Chapter 178: "Hemorrhoidectomy" in the Ming Dynasty
"I hope that people in the world will be free of disease, what a pity to have medicine on the shelf!
The kindness of the factory father, Li Mouxin received it, or please go back! ”
touched a nose of ash, Wang Li was extremely depressed!
This Li Xianju has been a doctor for generations, and a family of six is sitting in "Jirentang" to diagnose and grab medicine!
It is said that he is the doctor with the highest medical skills in Chengdu, which can make countless people come here and return satisfied!
According to the income and expenditure account of Jinyi Wei Shunlai, their family's income is only two taels of silver per month!
They are a family of six, and if they become the "designated doctor" of the West Factory, they will have an income of sixty taels per month!
Such a generous treatment was rejected unexpectedly!
Wang Li really can't figure it out!
Li Xianju's posture probably doesn't want to have anything to do with the West Factory!
Think of yourself highly!
Phew!
However, I like such a doctor!
"Doctor Li, your two sons are not young!
In today's Chengdu city, it is not easy to marry a satisfactory girl! ”
Wang Li persuaded again, but Li Xianju still smiled indifferently.
Holding the "Compendium of Materia Medica" and looking at it carefully, I almost regarded Wang Li as nothing!
Wang Li naturally refused to give up, and continued to ask: "Doctor Li! If your son can't marry a wife, don't you worry about the end?
Don't worry about the medical skills of one body, no one can pass on?
Look at your eldest daughter and two younger daughters, still dressed in coarse linen!
They walk down the street and don't get looked down upon?
Do you really have to bear it? ”
"Factory, you won't understand, no need to say more!
Five years ago, the governor of Sichuan, Lord Zhang Lun, twice recommended Li to Beijing to be a doctor!
Five hundred taels of monthly salary, Li refused all in one bite!
Do you think that Li can afford your monthly salary of ten taels? ”
Depend on!
This guy is really stinky, hard, and pedantic!
Li Xianju expressed the intention of sending off guests, but Wang Li still did not move, and quickly changed the topic.
"Dr. Li is high-spirited and bright, and the factory is admired!
However, the factory would like to ask: Since Dr. Li cares about the people, you only guard Jirentang, how many people can you treat?
If you encounter people who have no money to diagnose a disease, how many pairs of medicinal materials can your Jirentang give? ”
As soon as these words came out, Li Xianju's body trembled slightly, but he quickly returned to normal, and his expression was calm.
Seeing that he was touched, Wang Li continued to persuade: "Doctor Li, your peerless medical skills should not be limited to the small Jirentang!"
The doctor is benevolent, not for fame and fortune, and the spirit is commendable!
But, as a doctor, should you be content with poverty?
Is it shameful for a doctor to earn his fair share of money while treating more people?
If Jirentang becomes the "designated clinic" of Xichang, more people will come here!
At that time, you didn't need to tie your hands and feet, you didn't need to think about whether the people's money was enough, and you didn't need to think about the cost of medicinal materials!
You just need to use what you have learned in your life to drive away diseases for every people!
Of course, the West Factory will also hold doctor-patient exchange meetings from time to time!
Hundreds of doctors in the province can gather together to communicate with each other and improve together!
In this way, Jirentang has treated more people!
At the same time, is it wrong for Dr. Li to get the reward he deserves? ”
After some persuasion, Li Xianju sighed!
Put down the "Compendium of Materia Medica" and was about to speak, when suddenly a brocade guard hurriedly came!
"Report ...... Factory Gong: Dr. Lu Jiguo of Kang'an Hall in the west of the city, because of a misdiagnosis, was sent to Chengdu Mansion by Zhu Ping, the general of Fengguo in Xindu County, and was sentenced to be beheaded after the autumn!
His wife, Xie Wanrong, came to the Admiral's Mansion to redress her grievances and ask the factory to uphold justice! ”
Hearing that it was Lu Jiguo of Kang'an Hall in the west of the city, Wang Li frowned!
I planned to persuade Li Xianju to lobby Lu Jiguo immediately!
"Where is Dr. Lu's wife?"
"Back to the factory, Xie Shi originally went to the Admiral's Mansion to complain, and I heard that the factory was in Jirentang, so I ......"
Before Jinyiwei's words fell, a woman in her forties broke through the wall of Jinyiwei's people and knelt in front of Wang Li, crying!
