The principle of wound management of burn wounds is different from that of carbuncles and ordinary gold wounds, and it is not possible to carry out too thorough debridement, otherwise it is easy to cause secondary trauma. It is only necessary to simply rinse off the dirt, soot and other foreign matter adhered to it. Because the wound was not too large and the pain was not particularly unbearable, Zuo Shaoyang did not use anesthetics.

There have been some blisters of different sizes in the wound, small blisters do not care, large blisters are cut at the low hanging place to drain, as far as possible to keep the blister skin, which can protect the wound under the scab, reduce pain, and is also conducive to healing, of course, for the blister skin that is very polluted or has been broken and contaminated, in order to prevent infection, it will be cut off.

He applied a small piece of sterile gauze to the part of the blistered skin that had been cut off, and then applied some sulfur burn cream with a clean and sterilized brush to the gauze. For other burn areas, apply directly with a brush dipped in ointment.

Originally, this kind of small-area scald, the best exposure treatment without covering and not bandaging, is conducive to the rapid scabbing of exudate and necrotic tissue, and is also conducive to observing the changes of the wound at any time, exposing the wound to dryness, and is not conducive to the bacteria to rise, and it is also convenient to change dressings, but because it is now a cold winter, long-term exposure is not conducive to body insulation, and it is easy to get cold, mainly because the war is in chaos now, and the patient needs to carry things to take care of the home, and it is easy to contact other objects to cause pollution and secondary injury. So Zuo Shaoyang decided to bandage the wound.

After the drug is applied, it is covered with several layers of sterile gauze and bandaged evenly from distal to proximal.

After soaking in cold water, applying burn ointment to relieve pain, and bandaging the wound, the patient felt that the wound was much more comfortable. Zuo Shaoyang asked him to change the medicine after five days. He told the wound not to touch the water, and prescribed a few doses of heat-clearing, detoxification and anti-inflammatory drugs for the patient to take back to prevent the wound from becoming inflamed.

The young man's parents were very happy to see that their son had stopped moaning, and the painful expression on his face was much lighter, and they could see that the pain had been greatly reduced, and the woman asked carefully, "Lang Zhong, how much does this medicine cost?" ”

Zuo Gui's father said: "A total of sixteen texts." ”

"Huh?" The woman was surprised and delighted, she thought that the treatment of a disease like burns must be much more expensive than headache and brain fever, so she brought a lot of money, and she still thought about it in her heart, for fear that it would not be enough, thinking about how to say good things, so that Lang Zhong said slowly, and went back to collect money to send it, but she didn't expect that it would only be sixteen Wen.

The middle-aged man was also a little unconvinced: "That's how much money you charge?" - Lang Zhong, you are not mistaken, right? ”

Zuo Gui smiled: "Sixteen Wen, that's right." ”

The woman was afraid that Lang Zhong did not use good medicine, and asked her son in detail how he felt, and learned that it was very good, so she was relieved, and she was a little embarrassed to pay the money, and wanted to help her son leave, but the young man did not let them support him, and after thanking Zuo Gui and his son, he stepped out of the door.

The woman was grateful, and after thanking her, she went out to the door, looked back at the signboard, and said to herself, "Guizhitang, well, what a benevolence and righteousness!" The husband and wife sighed very much, and when they saw that their son was far away, they followed closely.

The modern burn ointment and wound treatment methods used by Zuo Shaoyang opened Zuo Gui's eyes again. To treat the burned wounded soldier, Zuo Shaoyang asked Zuo Gui's father to deal with it. Pointing out by yourself.

After the successful handling of so many cases in the past, Zuo Gui's father already knew that Zuo Shaoyang's medical skills were indeed very clever, far beyond his own level, at this time he had completely put down his shelf, studied modestly, and according to Zuo Shaoyang's instructions, the burned soldier was debrided, dressed, and bandaged.

After treatment, the last person to be treated was the wounded soldier with a broken leg bone.

This is very troublesome, because Zuo Shaoyang has never encountered a fracture case in his previous internship, although he has systematically learned "orthopedics", but it is all on paper and has not really been practiced. And Zuo Gui is even worse, he used to only see common internal diseases such as external diseases, and almost never encountered patients with bone injuries, and patients with fractures generally seek treatment from famous pharmacies like Huimin Tang, and dare not try his hands and feet. Therefore, he has never treated patients with bone injuries, let alone studied systematically.

However, this time, the five wounded soldiers were sent by officers and soldiers, and they asked various pharmacies to help treat them, but there was no way to push them.

Zuo Gui didn't know if Zuo Shaoyang had learned bone injury treatment from the old bell doctor, and said in a low voice: "Zhong'er, if this patient can't do it, he will be transferred to another medical center, right?" Don't get into trouble if something goes wrong. ”

"Don't worry, I'll take a look." While inspecting the soldier, Zuo Shaoyang casually asked, "How did you get hurt?" ”

The soldier was only fourteen or fifteen years old, with a pinch of fluff on his lips, and his face was still childish, he gritted his teeth and endured the pain in his legs, and said: "I was putting arrows on the tower, and several enemy soldiers climbed up the tower with shields, so I threw away my bow and drew my waist knife to fight with them, and it was very chaotic at the time, and I just waved the knife indiscriminately, and as a result, my foot was swept by an enemy soldier, and there was a sharp pain, and I fell, but fortunately, the other brothers rushed over to help, and killed these enemy soldiers who rushed up, so I was not hacked to death." But my leg was broken, and I was sent to the Yamen Square of the state capital, and after a long time, Lang Zhong did not come to treat me, until just now, someone came to say that he was too busy to be busy, and wanted to send us to various pharmacies in the city for medical treatment, so he sent us here. ”

As soon as Zuo Shaoyang heard that this soldier's injured leg was discounted by an external force, he was worried that there would be a crushed fracture, which would be troublesome, and he didn't have the confidence to treat this complex fracture at present, so check it out first.

