At this time, in the Dongnuan Pavilion of the Zichen Hall of Daming Palace, a report on the epidemic situation was also being carried out.

The saint wore an ochre yellow cloud dragon robe, tied a red gold and jade leather belt around his waist, wore a hanging foot hood on his head, sat cross-legged on the carved lacquered Wolong couch, and placed a red sandalwood fence foot case in front of him, resting his elbows on the couch and reading a purple silk recital, his face as white as a crown of jade had a strict expression, and he looked not angry but mighty.

Kneeling below was an official in a purple robe and two in a scarlet robe.

The purple-robed official is about sixty years old, with a square face, towering cheekbones, straight and black eyebrows like a splashed ink "one", and the short hair under the jaw is also thin and hard, with a righteous and awe-inspiring face, this is the head of the Jing'an Division, Jing'an General Meng Keyi.

The two officials in light scarlet robes are Meng Keyi's subordinates: on the left is Hou Minzhong, the lieutenant general of the Internal Security Administration, who is fifty-one this year, sitting next to his burly boss and looking very short, but not short and fat, but lean, with a pair of narrow eyes under the square eyebrows, fine and introverted, obviously a capable person; On the right is Pan Zaiyong, the lieutenant general of the Foreign Security Administration, who is also in his early fifties, with a doughy face, some thick lips, and a somewhat clumsy face.

The full name of the Internal Security Administration is the "Internal Security and Investigation Bureau", which is only one word different from the External Security Administration. The duties of the two administrations are one internal and one external, and the internal security bureau is responsible for internal security, including the collection of domestic anti-intermediary intelligence, the investigation and arrest of foreign countries, the collection of all kinds of intelligence in the capital and localities, and the supervision of local officials.

In the first month of this year, the Internal Security Department submitted more than one epidemic report.

First, Tangzhou and Liuzhou in the East China Sea Prefecture, then Guangzhou in Lingnan Province, and Quanzhou in Fujian Province all had cholera epidemics.

These epidemic reports all occurred before Yangzhou, but the epidemic was far less than Yangzhou, and basically only a dozen cases were strictly isolated and controlled by the local government. After the local report was submitted, the imperial court only ordered the patient to be strictly isolated, and the medical bureau of the prefecture together with the local doctor to treat the epidemic, and did not send the imperial doctor down. Because in the "Encyclopedia of Epidemic Prevention and Control" compiled by the Imperial Medical Department, this kind of vomiting and cholera is not difficult to treat, and it is not the kind of violent plague that makes people change, it is a current disease that occurs every year, and there are not many people who die without treatment, so the imperial court only treats it as an ordinary epidemic.

Before these epidemic reports from the Internal Security Administration, the Foreign Security Administration received a Tianzhu epidemic report from the Southern Pavilion. Jing'an Wei was mostly a businessman, a traveling scribe, a warrior, or a traveling monk who was active abroad, and reported in the Jing'an Division in Tianzhu that during the 42-day Great Pot Festival for Brahmanical believers, cholera was epidemic in the pilgrimage site, and more than 1,000 people died.

This epidemic report did not surprise Jing'an.

Because the Tianzhu people will take turns to hold pilgrimage baths in the two holy cities on the banks of the Ganges River every three years, the crowds are surging, the excretion is not planned, the dirty water is cross-flowing, the feces are all over the place, and it is easy to have epidemics, and cholera is a big pot festival that will occur every time, and there are as few as 100 deaths, as many as 1,000 people.

However, these two pilgrimage sites are located in the north and northwest of Tianzhu, and the northwest holy land of Hawa is still more than 3,000 miles away from Yundian Road, and the pilgrimage epidemic poses little threat to Yundian Road. Therefore, the pilgrimage epidemic reported by the Southern Pavilion at the beginning of this year, the imperial court also dealt with it as usual in previous years, and ordered Yundian Road to implement an entry inspection order on the southwest border, and those who were diagnosed by medical officers as suspected of carrying the epidemic must be quarantined for at least half a month, and only allowed to enter the country after confirming that there is no epidemic. In addition, it did not attract other attention from the imperial court.

However, after the outbreak of the epidemic in Yangzhou, Jing Ansi, who was sarcastically called by the court officials as "having a dog's nose like a smell", smelled an unusual smell, and the intelligence officers' "suspicious qiē" trait, as well as the thinking that "most of the world's coincidences must be related", so that they can analyze people and things that are very far away in time and space, and can also analyze vertical and horizontal connections -- this analysis will analyze something unbelievable!

In the next ten days, Jing Anwei, who was lurking in various countries in the Southern Pavilion, successively reported information on the outbreak of cholera in Siam, Xilan, and Srivijaya countries.

This undoubtedly confirms Yasuyashi's speculation.

And so there is today's ceremony.

The sage read the detailed analysis in the recital and listened to Hou Minzhong's report.

