Chapter 700 Seven Books of Medical School (Seeking Tickets and Subscriptions)
Luo Chong personally ordered, and the following data was quickly reported. Luo Chong glanced at it hastily, and the results were still within his acceptable range.
The average life expectancy of the people has increased significantly, and the most prominent is that more and more people are over 40 years old, which was almost impossible before.
There are also many newborns. Due to Luo Chong's several policies to encourage childbirth, such as giving birth to a few acres of tax-free land, etc., the families in the Han tribe are actively making babies and reproducing. The number of newborns in just two years has exceeded 30,000, which is not a small number for the Han tribe with a total population of only hundreds of thousands.
Of course, this data refers to the newborns who are still alive, not counting those who died in the middle of life.
The mortality rate of children under the age of six in the Han tribe is 37% according to the data, which is a shocking number, but it is still within Luo Chong's expectations. To be honest, he is very fortunate that it does not exceed 50%.
This is the result of his efforts to improve the quality of life of the people. If there was no Han tribe, the mortality rate of children in those clans would not be known how scary it would be.
Luo Chong remembered that the mortality rate of children under 15 in ancient times was about 30%, which was still terrible, but at least it was less than one-third. When the country was first established, the rabbit also counted the data in this regard. The neonatal mortality rate was about 200 per thousand, and one-fifth of the children died in their cradles. At that time, the mortality rate of children in the Eagle Sauce family was 60 per thousand, which was much lower.
The Han tribe was still in the primitive era. Although it was very developed in some aspects, this fact could not be denied. The Han tribe still had a lot to do and a long way to go. Luo Chong had to continue working hard.
After looking at the statistics on the causes of death, the problems that needed to be improved were clear.
According to the statistics below, more than 10% of the newborns in the Han tribe died during the delivery process, that is, these children died without even being born.
This is not the most terrible thing. What is more terrible is that usually when such a situation occurs, it is difficult for the mother of the child to survive. Dystocia and heavy bleeding are the culprits that lead to one corpse and two lives.
Of course, the most direct reason is that the mothers are too young. This is an unsolvable problem. The only solution is to raise the age of mothers.
This has nothing to do with medicine. It is a social policy issue.
However, it is obviously unrealistic to raise the marriage age all at once. The current adult age of the Han tribe is thirteen years old, which is still too young in modern times. But if the age is raised to eighteen, it is estimated that many people will find it difficult to accept.
Luo Chong himself cannot accept it. This will delay the population growth of the Han tribe, but there is a problem that cannot be solved, so he decided to solve it by raising the adult age standard year by year.
Raise the adult age standard by one year a year. This year, thirteen years old, fourteen years old next year, fifteen years after, and finally set the adult age standard at sixteen years old. It will take three or four years to slowly transition so that people can gradually adapt without seriously affecting population growth.
Sixteen years old is also a very common age standard in modern times. For example, the legal age of marriage in Ermao and South Korea is sixteen years old.
After raising the age standard, the reproductive medical system should be improved, such as training professional midwives, or directly setting up a maternal and child health care hospital, divided and deployed by region, and giving birth to children in the local maternal and child health care hospital. These are effective solutions, but in the long run, Luo Chong is more inclined to the second one, setting up a professional hospital.
These are all for the 10% who die during childbirth. Nearly 27% of infants and young children die from: fever (unknown cause), vomiting and diarrhea (unknown cause), difficult and complicated diseases (unknown cause), poisoning, trauma, accidental death, such as drowning in the river, and being bitten to death by wild animals when going out to play.
Except for accidental death, the rest are all avoidable or salvageable medical categories, which is worth working on.
Especially for fever, vomiting, diarrhea, poisoning, trauma, and other common injuries, these are the directions that the Han tribe needs to study and explore.
Fever is fever. From a scientific point of view, fever is actually a means for the human immune function to kill viruses by itself. Low fever below 38 degrees does not matter. If it were in modern times, doctors would not even give medicine for this degree of fever, but would tell you that it is better to have a fever.
