Practicing Medicine in the Tang Dynasty

Chapter 27 Desperate

Wu Yi looked up and saw only two or three pale yellow leaves floating down, and delicate leaves like a fan hanging from the thin petioles, standing quietly on the branches.

"Return to the doctor, this is Ginkgo."

"This tree, the seeds planted by grandpa, can only be seen by grandchildren to bloom and bear fruit, so it is also called descendant tree." Zhang Qiren's voice was hoarse, and he pointed to the tree: "Although ginkgo is beautiful, the fruit smells bad, so there are ginkgo trees in the palace. Once it blooms, remove it immediately, so that you will not be afraid of the smell."

Wu Yi vaguely guessed what he meant: "Students are educated. It's just that the ginkgo is born elegant, but it can't bear good fruits. Such a flower tree has an ominous meaning, why not eradicate it by the roots?"

Zhang Qiren smiled kindly, and shook his head slowly: "The root of evil is so deep that it is inexhaustible." After speaking, he sighed: "Pei Wang's disease is like this tree!"

Wu Yi frowned slightly, and his expression faded: "Pei Wang's illness has been on for a long time, and he is capricious. In addition, Chen Taiphysician often uses medicine to recuperate, but the symptoms are suppressed. His illness is like this tree, which looks mild and harmless. It’s menacing, but the root cause of the disease is actually deep, long before this fall.”

Seeing that Zhang Qiren was silent, Wu Yi continued to speak with confidence: "But it's also like ginkgo. Although the stench is annoying, it will not be unsolvable."

Zhang Qiren squinted at him: "Go ahead."

Wu Yi's eyes pierced through the fallen leaves, and settled on the roots of the tree that were deeply buried in the mud. After a while, he solemnly uttered four words.

"Cut the weeds and eradicate the roots."

Zhang Qiren's expression became condensed: "This ginkgo has been prosperous since Emperor Taizong's time, and it may not be easy to get rid of the roots."

"It's not that it's not easy, but it's that I dare not do it." Wu Yi said, "To remove trees and roots will inevitably destroy the land."

A flash of appreciation flashed in Zhang Qiren's eyes, he nodded and said: "It's exactly this principle, it would be unwise to lose the big because of a small one."

"As long as it is well maintained, the land is not impossible to restore."

Zhang Qiren couldn't help smiling, but his eyes were solemn: "That's right. You are indeed very smart."

Wu Yi couldn't help but his heart sank, it didn't sound like a compliment.

"Students made a fallacy."

Zhang Qiren neither answered him nor refuted him, and after a while, he asked a puzzling question.

"Do you know why I asked you to come with me?"

Wu Yi was silent for a moment, but finally couldn't hold back: "Because my teacher and I came up with the same idea."

Young man, he still can't hide his front.

Zhang Qiren shook his head with a smile, but looked far away at the blue sky behind layers of apricot leaves: "I brought you here today to show you this ginkgo tree—how would you know it if you didn't see it yourself?" What does it look like?"

The two of them used ginkgo biloba to discuss the disease, and Wu Yi immediately understood what the teacher meant.

He conceited that he had studied hard for more than ten years and immersed himself in modern medical science with advanced technology for several years. He was already familiar with these well-known diseases, and the symptoms and signs were easy to come by. Without seeing the eyes, the diagnosis was easily made.

He committed the taboo of practicing medicine.

"I want you to come and see, hear, ask, and diagnose diseases in person. You must remember that no matter how well-read and knowledgeable you are, or how experienced you are, you can't make a diagnosis based on other people's words, let alone make a diagnosis out of thin air. Get a prescription. You're smart, but you're too smart."

Zhang Qiren's tone was cold and serious, every single word was pressed heavily on his eardrums, trembling to the bottom of his heart.

Wu Yi's blood surged up for a while, but his face was as pale as paper. He bowed deeply to the old and clear teacher: "Students are taught."

This time, it is no longer just because of etiquette just now, it is really convinced and learned a lesson.

Zhang Qiren raised his hand and touched the top of his head, and also let go of the seriousness just now, and said with a slight smile: "Okay, you can follow me in to see His Royal Highness Pei Wang."

-

Pei Wang Li Xian, the second son of Empress Wu Zetian, his controversial life experience and short turbulent life were all lost in the secret historical materials and endless struggles, leaving only a young and panicked back for future generations.