Due to the lack of modern fluoroscopy detection technology, can only rely on the feeling of the hand, the examination method of fracture Zuo Shaoyang has learned, he carefully examined the patient's leg condition, found that the affected limb is partially swollen, tenderness is obvious, and there is also a bone rubbing sensation, and can hear the bone rub, longitudinal percussion pain, and judge the fracture of the tibiafibular shaft.

After checking the injury, Zuo Shaoyang breathed a sigh of relief, the preliminary judgment of this soldier's fracture is a simple surname, think about it, the complicated bone injury cases must have been rectified by the team. The wounded soldiers sent to the various pharmacies were all relatively lightly injured, but there were too many people to take care of them, so they were sent to the pharmacies.

After discovering that it was a simple fracture, Zuo Shaoyang's confidence immediately increased, and he decided to try it himself, first use manual correction to see if it works, if it can, then put on a splint or a plaster cast.

Because the small bed in the lobby of Guizhitang had been occupied by the old man of the Qu family, who had suffered a stroke and was unconscious, he was carried to the old mansion of the Qu family. can only let this soldier lie flat on the long case of Zuo Gui's father in the lobby. First apply the bruise swelling reduction potion to the wound area, and then apply the external anesthetic made by Chuanwu and Shengnanxing.

Zuo Shaoyang asked the injured soldier to bend his knee joint, asked his father Zuo Gui to use his elbow joint to cover the soldier's popliteal fossa, asked a soldier whose hands were not injured to hold the foot of the broken soldier, and taught the two to do confrontational traction along the long axis of the tibia to correct the deformity. Let the two of them continue to pull, hold the fracture with both hands, and let the soldier slowly swing the distal part of the fracture, so that the fracture end is tightly inserted. The fracture is then touched back and forth along the anterior tibial crest and medial surface with the thumb and forefinger to check for alignment. It's done!

The soldier's fracture was caused by external force, and the soft tissue injury of the leg was seriously swollen, but fortunately, no vascular damage was found after examination, but due to the obvious swelling, it was not appropriate to immediately carry out plaster fixation or splint fixation at this moment.

Zuo Shaoyang asked Miao Peilan to bring a bucket of warm water, first used gauze to base the wounded soldier's leg, then took out the plaster bandage, laid it on the ground according to the approximate length of the soldier's shin bone and folded it into a plaster strip, fifteen layers thick, and then held both ends with both hands and folded, put it in a bucket of warm water to soak, and after the bubbles came out, take it out, squeeze out the excess water, spread it on the opposite side of the soldier's injured leg, wrapped six or seven percent of the injured leg, and then wrapped and bundled it with a bandage roll. In this way, when it is dry and hard, it becomes a support bracket. The purpose of incomplete wrapping is to apply medicine to the injured and swollen body, and at the same time leave a buffer space to avoid the swelling and compression of the limb caused by the limited space of the cast.

After fixing it with a plaster pad, Zuo Shaoyang applied ointment to the exposed wound to reduce stasis, swelling and relieve pain.

While they were busy, Mrs. Qu came over with Mrs. Qu, muttered with Liang in the back room for a long time, and called Zuo Gui in. After a long while, Mrs. Qu and Mrs. Qu said goodbye with a heavy heart.

Zuo Shaoyang naturally knew the purpose of their coming, but he was now busy treating the wounded soldiers, and besides, he had already made his attitude clear, so there was nothing more to say.

Seeing that Zuo Shaoyang was busy treating his injuries, Zuo Gui and Liang didn't bother him, in addition to these injured soldiers and civilians on this day, there were also a few people who sought medical treatment, one of them was a stroke, the symptoms were not too serious, Zuo Gui was under the guidance of Zuo Shaoyang, and the prescription was successfully prescribed, and the others were general external diseases, which was Zuo Gui's strength, and his reading power was dealt with.

It was busy until the evening, and all the wounded were treated.

It was troublesome to eat at night, and the burned people went back after treating their wounds, but no one took care of these five wounded soldiers. The officer who sent them left only a hanging. The money is barely enough to prescribe medicine, let alone eat food.

Although there was food hidden under the Zuo family's concoction house, they didn't dare to take it out for these wounded soldiers to eat, and these were all life-saving food for the whole family.

Zuo Gui asked the wounded soldiers, what should they do with their rations? Several of them were not from the same combat team, they didn't know each other, and the officer who sent them didn't explain what to do after they healed their injuries. It's all flesh wounds anyway, so I don't need to stay here.

The one with the wounded leg bone couldn't walk by himself, and he was afraid of walking around and staggering his bones, so after telling his number to several other injured people, he entrusted them to go to the army to say something and have food delivered.

(To be continued)