"Huh? Swollen? Dr. Ni hurriedly came over and bent down to check, this is the splint on a few days ago, Qiao Qiaoer has not come for a follow-up visit in the past few days, so he doesn't know about the swollen legs, and at a glance, his brows are also frowned: "I didn't swell so much a few days ago, why is it swollen like this today?" ”

Zuo Shaoyang touched it lightly with his hand, and he could feel a burning heat through the gauze. His heart was even tighter, but his face was still very relaxed, and he said, "I'll touch your pulse." ”

"Okay." Qiao Qiao'er smiled sweetly and stretched out her hand.

Zuo Shaoyang held her wrist with one hand, checked the pulse with the other, found that the pulse floated, his heart was slightly wider, and said: "Stick your tongue out and I'll look at the tongue." ”

Qiao Qiao'er stretched out her tongue generously, and saw that the tongue coating was thin and yellow.

Zuo Shaoyang asked again: "In addition to the pain of the wound now, what other bad feelings are there?" ”

"I feel very hot, but I am afraid of cold, headache, and thirst."

"Well, how's the second poop?"

"Okay." Qiao Qiao'er was a little embarrassed when she said this.

Zuo Shaoyang nodded, the four diagnoses and ginseng, this is the first health syndrome of suppuration, it seems that Dr. Ni's debridement is still relatively thorough, and the wound infection is not very serious. However, because Dr. Ni and other ancient doctors did not have knowledge of aseptic surgery, it was impossible to meet the requirements of aseptic debridement. Infection is inevitable, but the degree is different. Fortunately, ancient doctors also had methods for the symptomatic treatment of wound infection, but the treatment of wound yellowing was only improved in the Ming and Qing dynasties, and in the early Tang Dynasty, there were not many ways to treat wound infection, and the effect was not good. This is the reason why famous doctors like Dr. Ni are also worried about Qiao Qiaoer's injury.

Zuo Shaoyang said: "Your wound needs to be retreated, this kind of fracture cannot be splinted, you have to use an external fixator instead......"

As soon as he said this, Zuo Shaoyang paused, and a huge obstacle to the treatment of fractures in the ancient world only appeared in front of him at this time!

Under modern medical conditions, after thorough debridement of open surname fractures, internal fixation is generally used, that is, internal fixation with bone plates, intramedullary needles, steel needles, and screws, and external fixators are used to consolidate externally. However, for patients with a long time of injury, wound infection that requires drainage at any time, soft tissue injury, and open fracture with severe swelling, internal fixation should not be used, but external fixation should be used.

External fixation is a method in which a bone needle or threaded nail is used to penetrate the fracture on the backbone at both ends of the fracture, and the fracture is reduced and fixed with a fixator outside. This method first appeared at the beginning of the twentieth century.

For Qiao Qiaoer's severe open fracture that has been infected and swollen, it cannot be fixed with a splint or cast, and the best way is to use an external fixator for fixation.

Under the conditions of modern industrial technology, the retainer is made of high-strength and corrosion-resistant modern materials such as nylon or alloy aluminum, which was impossible in the early Tang Dynasty.

In ancient times, the commonly used metals were copper and iron, which were not treated with modern antiseptic treatment, and the corrosion resistance was very poor, and it was unthinkable if they were used as fracture fixators, and the patients would not die of fractures, but of infections under the corrosion of the fixators.

How to carry out the fixation of this kind of open surname infection fracture, Zuo Shaoyang has studied orthopedics and knows how to do it, but now in ancient times, he does not know what material to use to make the bone needle that the fixator needs to penetrate into the muscles and bones.

Seeing that Zuo Shaoyang stopped halfway through speaking, Qiao Qiao'er looked at him and smiled: "It's okay, no matter what you use, you just need to use it." -- Dr. Ni said that you have a very good way to treat broken bones, some time ago, on the day when the enemy attacked Hezhou and I was injured, many people were injured and their bones were broken, and they all came to you for treatment, and they were not only cured, but also did not hurt. ”

Zuo Shaoyang smiled bitterly, thinking that your fracture is ten times more difficult to deal with than theirs. What can I do if I don't have a suitable fracture fixator?

It is impossible to say that the only way to do it is to treat the wound and take anti-infective drugs first, and then find a way to fix the bones.

Zuo Shaoyang smiled and said: "Since you can rest assured that I will be cured, then I will help you cure." I'll prescribe you medicine first, which is to treat the pain and swelling of your wound, and then I'll help you deal with the wound again. ”

After that, Zuo Shaoyang turned around and walked behind the long case, and picked up the pen to write a prescription.

Master Qiao and Mrs. Qiao don't know how to medicine, their home was burned to the ground, and they are worried about eating these days, and they only know that he was named a "model for supporting the army" by the general, and they didn't pay attention to anything else, but they only noticed that he donated ten buckets of food, and the general set him up as a model, so it is speculated that the general will definitely follow their family, maybe there will be excess food. Only then did he discuss with Ni's mother to exchange her daughter for food.

Master Qiao is usually sick, and he only sees Dr. Ni in Huimin Hall, so he only knows that Dr. Ni's medical skills are excellent, and he doesn't know how other Lang Zhong is. Now seeing that Zuo Shaoyang really wants to treat his daughter, he can't help but be anxious, he brought his daughter to Guizhitang, nominally to find Zuo Shaoyang for medical treatment, but in fact he came on a blind date.