It was rumored that he was the son of Mrs. Korea who had an affair with Tang Gaozong, so he was hated by Empress Wu all his life. These rumors were like small flies that came as expected after dinner, buzzing in the streets and alleys of Chang'an all day long.

But in Wu Yi's eyes, this fifteen-year-old royal boy was nothing more than a poor patient. His face turned pale and he was tossing and turning from bed to bed, and he kept panting rapidly from the corners of his cyanotic lips, as if to prove that he was still alive.

Zhang Qiren dismissed the on-duty imperial physicians who were looking after him, leaving only Mama Wang who was there to take care of her.He lifted the quilt from Li Xian's body and saw that his whole body was covered with sweat, his left chest was swollen, and there were several emphysema bulging at the collarbone of his neck.

Every time Li Xian took a breath, it was like pulling a heavy weight, shaking uncontrollably from exhaustion.

Zhang Qiren lowered his hands to feel his pulse, and at the same time called Wu Yi over: "Come and see."

Wu Yi hurriedly posted it. He used a set of modern western medical examination methods. When he felt that Li Xian's trachea was crooked and subcutaneous emphysema, he knew it in his heart.

Then put the left middle finger across Li Xian's chest ribs, curled up his right hand slightly, and lightly tapped the left knuckles on the chest with the tip of the middle finger alone, and there was a hollow drum sound.

This set of standard percussion techniques only appeared in the [-]th century. Of course, Chinese medicine in the Tang Dynasty had never seen it before. Even Zhang Qiren, who had always been calm and calm, showed a look of surprise.

But Zhang Qiren is Zhang Qiren after all, he quickly grasped the tricks, and felt that this method is very subtle: "This method is ingenious, from whom did you learn it?"

...of course the eighteenth-century Austrian medical scientist Josef Oenbrugge.

Wu Yi thought for a while, and had no choice but to weave the story of the great predecessor on himself.

"The student went to the wine cellar at home when he was a child, and he also knocked on the wine jar. There are two sounds when knocking on the jar with wine and the empty jar. If there is something else in it, it will be another tone. The student thought to himself , the chest is like a wine jar, and the air is puffed in the middle, and the sound of knocking out is of course more spacious."

After finishing speaking, I repented silently in my heart, Mr. Joseph, don't be angry, who made me live 800 years earlier than you now.

"This is also the student's presumption." He let go of his knuckles, "I would like to ask the teacher to give you some pointers on the condition of His Royal Highness Pei Wang."

Zhang Qiren handed Li Xian's hand to him: "Come and touch it."

Wu Yi took the pale and feeble arm, pressed his fingers on the ruler's head, exerted some force with his fingertips, and felt the pulse under his fingertips was weak and feeble, as if his Qi and blood were blocked, and he was dying of terminal illness.

The master and the apprentice faced each other face to face, and the two pairs of deep eyes looked into each other, and they had already grasped most of each other's thoughts.

Seeing that he was silent for two and a half minutes, the nursing mother Wang Mama standing beside her had already shed tears, and before she could say anything, Zhang Qiren had already called the imperial physician who stayed behind to guard him, and then he called her and Wu Yi to leave the door together , Stopped when there was no one outside.

Mama Wang wiped away her tears, her voice still calm: "Doctor Zhang, although I don't understand medical principles, I also know that this disease is difficult to treat, but I think to myself, even if His Royal Highness Pei Wang returns, you will definitely not stand by and watch."

Zhang Qiren's eyes were slightly pitiful: "The empress ordered me to put all my eggs in one basket, I dare not hold anything back, it's just..."

Mama Wang was almost overjoyed, and blurted out: "Please tell me, this old slave will never pretend to be a fool."

Only then did Zhang Qiren listen to him, explained Li Xian's condition in a few words, and said solemnly: "This time the condition is very dangerous, you can't just rely on people, let alone rely on people. You and I are watching Pei Wangchang Big one, besides Chen Jiwen and Mr. Chen, I can be trusted beside King Pei, and you are the only one, Mama Wang."

"Then this one..." Ms. Wang looked at Wu Yi with some hesitation, knowing that this was Zhang Qiren's apprentice, but she was always worried.

Without waiting for Wu Yi to explain, Zhang Qiren said indifferently: "His name is Wu Yi, if we want to save His Royal Highness King Pei, we have to rely on his methods."