According to Xie Wanrong's words, Lu Jiguo diagnosed Zhu Pingji's mother Cao Ruixue, and it seems that there is really a suspicion of misdiagnosis!
But if you think about it, it's not like that!
Because, the disease that Cao Ruixue committed was hemorrhoids!
Lu Ji Guoyi was bold and had a hemorrhoidal removal operation for her!
It's just that Cao Ruixue died two days later because of the blood collapse!
Hearing this, Wang Li couldn't help but feel a chrysanthemum!
Since ancient times, ten people have nine hemorrhoids!
In later generations, mild hemorrhoids can be controlled with medication, and severe hemorrhoids can only be treated with surgery!
However, in this era, it is so serious that it is basically helpless to get out of Jumen hemorrhoids!
During the Wanli period, Zhang Juzheng, the famous cabinet chief, was because of hemorrhoids "Although the old trouble was removed, the blood and qi were greatly damaged, and for several days, the spleen and stomach were weak, he did not want to eat, his limbs were weak, and he could not move an inch";
Unable to bear it, Zhang Juzheng boldly underwent hemorrhoidectomy!
"Cheap and real hemorrhoids have never been treated with hemorrhoids, and they have been ruined to this day. It was close to Zhao Yu, the medical officer of your house, and pulled out its roots. ”
However, there are no anesthetics in this era, and there are no effective hemostats and disinfectants!
Zhang Juzheng after the operation, "Aging people, although the hemorrhoids are gone, the vitality is greatly damaged, the spleen and stomach are weak, they can't eat and drink, and they can't afford it", it didn't take long for him to die!
The first assistant of the cabinet is still like this, and the common people are even more miserable!
When I can't bear it anymore, I always find a brave doctor who is a master of art, sign a life and death contract, and then cut it all together!
Whether it is life or death, you can only settle your destiny!
"When Lu Jiguo operated on Cao Ruixue, did he sign a life and death contract?"
"Back to the factory, my husband removed hemorrhoids for Cao Ruixue, and he did sign a life and death contract!
It's just that at that time, because Cao Ruixue was illiterate, the life and death contract was signed by his son Zhu Pingji!
The day before yesterday, Zhu Pingji broke into Kang'an Hall with his servants, not only injured the women and husbands, but also snatched the contract of life and death!
When he arrived at the prefect, Zhu Pingji insisted that his mother did not sign the contract of life and death!
Therefore, the husband was sentenced to death due to misdiagnosis!
Three days later, they will be escorted to the vegetable market to be beheaded to show the public! ”
Speaking of this, Xie Wanrong couldn't help herself anymore, hugged Wang Li's legs, and cried!
"Factory father, my husband has been practicing medicine for more than ten years, whether it is a rich family or a common person, all of them are treated equally!
There are not 10,000 but 8,000 people who have been treated by their husbands!
Today, the husband was falsely accused and beheaded, and the woman is really wronged and has nowhere to redress!
I implore the factory to be aware of everything and give my husband justice!
If the factory and the public can't redress their grievances, the women can only ...... Can only ......"
Before she finished speaking, Xie Wanrong fainted!
Seeing this, Li Xianju hurriedly got up and ordered his daughter to carry him into the back hall.
After a few stitches, Xie Wanrong quickly woke up and sobbed incessantly.
Three days later, Wang Li was not in a hurry: "Come on, invite Zhu Pingji to the Admiral's Mansion and ask about the life and death contract!" ”
With that, his gaze moved to Li Xianju.
"Doctor Li, in your opinion, how should hemorrhoids that are difficult to recover from Jumen be diagnosed and treated?"
In his expectant gaze, Li Xianju smiled indifferently: "Gonggong, in your opinion, Lu Jiguo diagnosed the mother of General Fengguo, was it a misdiagnosis that caused death, or was the doctor benevolent?" ”
"Doctor Li, you're too worried!"
Wang Li picked up the "Compendium of Materia Medica" on the table, read a few pages at random, put it down casually, and said softly:
"If Zhu Pingji did sign the life and death deed, the factory will be able to find out and give Dr. Lu a justice!"
"Oh? So, if there is no deed of life and death, or if you can't find the deed of life and death, what will happen to the factory? ”
"Huh! Does this need to be asked?