Dr. Ni was not surprised, last time Dr. Ni's son was critically ill, Dr. Ni was helpless, at that time Zuo Shaoyang also used much more than the dose of medicine to cure his son, after that, Dr. Ni firmly believed that for Zuo Shaoyang, "everything is possible".

Since Dr. Ni didn't move, it was even more difficult for Master Qiao to say anything, and he looked at Zuo Shaoyang.

Zuo Shaoyang picked up the pen and was about to write a prescription, but stopped again.

He thought that the first choice for the treatment of fractures was a five-flavor disinfectant drink. The five-flavor disinfectant drink came from the Qing Dynasty and used many new medicines that only appeared in later generations, including wild chrysanthemum, purple lily, purple-backed geranium seed, half-branch lotus and white-flowered snake tongue grass. The first three herbs are indispensable for this formula, especially the latter two herbs, which are symptomatic increases for Qiao Qiao'er's serious redness, swelling and burning, and are the medicinal materials that must be used. Since none of these medicines were used as medicinal materials in the early Tang Dynasty, they were not available in the pharmacy, so they could only go up the mountain to collect them by themselves. And now the enemy army is outside the city, and it is inconvenient for Zuo Shaoyang to be injured in the leg, so it is difficult to go up the mountain to collect medicine.

So if this recipe doesn't work, which one should you use? Zuo Shaoyang frowned and thought about it, thought about it, and decided to use peach red four-thing soup.

Taohong Siwu soup came from the Yuan Dynasty, and it is also a common prescription for the treatment of blood stasis and blockade syndrome in orthopedics and traumatology, and the prescriptions used are almost all in the early Tang Dynasty, of course, the cooked and dried rehmannia was used as a medicinal material in the middle and late Tang Dynasty, but the rehmannia has long been used as a medicinal material, and the cooked and dried rehmannia is only the rehmannia concocted by a special method. It's in the pharmacy.

However, this prescription was originally mainly used to treat gynecological blood deficiency and blood stasis syndrome, which is very effective for women with advanced menstruation, blood clots, purple and viscous color, abdominal pain, and orthopedics and traumatology is also used to treat blood deficiency and blood stasis syndrome caused by bone injuries of the limbs.

Zuo Shaoyang picked up the pen and wrote the prescription, and Zuo Gui said on the side: "You deal with the wound, I'll pick up the medicine." ”

Master Qiao on the side watched Zuo Shaoyang pick up the pen and prepare to write the square, hesitated for a long time before putting down the pen, a little disdainful in his heart, thinking about Doctor Ni, the pen is a dragon and snake, I don't want to think about it, I am confident, that is the real expert, this Xiaolangzhong is young after all, and he is not experienced enough, so he can't help but shake his head secretly. When he saw Zuo Gui actually take the medicine by himself and let his son deal with the wound, he was very surprised, coughed lightly, and wanted to suggest that it would be advisable to ask Zuo Gui to deal with it, and he heard that Dr. Ni also coughed lightly, as if he had seen his intentions, squinted at him, shook his head slowly, and Master Qiao hurriedly swallowed his words again.

Without waiting for Zuo Shaoyang's orders, Bai Zhihan had already brought a first aid kit. All the usual surgical instruments are sterilized and placed here, as well as common trauma medicine and bandages.

Miao Peilan also had experience in treating Zuo Shaoyang's wounds before, as long as she washed her hands with medicinal water before treating the wound, she didn't wait for Zuo Shaoyang's instructions, so she helped him prepare the disinfectant and brought it over, and let him wash his hands.

Zuo Shaoyang smiled and nodded to Miao Peilan: "You are so smart, it is very suitable to be my assistant." ”

Qiao Qiao'er, who was lying on the bed, sneered and laughed: "Zuo Gongzi, are you also biased?" The beautiful sister just now also helped you get things, you didn't even have half a word of praise, and gave people a cold face, this skin is a little ......, well, this big-eyed sister only helped you bring a basin of water, and you are full of smiles and praise people, so partial! ”

Miao Peilan's skin is a little dark, which is somewhat a shortcoming, Qiao Qiaoer is very well-behaved, and she doesn't want to use this to call people, seeing that Miao Peilan's eyes are big and very godly, she changed her name to "Sister Big Eyes", Miao Peilan listened, a little embarrassed, but she had a good impression of Qiao Qiaoer.

Zuo Shaoyang likes Qiao Qiao'er's familiar lively and cheerful surname, and he speaks easily, and said with a smile: "What do you little girl know, that beautiful sister is my slave, so naturally I can't thank you." This big-eyed sister is my godsister. Naturally thank you for helping me. ”

Qiao Qiao'er smiled and said: "In this way, I thought that beautiful sister was your sweetheart, my own family, so I don't need to thank you, this big-eyed sister is your friend or guest, so I have to say thank you." ”

Zuo Shaoyang couldn't help but feel a little embarrassed when he heard her say this, for fear that Miao Peilan would be angry, he glanced at her, but saw that she was still smiling and didn't take it to heart, Miao Peilan is an open-minded girl, not as sentimental as Lin Daiyu.

Zuo Shaoyang hurriedly changed the topic and said, "Your wounds are so painful, do you still have the spirit to laugh?" ”

Qiao Qiao'er smiled: "It's because of the pain that I have to laugh, if I laugh, I won't pay attention to the wound, and the pain will be lighter." ”

"Hehe, that's right, okay, I'll help you deal with the wound right away, after treatment, the pain should be reduced."

"Really? That's great! Qiao Qiao'er smiled happily.

(To be continued)