention headquarters is set up in a tent in the quarantine area, and he is now fully responsible for the county's epidemic prevention and treatment work.

Among the doctors present, Huang Lida, the doctor of Shubaoyuan Hall, is the oldest, 80 years old. Everyone pushed him to speak first.

Huang Lida was not modest, stroked his snowflake-like white beard, shook his head and said: "Zhongjing Yisheng's "Treatise on Typhoid Fever" cloud: In winter, the disease is typhoid fever in the severe cold, and the cold poison is hidden in the skin, and it is more sensitive to the different gases such as warmth and current qi and becomes a plague. The initial illness is solved, so the old decay is treated this time, and the Guizhi soup is the main one, and it is added or subtracted with the evidence. What do you think? ”

He wore a gas mask, and shook his head angrily, which looked rather funny, but his opinion was nodded in agreement by almost all the healers.

Zhu Jianrong, the doctor sitting in the hall of Jurentang, nodded and said: "The old man thinks that this hot poison is not as good as ordinary hot poison, and it is better to directly bleed and diarrhea when the decoction is laxative." Many people treated by the old decay used the stabbing method to bleed with a sharp needle, bleeding six or seven drops in the Baihui acupoint, twenty drops of bleeding in the Dazhu acupoint, seven or eight drops of bleeding in the Weizhong acupoint and Qize acupoint, and four or five drops of bleeding in each of the ten acupoints of the hands and feet. Sick place, headache, puncture the Yintang acupoint with a sharp needle, bleeding four or five drops, and then prick the temple, bleeding four or five drops, and then use the blood decoction to break the stasis and clear the blood to serve it, both inside and outside, its quick effect is also! ”

The doctor of Hui Zetang is an old woman, named Xin Ai Niang, and said: "The old body prescription is derived from the ancestral prescription for the treatment of heat syndrome, the prescription uses red clam feces, a wrap of leaves, and a blood-scattering pill leaf, plus an oil thief, a beetle, the beetle needs to go to the head and feet, intestines, pestle, and boil it with red beans, and wash it with red bean boiling water, remove the slag and clarify it. ”

Huang Lida said with a smile: "Doctor Xin's side is also novel. Decay is also used to try. ”

Another doctor sitting in the hall of Hui Zetang said: "The old man thinks that the plague is yin and dryness, and the yin and dry body yin and yang are purely a hot image. It is also external, so it cannot be published with bitter warmth, and although the heat is very much, it cannot be washed away by bitter cold. The lungs are the highest, and the dryness hurts the lungs first, and the lungs are the main qi, and the qi is treated. The old decay uses the prescription of Taisu to clear the dry lungs and save the lungs, and this recipe treats dryness and depression in the qi. ”

Then, the other doctors also talked about their own experience.

After listening, Du Wenhao smiled bitterly in his heart, these doctors' prescriptions are all derived from Zhang Zhongjing's "Treatise on Typhoid Fever". This medical code is certainly one of the greatest works of Chinese medicine, but in the study of plague, due to historical limitations, it has not been able to reveal the true etiology and pathogenesis of the plague, but in fact, pneumonic plague is an infection of Y. pestis, which is the "boiled qi" advocated by doctors in the Ming and Qing dynasties, not the cold evil as mentioned in the theory of typhoid fever. Regarding the study of fever diseases such as plague, the medical texts of the Ming and Qing dynasties were much more scientific and detailed, and their thinking must be corrected, otherwise, the dialectic will encounter problems.

Du Wenhao was about to speak, but when he saw that Hantou lowered his head and did not agree with Huang Lida's point of view, he suddenly remembered that Hantou had not spoken just now, and when he saw his expression, he couldn't help but move in his heart and asked, "Hantou, tell me your opinion." ”

"Yes! Shizu. Qian didn't take it, thought about it, and said: "If it was before, the disciple's grandson's point of view was the same as that of Dr. Huang, but when the case of the plague was first discovered yesterday, the ancestor had said that the plague was different from the general typhoid fever syndrome, although the time was tight at the time, and I couldn't elaborate on it, but the ancestor definitely had a basis. Except for critical cases, most patients have improved to varying degrees after taking it. ”

This is a fact, and all the doctors nodded their heads.

Han Tou continued: "Now that the epidemic is urgent, and a large number of new patients are being sent one after another, we don't have more time to discuss slowly, so let's ask Shizu to guide us on the way to use the prescription, and we will consult together and guide the battle." What do you think? ”

Huang Lida stroked his white beard and nodded: "Well, I heard that Mr. Du is good at the divine doctor Hua Tuo's laparotomy healing technique, and he is good at treating all kinds of incurable diseases. ”

All the doctors nodded frequently and looked at Du Wenhao.

