Practicing Medicine in the Tang Dynasty

71 Chapter 12



71 Chapter 12

As a member of the Mohe tribe[1], Li Jinxing had a good understanding of this disease that came from the Hu people.As early as when the epidemic was first discovered, he ordered all the soldiers suffering from corpse transmission to be isolated separately in several military tents, plus special guards, and all food and clothing were provided separately. range contagion.

"This disease often occurs among our Mohe tribe, but this is the first time it has been discovered on the Silla front." Li Jinxing opened the curtain while speaking, and moaning and painful coughing came through the gap. Get into the ears of the imperial doctors.

Shen Hanshan glanced at it briefly, weighed it in his heart, and asked, "How many months has it been since the first discovery of the disease of passing corpses?"

Li Jinxing recalled for a moment: "The first one or two people were not reported to the old man, and the old man didn't know about it, and when the military doctor reported it, it was already in May, and 32 people were sick with dead bodies."

"How many people are suffering from corpse transmission?"

"No fewer than 500 people were diagnosed."

Hearing this number, everyone present gasped.

Although the contagiousness of passing corpses is not as severe as smallpox and other pox epidemics, such a large-scale infection is really shocking.And these infected soldiers will also become new sources of infection. At that time, one will spread to ten, and ten will spread to hundreds. Let alone [-] Tang troops, even [-], they are just a group of sick soldiers.

If this situation cannot be controlled, and the Silla people do not need to call, Tang Jun himself will die at the hands of the disease first.

While he was talking, several medical officers from the army rushed over. They saluted Li Jinxing briefly, and then turned to the old doctors who came from Chang'an.

The leader is about twenty years old, with a good appearance and a tall figure, with a pair of deep eyebrows reflecting the glow of the sky, as if a ball of fire is burning in his eyes, and even the sight he casts is burning like a blaze, making one's spine feel hot.

"Long time no see, teacher." He bowed respectfully to Hu Zhilin.

Hu Zhilin patted him on the shoulder, with a look of relief on his face: "Yi Que, you and I have been separated for ten years, and I never expected to meet in the military camp. I heard that you are now the head of the military doctor. You are really a handsome young man with a bright future. infinite."

Yi Quedan smiled slightly: "It's the students' luck that they didn't dishonor the teacher's reputation."

The two masters and apprentices were exchanging greetings face to face, and Wu Yi quietly looked at him. Standing behind him were many middle-aged military doctors in their 50s and [-]s, and even some white-haired old doctors, and there was no such thing as such a young man leading the doctors here. Seeing that one person was unwilling, they all nodded and nodded behind, expressing that they were indeed willing to be inferior.

This person's ability must be beyond ordinary people.

He was weighing it in his heart, a pair of warm hands were already attached to his shoulders, and a stream of heat came from his ears: "Did you find it strange that there are many celebrities in the military camp? ?”

Wu Yi glanced back and saw Xu Rong's playful face.

He was indeed quite curious: "Brother Xu, please enlighten me."

Xu Rong whispered into his ear: "Yi Que's reputation in the official school was by no means as fast as yours now. It only took him three years to complete the surgical school system, and he also studied under Hu Zhilin, a master surgeon. It can be said that he became famous for a while. If he hadn't come from a humble background and was rebellious, he wouldn't have ended up here."

After listening to Xu Rong's words, Wu Yi probably had an estimate in his mind.

The students who have completed the school system have their own way out. The top ones like Xu Rong can stay in the imperial medical office.The first time I return to the local area to become a doctor, I don't have to worry about my livelihood, and I can become a doctor of official studies in the local area after a few decades.Only a small number of people with demerits will be sent to the barracks to live a difficult life in the army.

Even Xu Rong's background and status can be used as a medical assistant in Chang'an official school by his own ability, but Yi Que, who was highly praised by Xu Rong, was assigned to the remote front line of Silla. , Rebellious and unruly" can be explained by the eight words.

Just as he was thinking about it, a handsome face suddenly appeared in front of him, those burning eyes seemed to be lit with fireworks, and even his eyes were blazing with fire.

"You are Wu Yi. I heard that you have a deep research on the disease of passing corpses. I just want to ask for advice."

Wu Yi subconsciously glanced at Shen Hanshan, seeing that he was watching the show with a smile on his face, and he had no intention of standing up to help the students, so he couldn't help but sighed.

He and Shen Hanshan are called masters and apprentices, but they get along more like friends who have forgotten years. When encountering such a scene, Shen Hanshan must be holding a small stool in his heart, picking up small melon seeds and silently watching, maybe even clapping his hands to see him make a fool of himself Woolen cloth.

"I've only scratched the surface. If there are any mistakes or omissions, I hope Brother Yi will forgive me."

Yi Que twitched his eyebrows and raised a three-point smile: "Dare to ask Brother Wu, where is the sickness of the corpse?"

"In the lungs."