...... the symptoms of cholera in the "Encyclopedia of Epidemic Prevention and Control", the vomit and diarrhea are all clear but not turbid, and the symptoms of cholera, including Tianzhu, Siam, fine orchid, Three Buddhas, and the place where the epidemic occurred in this dynasty, the vomit and diarrhea are mostly rice swill, occasionally yellow water or blood water, clear but not turbid, but not the majority. Based on this, the ministers speculated that this should be the same kind of epidemic. The new symptoms may be due to a different cause of cholera, or it may be a new, more contagious disease. …… The ministers speculated that the 'cholera epidemic' in this dynasty and the Nanyang countries should have originated from the epidemic during Tianzhu's pilgrimage. Yangzhou is not a port city, but cholera broke out first, and there are so many infected people, which is likely related to the way the disease is transmitted. ……”

The sage recalled the report of the Yangzhou Medical Bureau: the cholera epidemic began at the birthday banquet of the Ma family in Jishanfang in the inner city.

Yangzhou rich Ma Tianlu for his mother's 70th birthday, not only in the house to set up a birthday banquet to celebrate, but also in the alley of the big flowing water seat, not only Jishan Fang, the neighboring squares, as well as the poor people in the outer city are flocking to come, as well as the beggars in the inner and outer cities also flocked, three days of flowing water from morning to night, full of people.

The epidemic first started from Defu Lane, where Ma's house was located, and within three days, this kind of patient appeared in more than a dozen squares in the inner and outer cities, plus there were beggars in the inner and outer cities of Yangzhou - when the first case of cholera was discovered, some of these beggars who ate flowing water should have become ill, but they had no money to look down on the disease, and most of them died in some corner, and the vomit of these sick beggars and other sick patients was likely to pollute the canals and wells in the city.

Cholera is caused by unclean diet, and unclean water sources will lead to unclean diet, there are many rivers and canals in Yangzhou City, and there are wells in each alley, once the canals or wells are polluted, the surrounding people who use water are likely to get sick due to unclean diet.

According to the analysis of the water intake of the Yangzhou Medical Bureau, the well near the horse house has been polluted, and the dining room of the flowing water seat is drawn from this well, so many people who eat the flowing water seat get cholera, and the elderly and women and children with weak constitution have the fastest attack, because the epidemic is the first to occur, it is fast and violent, and there are many deaths.

“…… The cholera on Tianzhu's side has spread from the north to the south, and all merchant ships that have stopped in the southern port of Tianzhu may have carried infected people. Such carriers should have an incubation period of more than ten days before the onset of the disease, and an incubation period of one or two months - perhaps a longer incubation period if they are physically strong. As merchant ships dropped off passengers in various places, this cholera was brought out of Tianzhu. According to the epidemic situation in various places, this cholera is more contagious than the previous cholera, and it is likely that it is not only through guò contaminated water sources, contaminated food intakes, but also close contact can also cause infection. ”

After Hou Minzhong finished reporting, he bowed his head respectfully.

The three of them waited for the emperor to finish reading the recital.

The sage looked at it while thinking about it, and after reading it, he frowned for a moment, raised his eyebrows and instructed Qin You: "Biography, Shangshu Ling, Zhongshu Ling, Shizhong, and Taiyi Ling, Cheng, meet immediately." ”

"Whoa." Qin You bowed and withdrew to arrange for the various chamberlains to pass on the decree.

The sage said to Meng Keyi again: "Go back and copy two copies of this recital, one to Donggong Zhan Shi, and one to Chen Baozhu - Baozhu handed it to Shi Shaoling, and asked him to order the control of Hewei to be delivered to Qin State. The latter sentence was to instruct Chen Baozhu, the head of the inner chamberlain, to stand on the side of the couch.

"Shi Shaoling" is Shi Ziying, the Shaoling of the Crane Mansion.

Chen Baozhu replied with a respectful "oh".

Meng Keyi's three ministers bowed down, their expressions and voices showed gratitude, and said, "The ministers obey the order." "Thank you, Your Majesty."

Jing'an Division is directly under the emperor, and only to the emperor, important reports are copied by the inner servants and then transferred to the prince or relevant ministers, and now the sage ordered Jing'an Division to copy the report and send it directly to the prince and the princess of Qin, which is to let them meet with the future lord in advance, indicating the attitude of the sage: The new emperor will also use you when he ascends the throne.

Once the son of heaven and a courtier, especially Jing'an Si, who is both the emperor's "eyes and ears" and the emperor's "sword", most of the new emperors have to use their own cronies, and eighty percent of the old people in the past are to be transferred, or promoted to an honorary position. Meng Keyi and the three of them are not worried about the prince, this highness advocates Confucianism, and has a generous nature, as long as the virtue is good, and he is loyal to the country, he doesn't mind who he is, he can use it; But the temperament of the princess of Qin, even if they are old enough to be intellectual, are also a little unpredictable, often with her cold expression, seems to be careless about things, and seems to know everything, this unpredictable feeling is the most frightening, the three of them are inevitably worried about the princess of Qin, after the princess of Qin, their position will not be "moved", and now the sage said this, he gave them a reassurance, and they were grateful and kowtowed.

