Chapter 385: Layer by layer disinfection
"I dissected it, when the child's fetal position was not correct, I opened it, and after taking out the child, I sutured it for my wife, and then used alcohol disinfection method, layer by layer of disinfection, and my wife healed herself."
Listening to Chu Fan's eloquent words, Wan Mizhai didn't believe his eyes, what the person in front of him said was not unreasonable, but he had never heard the words alcohol and stitching.
Wan Mizhai, who has a constant pursuit of medicine, was completely aroused by his curiosity, pulled Chu Fan to another room, and asked, "Sir, can you tell me in detail, how did you cut the abdomen?" โ
Chu Fan knew that caesarean section was at a high level of technology in this era, and there was no way to explain a lot of the content, so he said briefly: "I cut my wife's lower abdomen layer by layer, sebum, muscle, outer uterium, and endometrium, layer by layer, and then stop bleeding layer by layer, after taking out the child, clean it and disinfect it with alcohol, and then use sheep intestine to suture it layer by layer, and disinfect it while suturing until it reaches the epidermis, and then Mrs. will heal herself." โ
It stands to reason that this is a fantasy for the people of the Ming Dynasty, but Chu Fan has found the right person, Wan Mizhai is one of the few people in the world who can understand.
"Official, I won't tell you, I once encountered a difficult birth and died, and after the death, the family threw the body directly to the suburbs, because I dissected the body to see the inside, it is indeed as you said, the general form, the official medical skills are so clever, how can they find me for treatment?"
What did Chu Fan say? It can't be said that we all rely on instrument testing to see a doctor in modern times, and I can't find out what kind of illness my wife is. Fortunately, Chu Fan reacted quickly and replied: "Mr. doesn't know, I also met a master by chance, taught me this technique, and also taught me to brew alcohol, so I can only treat dystocia, as for this gynecology, I don't understand." โ
Wan Mizhai is a medical tyrant, but he is a scumbag in human feelings, as soon as Chu Fan said this, he actually believed it.
"Official, there is a reluctant request, I don't know if the official can agree."
"Sir, please."
"I'd like to take a look at Madame's lower abdomen, and maybe touch it."
Chu Fan actually doesn't care, how many women died in vain because of the etiquette problem in ancient times, but Zhang Yutong is everyone's lady, and she has received etiquette ideas since she was a child, how can you let a man other than her husband look at her lower abdomen and touch it?
But Chu Fan knew that Wan Mizhai was not an ordinary doctor, and it was his reason to see and touch nature.
Yes, Chu Fan turned around and went back to ask Zhang Yutong.
"Yu Tong, your sick doctor can only see that the qi and blood are not smooth, and he can't see the real problem, can you let the doctor take a look at your lower abdomen and press the affected area?"
Zhang Yutong's face suddenly turned red, and she said coquettishly: "How can there be a husband like you, who actually lets someone else...
I couldn't talk anymore, so I turned my back to Chu Fan and didn't say anything more.
"Yu Tong, it's not okay to avoid medical treatment, the doctor doesn't look at it, there is no way to treat it."
Zhang Yutong didn't turn back, put his head in the quilt, and said in a muffled voice: "If Xianggong thinks that Yutong is an adulteress, you can divorce me, why bother to humiliate me like this, since marrying Xianggong, he is a person who is born and a ghost of Xianggong when he dies, even if he dies of pain, he can't tarnish his reputation, let alone let Xianggong be laughed at." โ
Thousands of years of cultural traditions, there is indeed no way to break it, not to mention that Zhang Yutong was born in a scholarly family, everyone is beautiful, and he absolutely abides by etiquette and religion, and would rather die than give in.
In order to study gynecology, Wan Mizhai was humiliated by others, and was even scolded as a thief, so he didn't have much hope.
Seeing Chu Fan come out of the house with a wry smile and shake his head, Wan Mizhai knew that the lady inside disagreed.
However, Wan Mizhai's pursuit of medicine was urgent, and he was hungry and thirsty, so he had a new method.
"Officer, come on, you come in and take off your pants."
"What for?" Chu Fan was startled, tightly covered his trouser waist, and said in his heart: Could this product be a G?
Wan Mizhai smiled and said: "Don't panic, official, I can't look at Madame, I can look at you, you go to see Madame, where is the pain, and then press it on the affected area, and come back to give me a comparison on you, don't I know?" โ
Chu Fan suddenly realized, and nodded frequently, this is good, this is good.