Wu Yi was taken aback, Zhang Qiren had guessed the solution before he could tell.

Upon hearing this, Ms. Wang walked around from Zhang Qiren, walked up to Wu Yi, and saluted with a sincere expression.

This is the old man next to King Pei. It is needless to say his status. Wu Yi quickly supported her: "I dare not accept your gift!"

Mother Wang's tears were blurred for a moment, and then she was wiped away resolutely. She took a deep look at Wu Yi, and her voice was hoarse: "Dr. life-saving grace."

Wu Yi was moved by this look, and couldn't help clenching his fists with a solemn expression.

"We must do our best and live up to what we entrust."

With Empress Wu's oral order first, Zhang Qiren was not afraid of his hands and feet. He even concealed the truth from Zheng Yun's Imperial Physician and Sun Qili's Deputy Imperial Physician, and only discussed with Wu Yi and Wang Mama.

Wu Yi said: "King Pei's disease is capricious and has been around for a long time. If he wants to eradicate it, there is only one way, which is to expel the gas in his chest."

Mother Wang was startled: "Mr. means..."

Wu Yi took a look at Zhang Qiren and saw that he had no other expression, so he continued: "Drainage and deflation."

To be precise, it is closed chest drainage.

He briefly explained this seemingly dangerous method in ancient times: "Take the highest part of the emphysema, pierce the skin with a needle, then insert it with a thin bamboo tube, insert the other end of the bamboo tube into the water, and seal the water surface with tung oil. In this way, wait for three to five days, and the air in the chest will be drained slowly, and then it will get better."

Mama Wang turned pale with shock: "The location of the emphysema is clearly on the heart. After applying the needle and inserting the bamboo tube, if it is half an inch deeper, wouldn't it be..."

Wu Yi is confident about this. Closed thoracic drainage is one of the most basic operations in modern western medicine. He is quite familiar with it after a long time of practice.

But this patient's status was too high, he didn't dare to show his strength in front of Zhang Qiren, he just stood with his head bowed and asked this experienced old doctor to make a decision.

Zhang Qiren was silent for a while, and when he finished speaking slowly, he opened his mouth slowly: "If you take risks, you can count as a way to survive. If you ignore them, it will be a waste of life. If you are [-]% sure, just try."

Wu Yi thought for a moment, and then said bluntly: "Students went out last night to find out if there is a good bamboo tube nearby. It should be thin and hollow, and it can open up the joints. The most important thing is to be clean, otherwise it will pollute the wound, and the loss outweighs the gain. .”

Without waiting for Zhang Qiren to speak, Wang Mama rushed to say: "This old slave is going to do it, it must be done properly, I just ask you to give it a try."

"Go pick the thin bamboo tubes of chopsticks, open the joints, wash them clean, and soak them vigorously in spirits for half an hour, then it will be enough." Wu Yi instructed her carefully, "The water should be made of porcelain. Just pack the bowl and make sure it’s clean.”

Ms. Wang nodded her head "Hey" for a long time, pinching her cuffs, eager to go shopping.

Zhang Qiren was still not in a hurry: "Mama Wang goes to get things done first, Wu Yi, you go to the Imperial Medical Office, pick up a pair of Astragalus Jujube Soup, and a box of Huoxueshengji ointment."

Huangqi Dazao Decoction nourishes Qi and blood, and Huoxue Shengji Ointment prevents wound infection. Zhang Qiren thought of both, and Wu Yi kept it in his heart and learned another lesson.

The two of them split up the consulate, and within three hours, everything was settled.

The master and the apprentice came over on the morning sun. At this time, the sun had climbed to the top of the sky, and the fierce autumn sun was hanging down from the top of the sky. It shot down on the top of the man's head, like an arrow with the tip of a branding iron.

Ms. Wang's heart was burning in the scorching sun, and she was so anxious that she was about to smoke. After the bamboo tube was soaked and the needles and medicines were ready, she nervously pulled up Wu Yi's sleeves and squeezed her concern into the room. In the throat, everyone is scrambling to get out, but they can't figure out a smooth word.

Wu Yi patted her on the back and comforted the old man: "Mother Wang, don't worry, the younger generation will definitely spare no effort."

Zhang Qiren chased away the three and four on the left and right, and lowered the curtain, leaving only himself and Wu Yi inside.

