My life skills in Daming Liver

When Li Shizhen entered Taizhou, she saw the tragedy of being ravaged by the epidemic.

Taizhou, the hub of the Jiangbei salt industry, has a long history and is located at the confluence of the Yangtze River, Huaihe River and the Grand Canal.

Since the prosperity of Yangzhou, Taizhou has been a land of prosperity.

When Wang Gen gave lectures here, Taizhou School was established to accept disciples here. It is said that when Wang Gen gave lectures, every time it was empty, the city of Taizhou was crowded.

However, Li Shizhen went all the way south, but what he saw was another miserable scene of "a deserted alley".

A large number of villages were directly abandoned, and the fields were washed away by the dug Huaihe River, and many villages disappeared that night.

Those who survived by luck are also struggling to survive the epidemic. It can be said that ten rooms are empty.

After Li Shizhen diagnosed several patients, it was determined that this was the "gu disease" that Sun Simiao referred to in Qian Jin Fang.

"Some people suffer from edema, and the abdomen is big and the limbs are thin and the abdomen is as hard as a stone... This lifelong disease cannot be cured by force."

Li Shizhen frowned, and Sun Simiao said that the disease cannot be cured by force, it can only be recuperated slowly, and when the body is better, he will use stones to kill the Gu.

But now, even if these people in Taizhou don't have Gu disease, they are about to starve to death, and there is no condition for recuperation at all.

Although Li Shizhen carried some medicines, she did not have enough food.

As a doctor, he understands that the most difficult disease to treat in this world is actually the disease of poverty.

The rich households in Taizhou are not without illness, but as long as they can be recuperated, they will not turn into sudden death.

But the poor not only have no way to support them when they get sick, but also have to work to find food in order to survive. As a result, the disease becomes acute and they die quickly.

Li Shizhen was also helpless, he used Sun Simiao's prescription to drive away the venom, he told the people the prescription, taught them to identify herbs, and then continued to walk to Taizhou City.

At the same time, Su Ze and others also came near Taizhou City.

Because the prefect of Taizhou died of an illness, there was no one in the city who could take the lead in disaster relief. The gates of the city were wide open, and a large number of people who were still able to leave without being infected crowded into the city, trying to use the city wall to stop the terrible epidemic.

After treating several patients, Su Ze confirmed that this is the "schistosomiasis" that is also frightening in later generations.

As the name suggests, this is a parasite, a bug that reproduces in large numbers in the human body and lodges in the body's venous system.

Some chronic patients may not develop the disease for more than ten years, but now Taizhou is suffering from acute schistosomiasis, the time from onset to death is very short, and the deceased often have severe liver ascites, so the stomach is swollen.

Even in modern times, this disease has brought serious damage to China.

It's still a crime committed by the government and the army.

Schistosomiasis emerged in the South because it is a waterborne disease.

Adult blood parasitizes the human body and lays hundreds of eggs every day.

About half of the eggs are able to pass through the blood vessels, enter the bladder and intestines and exit the body.

The eggs hatch into miracidia in water, which have no ability to infect humans and target snails.

When the miracidium encounters the snail, it will initiate asexual reproduction in the snail and split into cercariae. This process will last for several months, and a single miracidium will eventually proliferate into thousands of cercariae.

The cercariae enter the water after leaving the snail, and if they meet a suitable host, they will penetrate into the host's skin within a few seconds and start the growth and reproduction in the host.

In this way, a cycle from the human body to the intermediate host and back to the human body is completed.

Because the officers and soldiers dug up the Huaihe River, floods flooded the entire Taizhou area, and the snails multiplied in large numbers. The number of cercariae in the water also increased sharply, and the people who worked in the paddy fields fell ill.

These people fell ill, resulting in more schistosome eggs, and even the prefect of Taizhou who inspected the paddy fields was infected and sick.

The river polluted the well water and polluted the daily water and drinking water of the people, which led to such a large-scale epidemic.

After understanding the cause, Su Ze immediately started to fight the disaster outside Taizhou City.

The anthelmintic drug used to treat schistosomiasis in later generations is praziquantel, which is a chemically synthesized drug, and Su Ze naturally cannot make it.