So you see that Chu Fan entered the back room for a while, ran out for a while, took off his pants and gestured to Dr. Wan, went in again, came out again, and ran back and forth five times. Wan Mizhai finally figured out the problem with this indirect way of consultation, and said: "Official, I have been pondering about my wife's illness for a long time, and it is probably estimated that it is a qi knot. โ
"Qi knot?" Chu Fan looked ignorant, he had never heard this word in medical school.
I saw Wan Mizhai take out a book from the medicine box, the title of the book is "Women's Diagnosis and World Medicine Heart Method", and when he turned a page, it was the qi knot described.
Wan Mizhai pointed to the description in the book and said: "This lady has had flesh thorns in her body for a long time, and she has been scratched continuously after the menstrual period, and finally a qi knot has grown. โ
Chu Fan read the medical book for a long time, the ancient medical books are obscure, although Chu Fan is a doctor, he also knows a little, if according to Wan Mizhai, it is a qi knot, then it is better than his estimate, it should be a uterine polyp.
Wan Mizhai took back the medical book, unfolded the pen and ink, and said while writing: "I will prescribe a prescription for my wife, fry it for two hours every day, and then you help my wife rub her lower abdomen for half an hour every day, if it doesn't hurt after half a month, it should be gone, and if it still hurts, come to me again." โ
Chu Fan nodded vigorously and took the prescription with a huff.
Wan Mizhai turned his head and asked, "Official, what kind of palace is it under the muscles you just said?" โ
"Womb."
Oh, and the womb is the sac that carries the baby?
"Exactly, the lower part is connected to the fallopian tube, and the upper part is connected to the inner umbilicus, and when a woman is pregnant, the placenta grows on the endometrium."
"Oh, if the official has the ambition to help the world and save people, can you come to the hospital tomorrow to find me, draw the shape of the uterus in detail and show me, and teach me the method of caesarean section?"
"Wellใใใใใใใ this"
"Official, I will definitely not let you teach in vain, I can run a medical hall with you to benefit the world."
"Okay, I'll get to you tomorrow."
On this day, Chu Fan watched Zhang Yutong drink the medicine, and went out, passing by the small learning alley, and saw that the crowds were crowded, and a small stall was surrounded by water. "Three big words.
I saw that the guy was chopping meat quickly, and there was an extra girl next to him, who was helping to collect money.
Chu Fan smiled and said in his heart: "Could it be that the nonsensical name of Meat Sandwich Bun that makes modern people can't figure out the reason is really what I gave it?" โ
was about to walk away, but saw the guy handing the steamed bun with meat to the customer, but he saw Chu Fan through the crack.
The young man pushed aside the crowd, rushed out, wiped and wiped his hands on his body, and said: "Engong, I really thank you for your blessing, this name has been changed, and many people have come to see it, and the more people you see, the more you buy."
Finish. โ
Chu Fan smiled and said: "Yes, this is called drainage, first make a nonsensical trick, let everyone be curious about what this is, as many people pay attention, the business will naturally be good, do it well, buy a shop when you have money, and bring the cool leash on." โ
The young man smiled very innocently, nodded and said, "Official, wait a minute, I'll wrap two buns for you." โ
"No need, I'm joking with you that day, I won't eat the buns, I still have something to do."
"Official, you go and get busy, I'll wait for you here, I'll give you a hot bun, remember to get it when you come back."
Chu Fan smiled helplessly, waved his hand, signaled the guy to hurry up, and hurriedly walked towards the entrance of the sheep market.
Arrived at the door of the hospital, Wan Mizhai was already waiting at the door, this morning, Wan Mizhai didn't do anything, just waiting for Chu Fan at the door, he saw Chu Fan with his eyes, strode up, and said: "Official, I thought about it all night yesterday, your suture method can be used in the uterus, you can use it in other places, then you can cure a lot of diseases, we can not only see gynecology." โ
Chu Fan has actually always wanted to improve the medical level of the Ming Dynasty, but he has been busy making money and fighting wars in the early stage, and he doesn't care about studying these at all.
I saw that in the front hall of the medical hall, there was a sheep on the table, Wan Mizhai handed a knife to Chu Fan, and said: "Official, I don't know if there is a big difference between sheep and human flesh, I specially bought one, you can tell me."
