The Surgeon's Guide to Survival in the Royal Palace, Section 33

Only then did Cheng Qingqian stand up:

"After tossing for half a night, it's a little better now."

Yan Yunzhou looked at Yang Sheng:

"Uncle Yang, does it matter?"

Yang Sheng's face is not good-looking:

"Lord Wang, this intestinal carbuncle is not easy to treat, some people can survive with medicine supplemented by acupuncture, but they don't go to the root, often recur, and some people have too much pain, and they can't survive in the end."

Cheng Qingqian's face turned pale suddenly, Yan Yunzhou clenched his hands, intestinal carbuncles, there were soldiers in the army who died of intestinal carbuncles, he never thought that Xiao Qi'er would get such a disease, Yang Sheng spoke again:

"Lord Wang, I haven't been in contact with many people who have carbuncles, why don't you ask the imperial doctor to take a look?"

Yan Yunzhou didn't care about anything else at the moment, and directly asked people to take the token to declare the imperial doctor, and at the same time, the doctors in Beijing had to be called.

The palace hyped up the summoning of the imperial doctor, and even Li Qi got the news, thinking that Yan Yunzhou was about to die, and the imperial doctor and the famous doctor in the capital were passed in one by one, Yan Yueqi had just woken up, Yan Yunzhou sat at the table, watching them take the pulse one by one, asking about the symptoms, the child's pain was terrible and he couldn't tell clearly, but the conclusion was very consistent, it was indeed a carbuncle of intestines.

When Yan Yunzhou arrived in the outer hall, he summoned the doctors who had seen him one by one, but all the answers he got were similar, either they couldn't be cured, they relapsed and tortured from time to time, or they couldn't survive at all.

Chapter 31: Let you be more sure of the operation

A room of imperial doctors and doctors finally came up with a prescription, and Yang Sheng stepped forward:

"Lord, eldest lady, little lady's intestinal carbuncle is caused by entering the stomach and intestines, and the warm disease and wind evil entering the stomach and intestines.

Cheng Qingqian had been guarding the child all night, frightened, and there was no better idea at the moment, and Yan Yunzhou didn't dare to delay time:

"Let's get ready."

A group of doctors and doctors retreated, and the little girl who was sleeping on the bed finally woke up in a daze, but she cried out in pain as soon as she woke up, Cheng Qingqian, who heard the movement, immediately rushed to the bed, Yan Yunzhou also immediately stood up, Ning Zhi saw that he pressed his knee with his hand, raised his hand to help him, the child woke up, and he could ask about the symptoms when he woke up.

"Ji'er, Qi'er, are you better?"

Cheng Qingqian wiped the sweat on her daughter's forehead with a handkerchief, and the little girl on the couch kept covering her stomach with her hands:

"Mother, my stomach hurts, it hurts..."

Yan Yunzhou also sat on the edge of the couch, his eyes were full of pity, and he held the wrist of his little niece:

"Qi'er, be stronger, the doctor has already come to see us, we will be fine after drinking the medicine, good, it will be fine."

Ning Qi hesitated and spoke:

"Lord Wang, I want to ask Qi'er a few words, is it okay?"

Yan Yunzhou raised his head suddenly, although he didn't know what Ning Zhi was capable of, but it was good to have one more way at the moment, so he nodded, and Ning Qi squatted in front of the couch:

"Ji'er, do you remember the second aunt? The second aunt has a few questions for you, and if you answer, I will give you a bunny pastry. ”

The little girl's eyes looked over, her lips had been bitten and turned a little white, she remembered the second aunt, and she went to give him clothes the day before yesterday:

"Second aunt..."

The soft and glutinous voice with a crying voice is Ning Zhi who is worried when he listens to it:

"Okay, then you tell the second aunt, where did the stomach start to hurt in the first place? Would you like to point it out to me? ”

Yan Yueqi is already seven years old, and the pain can be described, so Ning Qi soothed and spoke:

"Don't worry, think about it."

Cheng Qingqian didn't know what he was asking for, but Yan Yunzhou didn't say anything, she didn't speak, for a long time Yan Yueqi raised her hand to cover her upper abdomen, almost the stomach place, she remembered that it hurt here yesterday, and her mother also brought her hawthorn cake to eat, Ning Yi nodded:

"Does it still hurt here?"

"It doesn't hurt anymore."

"Then where is the most painful place to tell the second aunt now?"