"The old man is old and his hands are useless, only you are here."

Zhang Qiren didn't try to be brave, he was also a rare master of both internal and external subjects, and he was a master of both subjects.It's just that the masters can't survive their age, and now the ability to see a doctor and prescribe prescriptions is still one of the best in the world, but the ability to perform acupuncture and surgery is not as good as that of young people.

Fortunately, his hands are not flexible, but his eyes are still as sharp as a knife. Wu Yi took out the needle under his serious gaze, touched the second and third intercostal spaces of the left chest, designated the spot with his hand, and slowly inserted the needle went in.

Li Xian twitched from his coma, Zhang Qiren pressed his shoulder, pulled a clean handkerchief and stuffed it between his teeth, and finally, he said a word of relief in a low voice: "Your Highness, bear with it, it will be over soon." passed."

Then he turned to Wu and said: "Come on."

Wu Yi was sweating profusely without realizing it, and his mind was only focused on the feeling at hand. The needle had only penetrated a few minutes before he felt a sense of emptiness piercing the pleura. He knew that he had entered the pleural cavity, so he stopped immediately.

Zhang Qiren glanced at it and saw the kung fu in his technique, so he felt relieved: "Use the bamboo pipe to set it."

Wu Yi hurriedly took the thin bamboo tube that Mama Wang had prepared, and inserted it along the long needle.

The bamboo tube was about to be inserted into the needle, Li Xian couldn't help sobbing, and the person who had been dazed opened his eyes in pain, and the pupils dilated absently.

Mama Wang waited outside anxiously, and when she heard this sound, she pressed her left hand hard on her right, and then restrained her desire to lift the curtain and go in to check.

Don't be suspicious of employing people, and don't use suspicious people, she can't make more troubles at this juncture.

Thinking of this, she forced herself to stabilize her mind, and whispered into the curtain: "Just do it, sir, and this old slave will watch the door for you."

As soon as he finished speaking, he saw a little servant girl rushing from the door in a panic, almost throwing herself into her arms in a hurry.

She scolded lightly: "What's so flustered?"

After all, the maidservant was indifferent, not as calm as Mama Wang, she had already yelled in panic: "Mama Wang, Imperial Physician Zheng Yun, Deputy Imperial Physician Sun Qili and Dr. Chen have all rushed over together!"

Wu Yi's heart trembled, King Pei's illness was already a difficult disease, everyone was afraid of blaming themselves, and they were unwilling to compete with Zhang Qiren for jobs, there was no one to bother him at all, why suddenly...

During the stalemate, the back of the hand suddenly became hot, and a rough and strong palm was attached to it.

As soon as Zhang Qiren exerted force on his behalf, the bamboo tube pierced through the skin and pierced into the pleural cavity.

Li Xian was so painful that he was about to roll, but Zhang Qiren's other hand firmly held him down.His teeth were locked, but fortunately Zhang Qiren put a veil on him first, and he slammed on the soft square veil with all his strength.

"When you do things, you need to be condensed, and you can't be half-hearted." Zhang Qiren kept his eyes on, and slowly pulled out the needle in the bamboo tube.

Only then did Wu Yi come to his senses, and he took several bamboo pipes, put them one on top of the other, making them a foot long, and submerged the ends in the water bowl that Wang Mama had prepared.

The water immediately gurgles out of breath.

Knowing that it was done, he couldn't help but breathe a sigh of relief, carefully wiped off the blood near the puncture wound with a clean white towel, took out a needle and thread, and sewed the bamboo tube onto the skin carefully to prevent it from shifting.

Zhang Qiren looked at him doing these kung fu with cold eyes, knowing that it must not be the first time, the kung fu under his hands must be achieved in ten years.

Wu Yi didn't think too much about it. It was quite a sense of accomplishment to be able to complete a closed thoracic drainage under such crude conditions.

The master and the apprentice had their own thoughts, but neither of them said a word.

Wu Yi didn't have time to express his emotions, he finished packing his things quickly, and before he could take a breath, he heard Mrs. Wang knocking on the table lightly, which meant that several doctors had come.

Then there was a burst of lively footsteps, and a group of doctors headed by Zheng Yun, the imperial physician, all rushed over.

"Mother Wang." Zheng Yun treated others differently from students, and was very kind and polite, "How is His Royal Highness Pei Wang today?"