"What's the explanation for the pathogenesis?"

"Insufficiency of lung qi means that the defense is not solid, the flow of water channels is unfavorable, the clearing is abnormal, and evils take advantage of the deficiency to enter and cause disease. [2]"

"What is the disease?"

Wu Yi got stuck on this question, not because he didn’t know the answer to this question, but because in this day and age, no one can accept the weird name “Mycobacterium tuberculosis”.

He thought for a moment, and could only briefly quote the opinion of the Great Immortal Sun Simiao: "Lungworms too."

In fact, even the theory of lungworms is still a partial view in this era, and most medical officials still adhere to the viewpoint in the Sui Dynasty medical book "On the Origin and Symptoms of Various Diseases", thinking that it is a kind of "consumptive cough" The pathogenesis is "fatigue and coughing, the viscera qi is weak, and the evil hurts the lungs".

That is to say, the understanding of tuberculosis by doctors in this period is only that it is a kind of lung disease, and the source, mechanism and prevention methods of its infection are all a blank sheet of paper.

Yi Que was obviously not satisfied with copying Sun Xianren's statement: "Since it is caused by lungworms, how did they get infected?"

Wu Yi paused, and mixed the theories of traditional Chinese medicine and western medicine: "Lungworms can be lodged in phlegm. After an infected person coughs up sputum, lungworms can be distributed in the air and breathed in by weak people, causing its disease."

Even Sun Simiao, who was promoted to the altar, had never brought up this point. As soon as this statement came out, even Shen Hanshan, who was eating melons and watching the show, couldn't help but look down.

Yi Que hadn't said anything yet, but Hu Zhilin asked first: "Which medical book did you read that from?"

...Of course it is "Internal Medicine" published by People's Medical Publishing House.

A few beads of sweat the size of a thumb appeared on Wu Yi's forehead, and his face remained calm: "This is the student's deduction."

"Oh?" Hu Zhilin was obviously dissatisfied with the answer, "Since there is no evidence to rely on, why do you say that?"

"Reporting to Doctor, there is indeed no document to prove this theory, but it is definitely not without evidence." Wu Yi was neither humble nor overbearing, and he analyzed it calmly with him, "Before Shen Nong tasted all kinds of herbs, no one knew what medicinal materials were, and Hua Tuo traveled all over the Jianghuai River. , to come up with the prescription of Ma Feisan, and the classic works of the sages and teachers are also slowly explored from scratch. Therefore, the students think that even if this inference is not correct, they can also throw a brick to attract jade and provide everyone with a way of thinking. .”

These words were taught by Zhang Qiren when he was in Yuanzhou, Wu Yi didn't understand the deep meaning until now.

After being refuted by him, Hu Zhilin was speechless for a while, but Yi Que's expression changed, and there was a hint of appreciation on his face: "It's a good one who came from nothing! It seems that Brother Wu's reputation is not fake."

Wu Yi couldn't help but feel a little ashamed. Neither the infection route of tuberculosis nor the refutation of Hu Zhilin's remarks were original creations of his own, but were just based on the experience of predecessors.

Before Yi Que could ask any more questions, he heard a clear voice coming from behind Wu Yi.

"I have heard Mr. Yi's name for a long time, but the students also have one or two questions they want to ask."

Yi Que looked back and found that he was a boy of thirteen or fourteen years old. He was handsome and handsome, and his demeanor was different from others. After careful consideration, he knew the identity of this person.

"The lower official has met the king of Nan'an County. If the king of the small county has any questions, just ask. The lower official knows everything, and he can talk endlessly." He said the words of courtesy, but he didn't even bend his knees, obviously he didn't let Li Jing go. in the eyes.

Behind Li Jing was a round of heavy setting sun, but his eyes were like dark night: "Dare to ask Mr. Yi, when was the first person suffering from cadaver disease discovered?"

Shen Hanshan has already mentioned this issue, but Li Jinxing, who is in a high position, has not paid attention to such trivial matters.

And Yi Que, who is a military doctor, had to know. He lowered his eyes and recalled for a moment, and then he came up with the answer: "Spring and April."

"Since people get sick in spring and April, why did they wait until summer to report to the imperial court?"

As soon as these words came out, it was no longer a simple question, but equivalent to a question.

The hot breeze in late summer brushed against his cheeks, making the fire in Yi Que's eyes jump.

He didn't rush, and asked instead: "People in the army are injured and sick every day. Is such a trivial matter bothering the Queen's hearing?"

"Just now General Li said that there is no such disease in Silla. Shouldn't we be vigilant after one case is discovered?"

Li Jing raised his chin and drew a rather sharp arc: "Since passing corpses is an epidemic, once it is discovered, it should be reported immediately. Mr. Yi hides it and does not report it. Is it because he is confident that his medical skills can be easily resolved?" This disease?"

As soon as these words came out, like an invisible small arrow, it directly pierced Yi Que's heart.


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