This time the little girl's movements were relatively fast, and her hand pressed down on the right lower abdomen and stomach, Ning nodded her head, most likely because of appendicitis and did not have to run, starting in the upper abdomen, listening to the words of the maid in the morning, yesterday there was pain around the navel, and now it is right lower abdominal pain, typical metastatic right lower quadrant pain, which is a characteristic manifestation of appendicitis.

He then looked at Cheng Qingqian:

"Sister-in-law, has Qi'er ever had similar symptoms? Is this the case of stomach pain? ”

Cheng Qingqian shook his head:

"No, Qi'er has been fine, this is the first time."

Ning Qi nodded, and he patted the little girl's hand gently:

"It's amazing, when you're ready, the second aunt will give you a little rabbit."

After saying that, he stood up, and the relaxed look on his face that had just calmed the little girl was gone.

The children in the palace are finely raised, if there were a little symptoms in the past, Cheng Qingqian will remember, she said that if there is no one, it can almost rule out the possibility of chronic appendicitis in the past, and now even if you don't do an examination, the pain is like this, accompanied by vomiting and fever, and it is likely to be acute appendicitis.

Acute appendicitis is also a situation in which surgery should be arranged in a hurry in modern times, and the course of the acute attack progresses rapidly, which is very easy to cause peritonitis, and even perforation, suppuration and other conditions.

Once these happen, then under the current level of medical care, there is a high probability that they will die, which is also what Yang Sheng said, some people can't survive and die, and those who don't survive should have these complications.

Yan Yunzhou stood up, looked at Ning Qi's tightly knit brows, and said:

"Do you have another way?"

Cheng Qingqian also looked at it when he heard this.

Ning Yi stood in place, all kinds of thoughts came to him in an instant, the person who is sick now is Yan Yueqi, it is the little lady who treats this palace as a sore eyeball, Yan Yunzhou is probably more cautious about her than her own body, and she is not completely sure, not to mention whether she can convince them to do the operation, that is, if she really does it, is it okay now? If it fails, what awaits him?

This is not modern, even if the patient dies on the operating table, as long as the operation is compliant, the doctor is not responsible, in this era, if Yan Yueqi dies, what will Yan Yunzhou do to him?

And if you don't say it, Yan Yueqi has nothing to do with him whether she lives or dies, but a little girl who is only that big, if he can really fight for her to get a glimmer of life, will he really do nothing? All kinds of thoughts tugged in his heart, and after closing his eyes for a while, he still raised his eyes to look at Yan Yunzhou:

"Lord, eldest lady, let's go out and talk."

The three of them sat down in the hall, after all, Yan Yunzhou had heard Ning Xuan's remarks, and he also saw his concerns:

"You just have to say your way, whether you need it or not, this king will decide."

Yan Yunzhou's words strangely made Ning Ji put down some of his heart:

"Lord Wang, the symptoms of Qi'er are in the appendix, you can simply understand that it is a position at the end of the intestines, and the current situation is that there is an infection in this place, and from the perspective of Qi'er's symptoms, the attack is very urgent, and taking medicine and acupuncture may be able to suppress the symptoms, then this attack may turn into a chronic attack in the future, which may not be fatal, but it is very painful.

If taking medicine does not have an effect, then the condition is worsening, the infection in this position may induce appendix perforation, or suppuration, and finally involve the entire abdomen, there is no medicine to treat, my method is to open the surgery, the appendix is removed, the appendix itself is not very effective on the human body, and it does not affect life after removal, but just like you are worried, there is a risk of surgery, it may be cured, or it may not survive. ”

Ning Qi closed his eyes for a moment, and finally finished speaking, Cheng Qingqian's face turned pale:

"What? Surgery? Yes, do you want to cut her belly? This, this is simply..."

For her shock, Ning Ji understood very well, he sat on the side and did not speak, Yan Yunzhou looked at it, and said in a deep voice:

"If you are allowed to go under the knife, how sure are you?"

Appendicitis surgery is not even a major operation in modern times, let alone a king with strong business ability like Ning, even the ordinary attending of their hospital can do appendicitis surgery by casually pulling out one.

When he was first on duty in the hospital, he didn't know how many appendices had been cut in the emergency department, but now in this place, the success rate of an appendicitis operation made him hesitate.

Ning Zhi thought that there would be no problems with the surgical process, but antibacterial and anti-inflammatory medicine alone was not enough to rely on the decoction of this era, whether allicin has any effect now He has not yet seen it, and there is another point that is anesthesia, which is very important He can't guarantee Yan Yunzhou now.

"Give me a day, I'll tell you how sure you are in the evening, I'll go back to the yard first, and if the situation is in crisis, let someone call me."

