From what she had seen, including the symptoms described by Doctor Liu, this was clearly one of the most serious plagues - the plague.
Plague is an infectious disease caused by bacterial infection and is highly contagious!
Plague spreads primarily in three ways. The first is through rat-flea transmission, which is a transmission mechanism between rats, fleas, and humans. After fleas inhale rat blood containing the pathogen, the bacteria multiply in their stomachs. When the flea bites a human, the bacteria then enter the body.
The second is skin transmission. When people come into contact with the skin, flesh, and blood of infected mice, the pus, blood, sputum of patients, or the feces of rat fleas, the disease can invade the human body through skin wounds.
The third route of transmission is through the respiratory tract. Pneumonic plague patients harbor large numbers of Yersinia pestis bacteria in their respiratory tracts, allowing them to spread from person to person through respiratory droplets and dust. Plague is highly contagious, with severe symptoms and a high mortality rate, making it a Class A infectious disease.
Liu Yuhan told them that this was the most serious infectious disease, which could be transmitted not only from animals to humans, but also from person to person!
If we don't quickly isolate people and take measures, the situation will only get worse, with more and more people getting sick. It might even affect the entire city.
She couldn't care less. She didn't know the prefect in charge, so she could only exaggerate the situation.
Only when he feels that his life and property are at stake will he take it more seriously. After all, who doesn't cherish their reputation?
Besides, she wasn't exaggerating. In those backward times, if they couldn't find the right treatment and block the spread of the virus, the city might actually become a dead city!
"How can we prevent it?" the prefect asked in a trembling voice.
"These were all taught to me by my great master. He went on a journey, and I don't know where he went. I heard him talk about the plague, and so I wrote down everything I learned for you, my lord."
Liu Yuhan took the paper and pen given by Doctor Liu and began to write carefully.
However, Yizhancha has clearly written down all the things that need to be paid attention to.
How to isolate? Everyone must cover their faces, close the gates, and prevent the sick from leaving! Separate the seriously ill, moderately ill, and mildly ill, and quarantine those who are not sick at home.
How can we maintain good personal hygiene and prevent infection? Use herbs like mugwort, astragalus, and white atractylodes to fumigate the inside and outside of homes, as well as city gates and streets. Wash hands frequently, ventilate regularly, practice physical exercises diligently, and avoid consuming raw water or food. Boil clothes and face towels that have come into contact with patients.
How to eliminate the source of infection? Exterminate rats and fleas. Destroy all animal carcasses with fire. Dead bodies should also be burned immediately; do not bury them. Disinfect streets, ditches, and manure pits with lime. Drinking water wells can be disinfected with quicklime; ensure they are spotless.
The prefect Wen Tianming took the calligraphy written by Liu Yuhan and put on the N95 mask she gave him. He hurried away...
Doctor Liu had already called the other doctors together. Liu Yuhan gave the six doctors N95 masks and taught them how to use them.
Doctors are in short supply and no more harm can be done. We don’t care what they think.
They went to the next door and divided the patients into three categories for isolation. The next door happened to be the third hospital.
The next step is to study the drugs, so Liu Yuhan took out his notebook.
In traditional Chinese medicine, the first step in treating plague is to distinguish the type of plague. (Bubonic plague) requires clearing away heat, relieving the symptoms, and reducing swelling and detoxifying.
(Pneumonic plague) requires clearing away heat and detoxifying, cooling blood and stopping bleeding.
Treatment for septicemic plague is to cool the blood, clear the nutrient fluids, and detoxify. Treatment is tailored to the condition and type of illness.
Treatment of Bubonic Plague: The main symptoms of bubonic plague are chills, high fever, facial redness, thirst, and confusion. The tongue coating may also be yellow. Traditional Chinese medicine treatments include scutellaria baicalensis, forsythia suspensa, isatis root, yuanshen, coptis chinensis, mint, red peony root, prunella vulgaris, and raw licorice.
Pneumonic plague: Symptoms of pneumonic plague include high fever, thirst, cough, respiratory distress, and hemoptysis. Treatment primarily focuses on clearing heat and detoxifying, cooling the blood, and stopping bleeding. Treatment options include gypsum, buffalo horn, raw rehmannia root, coptis root, moutan bark, anemarrhena, pinellia, agrimony, and whole trichosanthes root. Dosage is determined based on the severity of the condition.
Septicemic plague: Symptoms of septicemic plague include blood in the stool and urine, cold limbs, and a pale complexion. It requires cooling the blood and clearing away toxins. Herbs such as Bamboo Leaf, Cortex Moutan, Radix Rehmanniae, Imperata Root, Radix Yuanshen, Coptis chinensis, Gypsum Fibrosum, Lithospermum Officinale, and Platycladus Orientalis can be used.
Liu Yuhan wrote three sheets of paper describing the three types of plague symptoms and the possible medicines that could be used.
Each type of writing was written on a separate sheet of paper. Liu also helped to excerpt and copy several times.
Liu Yuhan didn't let his father go out and stayed in the main hall of the pharmacy.
These are just her theoretical knowledge. She doesn't know whether these are effective for the real plague that is happening now, and she doesn't know whether they are particularly serious.
She was really worried. Fortunately, she took the villagers to the mountain before leaving and left some extra food for her family and the villagers.
Under the current circumstances, the three of them definitely cannot leave Yiyang City.
The prefect Wen Tianming was a capable man. He called everyone outside the city into the city and separated them into different categories.
They also tried their best to close the damaged city gates, allowing only people in and not out, and posted soldiers to guard them.
In fact, he should be thankful that the broken city gate was not closed, because the center of the earthquake zone was from Dayan Mountain to Yiyang City. The victims of the nearby villages and towns were concentrated here and did not spread to other cities, otherwise his crime would be serious.
He was frightened at the thought of this.
Besides the people in the prefecture, he also wrote notices, stamped them with official seals, and sent yamen runners to investigate the surrounding towns and villages. Where necessary, they were sealed, martial law was imposed, and disinfection was carried out. In short, he used the existing human, material, and financial resources to carry out the comprehensive and thorough implementation.
As long as the epidemic can be successfully ended, it doesn’t matter if he doesn’t want to be an official!
People are in panic.
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