How to open the knife and how to suture? โ
Chu Fan was also speechless, and it was really only a scholar like Wan Mizhai who came up with such an idea, but using animals to practice cutting and suturing is also a commonly used teaching method in modern medical schools, but this mutton is actually quite different from human flesh, fat content, skin thickness, and muscle strength are far from human flesh, but the principle is the same, sebum layer, muscle layer, visceral layer, and sheep that people have.
Chu Fan took the knife, broke the lamb's belly, and said while drawing: "This first layer is the epidermis, after the cut, the surrounding capillaries will seep blood, but this is not tight, as long as the number of platelets is enough, the person will soon stop the bleeding by himself, and next, it is the muscle tissue, when cutting here, you must cut it according to the lines, avoid the tendon line, so that you can effectively reduce the bleeding, because the sheep is dead, so the blood has coagulated, otherwise, it should have oozed a lot of blood outward by now, At this time, it is necessary to control the surrounding blood vessels, use pressure or instruments to block the surrounding large blood vessels, so that the capillaries will no longer seep blood, rub hemostatic drugs, and wait for the capillaries to scab over, you can let go of the surrounding blood vessels, and then go down, you can see the visceral fat, and the visceral fat should also be cut according to the lines, but there are not too many blood vessels here, and the incision will not bleed, so you can rest assured that the next step will be. โ
Wan Mizhai stroked his beard and nodded frequently, looking at it with relish.
"The internal organs are different, but the uterus is actually a hollow meat bag, when giving birth, the placenta and the baby are attached to it, when it is cut, the outer layer is the most abundant blood vessels, and the bleeding must be stopped in time, and the inner layer has basically been automatically peeled off before production, just tear it slightly, and it will come down whole, just like peeling an egg skin."
"And where are the big blood vessels around here?" Wan Mizhai has obviously entered the state and has learned to ask questions.
"At this top, but this big blood vessel is not one, it is many, and it is not easy to pinch it, so it must be quickly sutured when taking out the child, but remember not to flow amniotic fluid into the blood vessels, some substances in the amniotic fluid will react in the blood vessels, coagulate into lumps, block the arteries, commonly known as amniotic fluid embolism, which is fatal."
Wan Mizhai pondered and asked, "Do you also have to layer when the uterus is sutured?" โ
"To divide, the inner membrane is the thinnest time after giving birth to a child, the sewing must be fine, the outer membrane is mainly afraid of bleeding, and the stitching can be appropriately stitched, mainly because the muscles have not been sutured at this time, and excessive bleeding will hurt the body and die."
Chu Fan said while cutting open the sheep's belly, assuming that the sheep's stomach was the uterus, and performed a caesarean section for Wan Mizhai on the spot.
Wan Mizhai was amazed, he has been exploring the mysteries of the human body for ten years, and today he has an epiphany in a sheep, and he has also solved many doubts for many years.
Wan Mizhai is very intelligent, and he is a person who studies medicine.
He asked Chu Fan to sit down, and he repeated Chu Fan's operation on the other side, Chu Fan watched and instructed at the same time, and the two of them worked tirelessly to learn that the sun went down.
Seeing that it was also dark, Chu Fan said goodbye to Wan Mi Zhai, and made an appointment to study together tomorrow.
Touching the darkness, Chu Fan strode back.
Suddenly felt movement behind him, but turned around but did not find anything abnormal, in the Ming Dynasty, it was dark, basically no one was active, there were no street lights, and there was no entertainment industry, so the streets were basically quiet, and it was a little bit of movement, and people could feel it.
Chu Fan looked at it for a long time and didn't find anyone, so he was relieved, thinking that he was in a trance, and he didn't care, so he continued to walk towards the inn.
At this moment, I heard a voice from the corner of the road: "Official, you can count it back." โ
Chu Fan saw through the faint moonlight that it was the guy who sold meat and steamed buns.
The young man took out two buns from his arms, handed them to Chu Fan and said, "Official, the little one has been waiting for you here for a long time, and I said that I would give you two buns, give them, and they are still warm." โ
Chu Fan smiled helplessly and said, "Why are you so persistent?" It's all joked, why should you take it seriously. โ
The guy didn't care, and said with a smile: "The official said today that I should make some cool skin, so I want to ask the official again, what is the cool skin?" โ
Chu Fan couldn't help but wonder, your kid didn't give buns, you kid came to listen to the business scriptures.