Zhu Pingji, that guy, it's clear that he's a doctor! ”
"Doctor...... Medical trouble? ”
This new word, which he had never heard before, made Li Xianju look confused!
Wang Li was too lazy to explain the word "medical trouble", and said nonchalantly: "Although the referee of our factory values evidence, many times it does not need evidence!"
In this case, Zhu Pingji's identity is General Fengguo!
If he hadn't signed the deed of life and death, Dr. Lu wouldn't have dared to remove hemorrhoids for his mother, even if he had the courage!
Therefore, even if he did not sign the deed of life and death, the factory would still give Dr. Lu a fair sentence - Zhu Pingji falsely accused Dr. Lu, a famous doctor of a generation, with a bad plot and an unforgivable crime!
Three days later, the market was cut off and abandoned!
Of course, if he can give Dr. Lu enough mental damages, he can give him a good time!
I don't know, what is Dr. Li's suggestion for such a judgment? ”
When the sound fell, Li Xianju looked at his two sons, then at Xie Wanrong and his three daughters, hesitated for a long time, and said:
"For hemorrhoids that have come out of the chrysanthemum gate and cannot be returned, Jirentang has two methods, one urgent and one slow;
Slow, that is, to tie the hemorrhoids with thin threads, limited to seven days, gradually tightened, and naturally fall off after its necrosis;
This method has less bleeding and is relatively safe, but it has too many limitations!
Many times, I will also ask the patient to sign a life and death contract, using the quick cut method;
However, my quick cut method is slightly different from Dr. Lu's:
After Dr. Lu removed the hemorrhoids, he hung the patient upside down, poured cold water on his chest, and assisted the reduction of the entire chrysanthemum gate by manipulation, and then applied herbal medicine to stop the bleeding;
If it were me, I would burn the sores with a red-hot knife, and then use the same technique to assist the chrysanthemum to return to its position, and then stuff it with gauze soaked in herbs and lard to further help stop the bleeding!
I and Dr. Lu's approach is slightly different, and we need more tests and discussions to verify which is better or worse! ”
"Not bad, not bad!"
Wang Li nodded cautiously, thoughtful!
In his understanding, the method of hemorrhoids removal in later generations is not much different from the method used by Li Xianju and Lu Jiguo!
The difference is that in later generations there were anesthetics, hemostats and anti-inflammatory drugs!
With these three drugs, the success rate of hemorrhoidal removal surgery can reach almost 100%!
Herbs that can stop bleeding and reduce inflammation, Wang Li knows nothing!
However, when it comes to anesthetics, there may be some way!
"Dr. Li, what if...... Huatuo's hemp boiling powder has not been lost, or there is a formula similar to "hemp boiling powder" in the hands of the factory public, do you want it? ”
"What? Hemp...... Hemp boiling? ”
Li Xianju turned his head violently and looked Wang Li up and down, unable to believe his ears!
"Factory ...... The factory is a man, and the hemp boiling has been lost for more than a thousand years, and there is no trace of it!
Factory father, you are the emperor's appointed commander of the West Factory, you can't talk nonsense! ”
"Our factory has no lies!"
Wang Li twisted his neck and smiled confidently: "As long as Jirentang becomes the "designated clinic" of the West Factory, the formula of hemp boiling powder can be served within half a month!" ”
After that, regardless of Li Xianju's consternation, he strode away.
The correct formula of hemp boiling powder, Wang Li has no way of knowing!
However, in his opinion, the sweat medicine should have the same effect as the long-lost hemp boiling powder!
Hemp boiling is hard to find, sweat medicine, it's easy!
Zhao Qian of Tianyin Pavilion, she has it!
In this era, the black shops that kill people and sell goods in the wilderness, as well as the various green buildings on the banks of the Qinhuai River, which one does not have the formula for sweat medicine?
That's what it is!
Isn't the anesthetic used in the hospital in later generations a strictly controlled sweat drug!
Even if it's not, it's probably not much worse!
If you don't have the audacity to give it a try, how will you know?
"Who is that, send a flying pigeon to Tianyin Pavilion!
The samples and formulas of the sweat medicine were sent urgently in 800 miles! ”
"Whoa!"
"Zhu Ping's case of falsely accusing Doctor Lu Jiguo, do you know how to sentence?"
"Rest assured, there is no difference!"