Now there is no time to delay, Ning Qi didn't even wait for Yan Yunzhou's reaction before he immediately turned around and walked out of the courtyard, he now has to go and see if allicin can be used, if allicin has no effect, then everything is in vain.

When he got to the door, he remembered something, and then he suddenly turned around:

"Lord Wang, Doctor Yang is here today to watch Qi'er's situation, are there any other doctors who can be trusted?"

Allicin he can rely on himself, but anesthesia requires the cooperation of the doctor here, Yan Yunzhou spoke:

"I'll ask Dr. Zhou from Jihetang to accompany you."

Ning Qi quickly returned to the original courtyard and took out the petri dish he had made a few days ago, he was even a little nervous before opening the lid, if it didn't work, then Yan Yueqi could really only survive on his own.

He closed his eyes and adjusted, took a deep breath, and suddenly opened the lid, and there was a round antibacterial circle in the middle of the dark green flora, allicin had an inhibitory effect on the flora, and Ning Yao's excitement now was even no less than the success of his first operation, there were effective antibiotics, and he was at least thirty percent more sure of this operation.

Ning Yi immediately opened his mouth and commanded:

"Momotsuki, quick, call me all the people who peeled and chopped garlic that day."

Although allicin is effective, but now he does not have any inventory in his hands, modern allicin enteric-coated capsules, a medication is 40mg, at least 3-4 times a day, a kilogram of garlic can also produce 8mg of allicin, a medication is ten catties of garlic, a day is thirty to forty catties, and the antibiotic medication time after appendix surgery is at least 7 days.

This is still the anti-inflammatory time of modern penicillin, considering that the effect of allicin is weaker than that of penicillin produced by modern industrialization, but there was no abuse of antibiotics in ancient times, so the effect of allicin should be very good, but even this conservative estimate is still 7 days of medication.

In addition, he can't guarantee that one kilogram of garlic can really be purified to 8mg of allicin, plus the loss, it takes at least 300 catties of garlic.

Moreover, it was impossible for him to directly operate on Yan Yueqi, counting the wounded soldiers in his hands, which was at least 600 catties of garlic.

"Go find the housekeeper and ask him to prepare me with 600 catties of garlic before it gets dark today."

Ning went to the courtyard where he used to make alcohol, and called all the people who had helped in this courtyard before.

"Now we have twenty people here, each of them divided into a group of five, a total of four groups, have the five of you ever distilled liquor before?"

"Yes, Ning Gongzi."

After Ning Jiao taught the method before, a few little guys learned the matter of purifying distilled alcohol:

"Okay, you stand aside first, come, the first group, your task is to peel the garlic, you can't use a knife to pat during the peeling process, you have to peel it by hand, there is a weighing, every two catties of peeled garlic is put aside, and handed over to the second group.

The second group of you is responsible for chopping the garlic, and you have to chop it into fine pieces, and after you have chopped it, give it to the third group.

The task of the third group is to put the minced garlic into the glass bottle, add four times the weight of alcohol to the bottle, put the bottle in the salt in the casserole at the bottom, and light the charcoal fire underneath, remember, the temperature of the salt should always be slightly hotter than the palm of the hand, if it is too hot, remove the charcoal fire, and heat it for two quarters of an hour at a time, remember? ”

"Remember, Master Ning."

This process is not difficult, and many people have been watching from the side when Ning Qi made allicin last time, and this is not a technical job until now, Ning Qi nodded, and then looked at the last group of people who were left behind:

"Your task is the most critical, you filter out the minced garlic from the heated alcohol, leaving only the alcohol, and then there is the process you are familiar with, distilling the solution, the same way as steaming wine, but remember, this garlic solution is easier to boil than wine, and you can't let the boiling solution flow directly into the condenser tube, you know? I told you before about preventing boiling, remember? ”

"We remember Ning Gongzi, don't worry."

Distillation is not a complicated technical task, practice makes perfect, and it has been a few days since the beginning of preparing alcohol, and these people are also proficient.

"Okay, let's get started now."

At the beginning, Ning Zhi was not too relieved, or sat on the side and watched everyone's movements, and corrected in time when there was any non-compliance, fortunately, the division of labor and cooperation, each process can not be considered difficult, the people who peeled garlic were very fast, and the garlic was chopped faster, one ring after another, Ning Zhi calculated the approximate time, hoping to get the medicine out of the two days today.

He sat in the room for about an hour, and the process went quite smoothly, and Momoyue had learned a lot from him these days, and when he left, he spoke:

"Momotsuki, you are watching here, if you have any questions, call me."