The sage asked about a few details of the analysis and speculation in the recital, and the three of them solved a major event in their hearts, and their demeanor became relaxed, and some bold speculations dared to be said even if they were not written in the recital.

During the recital, the three prime ministers and the chief and second officials of the Imperial Medical Department arrived one after another, and read the report of the Jing'an Division one after another, and their faces became solemn.

The deliberations in the cabinet will be closed until the beginning of the unitary.

The next day, the quarantine and epidemic prevention edict issued by the government hall was sent from 800 li to the southern provinces and the Annam Prefecture, as well as the eastern and northern coastal provinces of Shandong Province, the Donghae Prefecture, and the two prefectures of Antuk and Andong.

It rained lightly in the morning of this day, and Xiao Yan's bones had been completely grown for three days, and as usual, Chen Zheng went out after eating at the second quarter, and went to Sword Array Lane with Murong Jue.

Both of them have deep internal strength, and when they arrived at Dejian Array Alley, their clothes were dry up and down without a trace of rain and wetness.

Xiao Yan is still in the Four Elephants and Seven Formations.

This time, after four battles and a total of five hours, when Murong Jue was raised to the Sword Formation Alley covered in blood, he was already a friend of Shen You.

After being treated by the sun and moon in the well, he still rested for three days to nourish his bones.

Xiao Yan raised for two days, and the edict issued by the imperial court to Yangzhou was still on the way, and another dialectical discussion of epidemic evidence was held in Qiheguan.

Syndrome differentiation is a very important part of the doctor's treatment, both disease differentiation and syndrome differentiation, detailed analysis of symptoms and pathological changes, mainly not focusing on the similarities and differences of "disease", but focusing on the difference of "syndrome", which is exactly what is needed to determine the current epidemic syndrome. Participating in the syndrome differentiation were not only the main pharmacists of the Daomen, but also the imperial physician Cheng Hu Rulin and two imperial doctors, the doctor of the Medical Officials Bureau Chang Tao and two teaching assistants, as well as the old and famous doctors of several Yangzhou medicine halls such as Qingyutang, Renjitang, Heshuntang, Yikang Hall, and Baoan Hall, and more than 20 people sat together.

Because of the large number of people, the dialectical meeting was not held in the main teahouse, but moved to the scripture hall where the lectures were preached in the view, because the morning class had passed, and it did not affect the daily life of the Taoist priests in the view.

Everyone took off their shoes and sat on the futon, facing each other in a "mouth" to facilitate speech. The Medical Bureau and the local doctors sat in the east and south, the Tai Yi of the Tai Yi Department sat in the north, and the pharmacists of the Daomen sat in the west, and according to the characters: Shen Qingyi is the big disciple of the palace, because of the Tao number "Zhi Yuan", the Yuan, the first also, although the entry is the latest, but sat in the first position, below is the Zhihe, Zhiping, Zhihuan, and the rest are the Guangzi generation.

is the youngest, but he is the first of the generations, which is inevitably eye-catching. Shen Qingyi paid attention to this kind of surprise - secretly he must have doubted the degree as if he was ignoring, his temperament was as clear as a plum, and he was leisurely and elegant, as if he was participating in a gathering of flowers and poems in the family, and the graceful and elegant bearing that was revealed by sitting and standing made people feel that the moon was on the side, not the scorching sun, but it made people feel that living on its side was like the stars to the bright moon, and the light flickered as well as the clear light of the hanging moon in the middle of the sky, and they actually compared the children of the family they had seen. The doctors couldn't help but secretly wonder: she is worthy of being a daughter of a family surnamed A! Although she still has doubts about her medical attainments, she is also awe-inspiring and does not dare to show contempt on her face.

Shen Qingyi and Zhihuan have only been in Yangzhou for three days, although they have been fully aware of the epidemic in the past three days, have been to various quarantine areas, and have diagnosed and identified patients, but they are both participating in syndrome differentiation and treatment for the first time, so they only sit quietly and listen. These doctors have been familiar with each other twice, at first because of Shen Qingyi's clear and graceful bearing, there was a kind of restraint on the side, but when the differentiation was together, everyone forgot about everything else, and Gu Zi devoted himself to it.