Du Wenhao also felt that the epidemic prevention was urgent, and he didn't have time to slowly study the medicine, and now these doctors' clinical evidence of the plague is still limited to the scope of "Treatise on Typhoid Fever", and it is obviously inappropriate to treat it according to the general treatment of fever, which is the biggest reason for the poor curative effect. It is necessary to update everyone's thinking on the dialectic of the plague before fundamentally changing the unfavorable situation of poor treatment effect in front of us.

Du Wenhao had the experience of learning medical skills with Qian Bulu before, and knew that when communicating with ancient doctors, he could not use too modern medical knowledge to persuade the other party, so that the other party not only could not accept it, but also suspected that he was talking nonsense, and he must use medical theories that they could understand to explain, so that they could slowly accept more advanced medical theories first.

Therefore, Du Wenhao did not directly use germs to explain, but chose some views of doctors on plague in the Ming and Qing dynasties, glanced at the doctors in the field, and said: "The plague is indeed different from typhoid fever, and the plague is a disease, neither wind nor cold, neither heat nor humidity, but there is a strange feeling between heaven and earth!" ”

As soon as these words came out, there was a lot of discussion, Huang Lida shook his head, and said: "The six prostitutes, cold, summer, dryness, dampness, wind and heat, the six prostitutions, the normal qi of the sky, the first to flow from the meridians, the internal organs are the cause of the outside, how can you say that the fury is angry?" ”

Regarding the etiology, Hantou and Master Qian did not accept money when Wang Zhukuai, who was treating a stomach injury and wound infection, once argued with Du Wenhao about this issue, and at that time Hantou and they did not believe Du Wenhao's point of view, but a series of later cases proved that Du Wenhao's strange theory and guidance were actually effective, so they couldn't help but not accept the money and Hantou and others were not convinced.

Now that I heard Du Wenhao talk about this point of view again, the other doctors reacted the same as himself and the master, and he was a little funny, and said loudly: "Everyone, these six prostitutions are also new, and Zhongjing Yisheng's "Jin Kui Yao" did not mention it, but don't we all accept this point of view?" ”

Everyone nodded their heads.

Zhu Jianrong, the doctor sitting in the hall of Jurentang, said: "That's right, Doctor Han's words are reasonable, since you can have six lewd external feelings, what does it matter if you have one more obscene anger?" We doctors really shouldn't stick to the rules, and it's not too late to listen to Dr. Du's remarks about whether it's appropriate. ”

Huang Lida is not a stubborn person, nodded and said: "That's right, it's the old man who is too anxious, Dr. Du, please continue." ”

Du Wenhao said: "The plague is caused by feeling the evil gas between heaven and earth, the evil gas is mostly the evil of heat poison, its sex is very fast, often mixed with poisonous mist, miasma and other turbid evils invade the human body, compared with the six prostitutions, the onset is rapid, the coming force is fierce, the changes are varied, and the patients with the disease mostly have fever, disturbing the nerves, moving blood, wind, vomiting and other critical symptoms. Plagues are caused by different plagues due to different gases. From what I have examined, there are three main symptoms of the current cases. There are three types of syndromes: heat poisoning and closed lung syndrome, heat entering the camp blood syndrome and yin exhaustion and yang detachment syndrome. ”

These doctors lacked experience in treating pneumonic plague, let alone knowledge of modern infectious diseases, but Du Wenhao did not talk about Western medical theories, but simply explained the three common symptoms of pneumonic plague from the perspective of traditional Chinese medicine, and these doctors immediately understood.

After introducing the typical characteristics of the three syndromes, Du Wenhao said: "For the fever and poison to close the lungs and syndrome of the plague, the recipe uses Ma Xing Shi Gantang and reed stem decoction to add honeysuckle to clear the lungs and detoxify; Yin exhaustion and yang depletion of the plague is a critical period of the plague, and the party uses the shengmai to disperse and combine the four reverse decoctions to add and subtract to consolidate the yin and return to the yang. In addition, there is also a fever into the camp blood syndrome plague, the party uses Qingying soup and rhino horn rehmannia soup to add or subtract, or nasogastric feeding Angong Niuhuang Pill to clear the camp to cool the blood,—— this Angong Niuhuang Pill we have in Wuweitang, I will go back in a while to speed up the preparation and send it. ”

Gong Ming said: "Brother Du, this Angong Niuhuang Pill has also performed miraculous feats, and I didn't expect that this time the treatment of the plague would also come in handy." ”