However, there are also prescriptions for deworming in ancient books, but patients suffering from schistosomiasis are often very weak and cannot bear the deworming drugs.

So Su Ze's plan was to centralize the management of these patients first. He asked Li Zhi and Xu Shixing to go to the city to collect food from the big households in the city, provide nutrition to these patients first, and deworm them after their health improved.

For schistosomiasis, treatment has never been the key, the key lies in disease prevention.

The most important step is to cut off the intermediate host of schistosomiasis, which is the snail.

After the founding of the People's Republic of China, in order to eliminate schistosomiasis, a vigorous campaign to kill snails was launched. As long as this intermediate host is eliminated, schistosomiasis cannot become infectious cercariae, and schistosomiasis is considered to be under control.

Su Ze made up nursery rhymes to warn the local people to be careful of snails and kill snails.

Su Ze also promoted the use of hot water and protection when working in the fields.

At the same time, a board engraving master was recruited to link snails and schistosomiasis, print them into propaganda posters, and paste them in urban and rural areas of Taizhou to publicize the oncomelania campaign.

Snails are also common in water towns, but after Su Ze's publicity, people found that this year's snails were really flooded with the flood, so that they reproduced everywhere.

When Li Shizhen approached Taizhou City, he saw people wearing leggings looking for snails near houses, paddy fields, and dams, and then burning the snails together.

When Li Shizhen saw Su Ze's snail-killing poster, she asked the village chief:

"Old man, who advertised this?"

The village chief immediately said: "It's the miracle doctor Su who came from Yangzhou. This miracle doctor has set up a plague center outside Taizhou City and has saved many people! It is said that he is a Wenqu star from the sky, and he is here to send the plague god!"

Li Shizhen still asked with some doubts: "Since it is to eliminate the epidemic, why do you want to catch snails?"

The village chief said: "The genius doctor Su said that this disease is not the reincarnation of evil spirits, but the entry of Gu worms into the body, and the Gu worms grow in the snails, so as long as the snails are killed, the Gu worms will not be able to hatch and do evil. "

Li Shizhen was stunned for a moment, and he could say that schistosomiasis is a Gu disease, which shows that this genius doctor Su really understands medical principles, but he still has some doubts about the connection between snails and schistosomiasis, so he asked again:

"Is it effective after killing the snails?"

The village chief grinned and said, "It's effective, it's effective. Since the snail eradication started, the number of newly infected people in the village has decreased a lot."

Li Shizhen was greatly surprised. He asked, "Where is this miracle doctor Su?"

"It's just outside Taizhou City. If you go there, you can see Miracle Doctor Su's village, where Miracle Doctor Su treats patients."

"Thank you old man, farewell!"

Li Shizhen came to the outside of Taizhou City with the medicine box on her back, and she saw a busy camp.

Li Shizhen stopped a doctor's boy carrying a medicine basket and asked, "Excuse me, is Doctor Su here?"

"Exactly." Seeing that Li Shizhen was also carrying a medical box, the doctor's son thought he was here to help, and he said, "Su Miracle Doctor is in the tent. If you want to help, just ask Mr. Xu or Mr. Wang. They'll give you a job."

"help?"

"Yeah, the doctors around Taizhou are rushing here, and everyone wants to contribute."

Li Shizhen said: "I'm from the north, and I just want to ask Miracle Doctor Su some questions."

"Oh, please ask me a question, then you can go directly to the tent in the middle, Miracle Doctor Su is over there."

"Don't you need to report?"

"No need, as long as you are looking for medical skills, Miracle Physician Su never hides his secrets, and he will teach you everything."

Li Shizhen was quite moved. He had worked in the imperial hospital. The doctors in the capital regarded their medical skills as treasures, and kept secrets when teaching their students. Many young doctors could not get started after studying for several years.

These doctors also like to make up new words, such as using synonymous or ancient names for some medicinal materials, and writing out the prescriptions can only be obtained in his own pharmacy, making the prescriptions the same as code books.

Li Shizhen hated this kind of atmosphere, so he decided to leave the Imperial Medical Office. His ambition was to write a pharmacopoeia to get rid of the current bad atmosphere of self-preservation.

