Chapter 1514 Division
The Imperial Medical Bureau of the previous dynasty existed for less than twelve years, which was very short. However, despite its short existence, the system in some aspects had been improved a lot, except for the local medical bureaus which still had many shortcomings.
Among them, the teaching part of the Imperial Medical Bureau in the capital was specifically divided into three parts: medicine, pharmacy, and administration. Man Bao copied this system of the previous dynasty in this regard. Because there was a precedent, Xiao Yuanzheng did not express any objection.
But she further subdivided the teaching content, among which medicine was divided into medicine, acupuncture, massage and medicinal food; and among which traditional Chinese medicine was further divided into physical therapy, sores and swellings, children, ears, eyes, mouth and teeth, horn therapy, and ulcer treatment...
Xiao Yuanzheng knew how skilled Zhou Man was at acupuncture and knew she could definitely afford it all by herself, so he ticked the box for acupuncture. Then, his eyes fell on ulcer treatment, and he couldn't help but ask, "Isn't this similar to sores and swellings?"
Man Bao coughed lightly and said, "Actually, I also want to teach bone setting, blood transfusion, and even cesarean section courses in ulcer medicine, but..."
Dean Xiao immediately crossed it out and said, "Master Xiao Zhou, it's not that I'm unwilling to delegate authority, but this is difficult to teach in the Imperial Medical Bureau. Where can I find such patients for you when the time comes?"
Manbao was a little disappointed, "We can start the project first."
"After the project is established, you need to enroll students. If you enroll students but don't have the resources and patients for them to learn, isn't that a waste of students' time?"
Man Bao remained sane and insisted, "Then we should combine the teaching of ulcer medicine and sore and swelling medicine together. Imperial Doctor Zheng has seen the ulcer medicine's methods of stopping bleeding. When necessary, surgery can also save lives."
Xiao Yuanzheng hesitated for a moment, but in the end he stopped objecting and merged the two into one. "Who will be responsible for this?"
Manbao definitely couldn't handle it alone, as she hadn't encountered many cases of sores and swellings. Doctor Liu thought for a moment and said, "Master Xiao Zhou and I will come. I have some experience in treating sores and swellings."
So the four of them began to discuss who would be responsible for which item, or who would be jointly responsible for which item. Among them, physical therapy and youth were the responsibilities of all of them.
Especially for physical therapy, Xiao Yuanzheng is the general person in charge. He will discuss the outline with everyone and then think about writing the book.
"It's impossible to start teaching after you've mastered all the medical books. Let's master the basics first." Xiao Yuanzheng said, "Physical therapy is actually quite simple. To learn medicine, you must first learn pharmacology. Putting aside other subjects, physical therapy requires understanding pharmacology, so start by memorizing the pharmacology books."
"What about pharmacy?" asked Doctor Liu. "If physical therapy includes medicine, then what is the point of separate pharmacy?"
Man Bao said, "Pharmacy also requires learning about preparation and processing, or perhaps even planting. Physical therapy is not necessary anyway."
She said, "Physical healing requires at least eight years of practice. If you only study medicine, you don't need that."
Dean Xiao nodded, "That's right. For things like acupuncture, pharmacy, massage, sores, pediatrics, and the five senses, three years at the least and five years at the most is enough to become a master. But the time spent on physical therapy can't be too short."
Doctor Zheng said, "The previous dynasty set it at seven years."
Dean Xiao frowned, "Then let's tentatively set it at seven years. The other departments will tentatively set it at three years. We'll conduct annual assessments, and promotions, demotions, or even the same level will all be determined based on the assessment standards. Only those who pass all the assessments can graduate and leave."
No one has any objection to this.
Because most of these had precedents from previous dynasties, they didn't dwell on this aspect. While avoiding people, Xiao Yuanzheng and Man Bao said, "The Imperial Medical Bureau of the previous dynasty only existed for twelve years. Doctor Zhou, how many years do you think the Imperial Medical Bureau we've renovated can last?"
Man Bao said seriously, "The Imperial Medical Bureau of the previous dynasty existed for a short time because the previous dynasty was short-lived. Our dynasty will last for thousands of years. As long as we have the will, the Imperial Medical Bureau will naturally last for thousands of years."
She said, "The imperial court encourages widows to remarry, and boys and girls get married at the age of twelve. Isn't that for the purpose of population growth? But you and I both know that men should reach adulthood after they reach adulthood, and women should also wait until they grow up before having children. This is best for the children and for their lifespan. But nowadays, early marriage is common among the people, and many women marry and have children at the age of thirteen or fourteen... We don't have to do this. If there were medical offices in various places, we could increase the probability of infant survival. Then people wouldn't have to marry so early, and life expectancy could be extended significantly."
Xiao Yuanzheng was stunned. He had never thought of this.
After a long pause, he came to his senses and asked, "Who told you that these measures taken by the imperial court were aimed at increasing the population?"
Manbao said: "Isn't it for the purpose of population growth?"
She said, "Expanding territory requires people, fighting wars requires people. The previous dynasty fought for over a hundred years, and our dynasty fought for over a decade, resulting in countless losses. Don't these people need subsidies?"
Man Bao said, "After the founding of our dynasty, each citizen was given 20 mu of permanent farmland and 80 mu of land for each person. Where did all this land come from? Wasn't it because so many people died in the war, leaving wasteland and open fields everywhere? That's why there's land to share."
This was a bit beyond Xiao Yuanzheng's imagination. He pondered for a long time, then came to his senses, "Aren't we talking about the Imperial Medical Bureau? Why did we bring up the farmland issue?"
Manbao said as a matter of course: "Aren't these two related?"
"How is that relevant?"
"How are they not related?" Man Bao asked, "Medicine is related to lifespan and to people, and people are related to farmland. How are these three things not closely related?"
She looked at Xiao Yuanzheng suspiciously, "As the director of the Imperial Hospital, haven't you ever thought about this?"
You know, when she mentioned that building medical institutions in various places could greatly prolong people's lifespan, Mr. Zhuang first thought of the fields.
She and Bai Shan and Bai Erlang had secretly calculated whether they could get 20 mu of permanent farmland and 80 mu of household land when they grew up.
If the two of them are still okay, will their descendants be okay too? If not, how much will they get? Can they support themselves and their family of three with the land they get without relying on anything else?
Because women could not share land, the permanent land and household land they received after reaching adulthood had to be enough to support not only themselves but also their wives and children, until their sons grew up and were given land.
Manbao looked at Xiao Yuanzheng in disbelief, "You're so old, don't you think about these things?"
Xiao Yuanzheng: ...Is his problem just because he’s old?
Aren’t they imperial physicians?
Isn't it just to treat the emperor, empress, princes, and grandchildren, and also to treat the powerful people in the capital?
Why do you still think about this kind of thing?
Looking at Zhou Man, who was even younger than his daughter, Xiao Yuanzheng was greatly frightened. After a while, he pulled his stiff cheeks and asked, "Doctor Zhou, do you usually think about these things?"
See you at 4 p.m.
(End of this chapter)
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