Chapter 62: Confusion
Qian Bu Hui hurriedly walked out, Du Wenhao was very curious about Qian Bu Hui's treatment of this fast stomach injury yesterday, and always wanted to know how the treatment effect was, so he told Xue Fei'er to pay attention to them, and he followed Qian Bu to go out.
When I came to Wang Zhukuai's house, I found that Wang Zhukuai was sick and lying in bed, Qian Bushui reached out and probed, felt that his forehead was hot, and asked a few times, but Wang Zhukuai did not answer, and was already unconscious.
Wang Zhukuai's brother asked urgently, "Divine doctor, how is my brother?" ”
Qian Bushu waved his hand to signal him not to speak, took a stool and sat on the edge of the bed, reached out and pinched Wang Zhukuai's cheeks, squeezed his mouth, looked at the tongue coating, and then concentrated on his pulse. After a moment, he said: "Brother Ling's abdomen is very heavy, the skin and flesh are not solid, the righteousness is declining, the external evil takes advantage of the wound to enter, the blood stasis in the body stagnates, and the heat turns into heat over time, and the heat is even rotten, and the flesh rot is pus, and the poisonous evil is trapped in the viscera, and if it enters the heart, it will be unconscious, and if it enters the liver, it will spasm. This is the appearance of a knife wound, there is no need to be nervous, the old decay will grab the medicine below, and there should be no major problem after taking it. ”
Wang Zhukuai's brother laughed and said, "That's good!" Thank you to the divine doctor, I just said, there is a divine doctor, are you still worried about your brother's injury? Hey, hey, hey."
The money was not collected, the pen was prescribed, and it was handed over to Wang Zhukuai's brother to find a prescription to grab the medicine.
Du Wenhao stepped forward to uncover the quilt of Wang Zhukuai, and saw that the wound on his abdomen had been purulent and infected, and listened to what Qian Bu said, so he understood that the ancients treated wounds and did not know disinfection and sterilization, and thought that wound infection was normal and inevitable. It seems that the ancients could only rely on the remedy of antibacterial and anti-inflammatory drugs for the treatment of open wounds, and did not know the prevention in advance.
Death from wound infection can be said to be very unworthy, because as long as you have the knowledge of sterilization and disinfection, it can be completely avoided in the Crimean War between Britain, France, Turkey and Russia in the mid-eighteenth century. The conditions of the British field hospitals are extremely poor, especially the nursing technology is extremely backward, and most of the wounded soldiers are infected with wounds, and the mortality rate is as high as 50%. Nightingale, the founder of the nurse system, volunteered to work as a field nurse, and she led 38 nurses to the front line to serve in four field hospitals. Their care has led to a significant reduction in wound infections and a mortality rate of 2.2%! This shows the extreme importance of wound management.
Du Wenhao decided to hand over his knowledge in this area to doctors who do not accept money, and this alone can save many people's lives, if it can be promoted in the care of war wounds on the battlefield, so that military doctors can master the correct common sense of wound treatment, it will save the lives of many soldiers, so that they can return to the battlefield, and correspondingly can greatly increase the combat effectiveness of the army.
Du Wenhao didn't accept the money and said: "Divine doctor, in fact, the evil outside the wound enters through the wound, which can be completely prevented. ”
"Really?" Qian didn't stop the pen and glanced at him, "How to prevent it?" ”
Du Wenhao couldn't find the right words to explain this problem for a while: "That's the case, there are many pathogenic bacteria ...... in the environment we live in, and this is a very small microorganism that is invisible to the naked eye,...... Well, it is a very small and very small living body, once they enter the human body, it will cause the human body to get sick, attached to the wound, it will make the wound infected and inflamed, yesterday you gave this Wang Yu Kuai treatment of abdominal knife wounds, the hands were not disinfected, they directly touched the stomach and intestines, and the wound was drenched with blood with raw chickens, and the needles and threads used to suture the wound were not strictly sterilized, and the pathogenic bacteria invaded the wound and caused infection...... Ay! How can you make it clear! ”
Du Wenhao found that it was too troublesome to explain the knowledge of modern Western medicine in easy-to-understand terms with an ancient Chinese medicine doctor.
Qian Bushu listened to Du Wenhao's words, very uncomfortable, and his brows furrowed together. Said: "What the master said, the old decay doesn't understand it very well, there are no more than three kinds of diseases and evils, but I don't know what the master said about the disease-causing ......, and the disease-causing disease ......."
"Pathogenic bacteria!"
"By the way, dare to ask Master, does this pathogenic bacterium belong to an internal disease, an external evil, or which one of them is committed?"
"None of them, but they are both, let's put it this way, the so-called evil poison into the body, in many cases is the result of the invasion of this pathogenic bacteria, pathogenic bacteria and our traditional Chinese medicine ......, ah no, and our doctors say that the treatment mechanism is completely different, they are two different classification methods, so we can't use our theory to explain."