Hearing that Su Ze was willing to discuss with all the doctors who came and went, and never kept his secrets, Li Shizhen was even more perceptive. He bid farewell to this doctor's son, and then walked to the big tent in the middle with the medical box on his back.

After walking in, Li Shizhen felt that it was like a military camp.

People in soldiers' clothes came in and out, and the entire camp was divided into several sections.

The area responsible for the recuperation of patients, the area responsible for the treatment of acute patients, and the area responsible for the treatment of mild and common diseases are all divided into separate parts.

Li Shizhen also smelled the aroma of food, and there is a special place for cooking here.

In addition, Li Shizhen also saw several large buckets. Someone boiled water and poured it into the large buckets. The water used in the entire camp was the boiled water.

There are also special soldiers who are responsible for throwing quicklime, and even leggings and clothes are specially steamed and disinfected.

Everything here is in perfect order, and everyone only needs to do their own thing well. All this makes Li Shizhen very amazed. This Mr. Su is indeed a famous doctor who is proficient in medical science!

Li Shizhen had never heard of such a famous doctor when he was in the capital.

When Li Shizhen arrived at the tent of the Chinese army, she only saw a young man sitting inside and reading.

"This is Li Shizhen, is Doctor Su here?"

Su Ze was reading a book when he suddenly saw Li Shizhen coming in, and when he heard him announce his family name, Su Ze put down the book in his hand in shock and asked:

"But Li Court of Qizhou sentenced?"

Li Shizhen was stunned for a moment. He was from Qizhou and used to be a court judge in the Imperial Medical Office. Su Ze actually revealed his native place and previous official position in one breath. Who is this young man?

Li Shizhen said: "I am indeed from Qizhou, but I have resigned from office and are no longer judged by the court."

Su Ze said a little excitedly: "Sir, please sit down, oh, sir, did you travel here?"

Li Shizhen nodded. Although he was indeed well-known in the north, not many people knew him when he came to the south.

Could it be that this young man also went north?

"Brother, you are also from the north? Do you want to seek medical treatment from God Su?"

Su Ze immediately said: "I'm Su Ze, I dare not call you a miracle doctor, so I pay my respects to Mr. Li."

Li Shizhen stood up in surprise again. He looked Su Ze up and down, but he looked like he was in his twenties, and this was actually a miraculous doctor who was organizing the treatment of Taizhou Gu disease?

Li Shizhen didn't care about this either, he only thought that Su Ze was a disciple of a well-known hermit doctor, and he didn't care about the politeness, so he said straight to the point: "I don't know something, ask Dr. Su, what does this Gu disease have to do with snails?" ?”

Su Ze smiled faintly. There are many doctors who have come to ask him these days. In order to answer their questions, Su Ze specially made a simple microscope.

Su Ze clapped his hands, and an apprentice started to play with the reflector outside the tent, until the sunlight was reflected on the reflector inside the tent, and finally hit the base of the microscope.

"Please take a look at Miracle Doctor Li."

Su Ze invited Li Shizhen to the side, and he put a piece of glass under the microscope. Li Shizhen opened his eyes and looked over, and saw a wriggling black spot.

Li Shizhen was shocked, and continued to put down the eyepiece and said, "There is such a fetish in the world! You can see Gu worms!"

Gu worms in Chinese medicine are invisible and formless things, not specific worms.

But Li Shizhen actually saw the live cercariae under the microscope, which shocked him greatly.

Su Ze said: "This thing is found from snails. When people work in the water, the cercariae will penetrate the human body through the skin, and then reproduce in the human body to absorb human nutrients."

Li Shizhen really believed it now, and he also believed that Su Ze was a miracle doctor, not a miracle doctor. Who would have discovered that this little snail was actually a lodging place for Gu worms?

Li Shizhen made a long bow and said: "It is a great merit to have a miracle doctor Su in Taizhou, who can be a living person for thousands of people!"

Li Shizhen couldn't put it down again and said to the microscope: "Which family does Doctor Su come from? There is such a magical inheritance?"

Su Ze said: "This object is called a microscope, and it can see subtle things that are invisible to the naked eye."

"Also, this thing is not inherited, but made by Su himself."

Li Shizhen looked at Su Ze in surprise. These artifacts were not inherited from ancient times, but made by Su Ze himself?