“…… People with spleen and stomach deficiency are sick with six qi, yin and yang are chaotic in the stomach and intestines, and they are more deficient because of the current qi. Those who pour out the valley will be clear and not foul, and those who vomit will be clear and not sour. The benefit of urinating, the mouth is not thirsty, in this way, it is cold and damp cholera, which can be cured by Lizhong pills, Wuling and the like. Chang Tao's blue and black color is heavier now, but when it comes to dialectic, he is extremely energetic, and he talks without stopping, "As you all know, cold and damp cholera spring hurts from wind and cold, and sex is cold. However, most of the symptoms of cholera this time are those with short urine and extremely hot and smelly stools, and the number of pulse bands is a heat syndrome. ”

Yu Bingzhi, the sitting doctor of Qingyu Hall, immediately refuted: "The cold cholera pulse is late, and the number of hot veins is the difference between turbidity and turbidity, which is the difference. Nowadays, most of the symptoms of patients are mixed with cold and heat, and the virtual and real are mixed, which is indeed not easy to recognize, so there is a dispute between us and the syndrome. However, those who are hot may not be weak and yin in the inside, and they are hot on the surface, so how can they only make judgments based on turbidity? Isn't it a lesson that a person who has a hot syndrome before, or who is hot and dry, who sits on the ground, or whose face is red and likes to be cold, who is identified as a heat syndrome and treats it with Coptis chinensis and Skullcap to clear heat, and then bleed to death the next day? This is actually a deficiency of cold more than the inside, and it forces its yang to the outside, so its external evidence, the image of false heat, should be treated with cold evidence. ”

This famous doctor of Qingyutang is known as "Yu Bang Mallet", he is a straight man who does not know how to be flexible, and he does not know how to be tactful and detouring in the face of the director of the local medical management office, so he went back. Fortunately, Chang Tao was not a stingy person, and he knew this human nature, so he just frowned, but he didn't pay much attention to his tone.

Tai Doctor Cheng Hu Rulin said: "The "Neijing" takes the clear and cold water as the cold, but the one who is good for the clear is treated with the cold evidence, but he also dies the next day. It can be seen that the yang evil is extremely hot, but it is no different from the yin evil -- its disease is not typhoid fever, and the treatment of cold evidence is just like adding insult to injury. "Imperial Physician Hu is a mellow character, but after working with this mallet for a while, I also know that he is not euphemistic, and his words must be direct.

Yu Bang mallet died frowning and was silent for a while, because Hu Rulin said that "he died the next day", there were people who died by his mistreatment, and his heart was congested, and it was difficult to speak for a while.

This is a common thing in syndrome differentiation, everyone is not different from their complexions, and the epidemic is like a fire, and everyone has no intention of taking into account other people's feelings when differentiating syndromes.

Zhihe said: "Although the "Neijing" is cold with clear water and cold, but the medical Tao is the way of treatment, and the use of medicine is like the use of soldiers, which must be carefully examined. The lower water is not necessarily a cold sign, and the urine is not necessarily a heat testimony. Yu believes that when you are thirsty or not, you should judge the treatment of clear temperature, which is simple. ”

Hu Rulin said: "Distinguishing the temperature by thirst is also different. For example, if cholera is caused by typhoid fever, there is a lot of heat, which means that the surface heat has not decayed; There is a lot of cold, it is said that the cold is more abundant, and it is the same as the cold syndrome, and the medication should be different. ”

Zhichuan said: "Therefore, the same evidence, we should examine the importance of its internal and external aspects, distinguish the gathering and dispersion of evil qi, and apply the law." ”

……

Everyone is arguing and discussing, both dialectical and cure, but the debate is long, and even the atmosphere is intense, but there is no conclusion after all, and there is no effective prescription for the epidemic, it is really because the heat syndrome is mixed with the cold syndrome, and the medication has been discussed many times before, whether it is to treat with cold syndrome, or to treat with heat, or first hot and then cold, first cold and then hot, but only hundreds of cases of mild symptoms are relieved, and they are not cured, but the patients with the epidemic have a strong physique, and they resist the past, and most of the drug users are either dead, or they are seriously ill, and the best ones are just dragging on. It was only a matter of days before he died.

The argument gradually weakened, and all the doctors felt trapped in the alley, and gradually they all became solemn and silent, and only the two newcomers in the seat, Shen Qingyi and Zhihuan, did not speak from beginning to end.

Zhihe looked left and right, and said: "Yu and the others have debated four or five times, or they are all confined to the circle, and they can't come up with new theories for a while." Senior Sister Zhiyuan and Senior Brother Zhihuan Xinzhi, maybe they won't get caught up in these arguments and have ingenious views? It doesn't matter if it's whimsical, we're already stuck in the alley, maybe we can make a hole in the wall. ”

Although the doctors were in a heavy mood, they couldn't help but open their eyes slightly after hearing it, and looked at the two of them expectantly, not expecting these two people to have a solution and a cure, but it is not bad to come up with a new idea, maybe you can open the window and trigger their thinking?

――The way of medicine also has an epiphany!

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