"Oh?" Qian Bushui slowly stood up, "In other words, this is a kind of evil poison that you personally think exists, Master?" ”
"It can be said that I didn't find it, but I know that there is this kind of evil poison, and the so-called six prostitutions, in fact, many of them invade the human body through the evil poison of pathogenic bacteria, causing patients!"
"Yes, if that's the case, then the old man is really lonely and unheard, but the old man doesn't think that the suppuration of Wang Zhukuai's wound is caused by the old decay's medicine."
"Divine doctor, you have to listen carefully to me in this matter, it is really not appropriate for you to treat wounds like that......"
Yan Miaoshou observed the words and looks, and saw that the master was displeased, and immediately interjected: "Okay, Master, you always accuse my master of causing the invasion of Wang Zhukuai's evil poison, and you can't say why, who would believe it?" As long as the evil poison has a wound, it will invade, no matter whether the doctor has treated it or not, even if my master doesn't treat this king, his wound will also have evil poison invade! I'm afraid you shouldn't make such accusations against my master, right? ”
"I don't mean to blame the miracle doctor, I'm explaining to you the principle of surgical sterilization......
"My master can't understand your words, and we can't understand either!" Yan Miao waved his hand and fan, interrupting Du Wenhao's words, and turned back to Han Tou and said, "Han Tou, how do you talk about illness on your back to the sage, and see if there is any kind of disease that your master said...... Disease-causing poison! ”
"Yes! Brother! Han Tou coughed lightly, tilted his head and recited in a low voice: "Su Wen. The Commentary on the Adjustment of the Scriptures says: 'The birth of the husband and evil is also born in the yin or the yang, and those who are born in the yang will receive the wind and rain, the cold and the summer; Those who are born in yin have food and drink to live, and yin and yang are happy and angry. Zhongjing Yisheng's "Jin Kui Yaolu" cloud: "A thousand disasters do not exceed three things: first, the meridians are affected by evil and enter the internal organs, which is also the cause of the internal cause; The two, the limbs and nine orifices, are passed down from blood to blood, and they are blocked and blocked, and they are also in the outer skin; The three are wounded by the chamber, the golden blade, and the insects and beasts. With its details, the cause of the disease is exhausted. Jin Gehong's "Elbow Reserve Emergency Prescription. The Theory of Three Causes: 'One is an internal disease, the second is an external disease, and the third is an offense. ’……”
"I know! Chen Wuxue's "Three Causes" also said: "The inside is seven feelings, and the outside is six lewdness, and those who are not inside and outside are often retired." ’”
He was stunned for a moment, and asked blankly if he didn't accept the money: "Master, who is the person who wrote this "Three Causes"?" ”
Qian Bushui shook his head and looked at Du Wenhao.
Chen Wuxue is a famous doctor in the Southern Song Dynasty, they naturally don't know, and Du Wenhao is not easy to explain, if you want to quote the scriptures, there is no way to convince them, so you can only speak with facts, and said: "No matter this, anyway, this pathogenic bacteria has nothing to do with the seven emotions, the six prostitutions, and the crime!" Divine doctor, do you have a good recall, among the patients you treated, are there any wounds that are not purulent and infected? ”
"No, this is a natural disease, you will be cured immediately after taking medicine, don't mind!"
"Did the miracle doctor encounter a situation where he failed to heal, and his wound became suppurated and he died of serious illness?"
The money was a little embarrassed, and he coughed lightly: "This ......, although people give Lao Yu the nickname of a miracle doctor, Lao Yu is not a god after all, and no one dares to guarantee that every patient can be cured." ”
This is true, but most wound infections can be avoided as long as they are carefully sterilized and disinfected! I promise that if you do what I say, there will not be such a situation in the future......"
Yan Miaoshou interjected: "No, Master, it seems that Liu Zhukuai, who you healed, also had delirium and lost his mind, if it wasn't for my master to help you, I'm afraid that Liu Zhukuai would have died!" ”
"That's not the same thing!" Du Wenhao said, "Liu Zhukuai is delirium caused by kidney dysfunction caused by blood loss, not wound infection, I treated Liu Zhukuai's wound, and there is no infection and suppuration, I don't believe you can go and see it!" By the way, Liu Zhukuai's wound did not suppurate, which can prove that what I said is right! Because I have been treated with wounds after strict sterilization and disinfection! ”
"Really? I don't see the difference, and I don't understand what kidney ...... you're talking about, what can it be...... words"
"Facts speak louder than words! Let's take a look at Liu Zhukuai's wound and compare it with Wang Chukuai's wound, isn't everything clear? ”
Qian Bu said: "You don't have to look at it, the old man has already seen it, it's really different, Liu Zhukuai's wound is not suppurated, last night the old man was very surprised, I wanted to find a chance to ask the master how you did it, but now after listening to what the master said, the old man really can't understand, presumably the master is prevaricating, this is not to blame the master, the secret recipe doctors have it, and it should be kept secret." ”