However, Chu Fan is also a person who loves snacks, and he is worried that he can't eat any flavorful food in Chang'an, so you can help me make snacks.
"Tomorrow, you close the stall, come to the Fuxiang Inn to find me."
As he spoke, he took two meat buns back to the inn.
On the second day, Chu Fan continued to go to the medical center to give lessons to Wan Mizhai.
The content of today's professor is how to refine alcohol and bone surgery, Wan Mizhai found a few rabbits according to Chu Fan's requirements today, and the two started surgery on the rabbit, today's rabbit is alive, and the blood does not stop after the operation, Wan Mizhai is learning to draw while learning to stop bleeding, Wan Mizhai is indeed a good hand at studying medicine, after several operations, the rabbit that he operated on did not die, Chu Fan was also very pleased to see it, after all, he has a dream of being a doctor who saves people since he was a child, in this dynasty, if he can contribute to the development of medicine, It's really a pleasure.
Unconsciously talked to Wan Mizhai about the evening, because Doctor Wan was too curious and eager to learn, there were always endless questions, so Chu Fan actually forgot that the little brother of the meat bun was coming to the inn to find his own business.
It was all dark, Chu Fan got up and returned, walked back to the door of the inn leisurely, and was about to enter the door, but someone grabbed his arm.
looked closely, but it was the little brother with meat sandwiches, and he gestured a "shhh" on his mouth. The action quietly pulled Chu Fan to the kitchen next to him.
"Official, this inn is not safe, I'm afraid there is a problem."
Chu Fan looked at this guy inexplicably and said, "What's the problem?" I've been here for three or four days. โ
"Official, I saw someone in the back hall being killed and carried out through the back door."
"Who died?" Chu Fan couldn't help but be a little nervous, after all, Qiao Feng, Zhang Yutong and his daughter Pingping were all in the inn.
"It seems to be a cook, I've been waiting for you here all night, and when I'm bored, I'm wandering around, and I accidentally see someone dragging a big man out of the back door, picking up a carriage and pulling it away."
Chu Fan knew that something was wrong, so he hurried to Zhang Yutong's room in three steps and two steps, but saw Zhang Yutong holding Pingping and coaxing the child to sleep.
Chu Fan breathed a sigh of relief, withdrew and quietly closed the door, and said to the little brother with meat sandwiches: "Then what did you see later?" โ
"Later, someone went into the back hall and never came out."
Chu Fan patted the little brother with meat and buns and said, "Come, follow me." โ
The two quietly walked to Liu Dali's room next door, where Liu Dali and Liu Erli lived, and when they entered the door, Liu Erli hurriedly greeted them and asked, "Master, what's wrong?" โ
"There may be an accident in this inn, I can't tell you what the specific situation is, you let Qiao Feng and Lao Sun Tou move upstairs, in case something happens, so that there is a response."
As he was talking, he heard the shopkeeper shout in the stairs: "The hot water is here, Madam, I'll put it at the door for you." โ
Chu Fan quietly opened half of the door and saw that the shopkeeper was holding a basin of hot water and placed it at Zhang Yutong's door, but the shopkeeper was followed by a man in black, covering his face and unable to see clearly.
Chu Fan knew that something was wrong, but he didn't want to startle the snake, so he knocked on the wall next door three times in a row, this is the code set by Chu Fan, if there is something, he will knock three times on Liu Dali's side, so that the two brothers of the Liu family can adapt to the situation, Zhang Yutong also knows this code.
Because since he left the capital, he has been in a state of no protection, after all, he has offended many people in the capital and affected the interests of many people, so he has to guard against it.
When Zhang Yutong heard the knock on the wall, he immediately became alert, leaned over the window, stretched out his head to look into Liu Dali's room, Chu Fan had already put his head out of the window and waited, and made a silent gesture to Zhang Yutong, and said softly: "Don't go to get the basin." โ
Zhang Yutong nodded understandingly, and Chu Fan returned to the crack in the door to observe.
The shopkeeper waited for a while, saw that no one came to open the door, and shouted again: "Madam, the hot water is at the door, you come out and serve it." โ