However, once the body temperature is too high, it will damage the organs and tissues of the human body. At the least, it will leave some disabilities, such as burning the eyes or burning the ears, or even die directly.
In the absence of medicinal materials, the Han tribe is not completely helpless in dealing with this situation. For example, the scraping that Luo Chong used to treat the disease is a good way to reduce fever.
Other ways include drinking hot water, covering with a quilt to induce sweating, or using physical methods to quickly cool down, such as applying alcohol to the body. The Han tribe has already brewed white wine. If you want to make a high concentration of alcohol, you just need to distill it twice more. What's more, medical alcohol is only 75 degrees, and the purer it is, the better.
As for special antipyretic medicinal materials, you can slowly search and explore. There is no way to do this even if you are in a hurry.
The remaining vomiting, diarrhea, and poisoning can actually be summarized together, because sometimes poisoning will also have symptoms of vomiting and diarrhea.
First of all, we need to promote the initiative to avoid contact with poisonous organisms, such as poisonous insects and poisonous weeds. Another category is the scope of mild food poisoning, which also needs to be promoted. Avoid eating unfamiliar ingredients and do not drink raw well water. The water must be boiled before drinking.
Do not eat rotten and spoiled food. Of course, artificial fermentation does not count. Other leftovers within a day must be reheated before eating, because some people with poor stomachs will also have diarrhea after eating cold leftovers. These can be avoided.
In addition to publicity, emetics and other treatments can also be used. Gastric lavage is a bit difficult, but it can be studied slowly. Another thing is to actively look for drugs that can treat vomiting and diarrhea, which also takes time.
Finally, there are parasites in the stomach and intestines, which can be treated with realgar wine.
Modern people have eaten tower sugar for deworming. In ancient times, there was also their own deworming method, which was realgar wine. Realgar powder can be used to repel insects, and soaking in wine can also expel parasites in the body. It is one of the few Chinese medicines that Luo Chong knows.
However, realgar wine is not tasty and it is not advisable to drink too much. Drinking it once or twice a year is enough. The ancients did a good job of this and turned drinking realgar wine into a custom linked to festivals. This way, people are more likely to accept it and can afford it.
Luo Chong planned to copy it directly and make the Dragon Boat Festival a legal holiday in the Han tribe. They could promote the customs of making rice dumplings, drinking realgar wine, fumigating with wormwood, bathing with wormwood boiled water, cleaning the house, and expelling poisonous insects. Forget about the dragon boat race. There is no Qu Yuan to commemorate in this world. Besides, not all counties in the Han tribe are near water, so they do not have the conditions for dragon boat races. The cost is too high and it wastes time. Other things such as worshiping ancestors and sweeping tombs are acceptable.
As for the time of the Dragon Boat Festival, it can also be copied and set on the fifth day of the fifth month. It is easy to remember. Moreover, this time is in the middle of summer, which is the most active season of poisonous insects in the year. It is still necessary to carry out a good insecticide at this time.
As Luo Chong thought about it, he wrote down everything he thought of on paper.
These are the treatment and prevention plans for fever, vomiting, diarrhea, poisoning and other symptoms. The last item is trauma.
In fact, this is a relatively easy thing to treat, because the Han tribe already has medicine for this, and Luo Chong himself is also very good at treating trauma. After all, he learned battlefield first aid knowledge in his previous life, most of which were for treating trauma.
Trauma is divided into two categories according to the severity of the injury, light injury and heavy injury. If it is further subdivided, orthopedics can be listed separately. This is a systematic medical subject.
For trauma, there are mainly disinfection, hemostasis, wound dressing, anti-inflammatory, and post-care that need attention.
Disinfection is easy. Now the Han tribe has alcohol to use. As for hydrogen peroxide, that thing can also be prepared with dilute sulfuric acid, but the energy consumption is relatively high and the shelf life is relatively short. It is not suitable for mass production. Iodine tincture or iodine tincture, the chemical level of the Han tribe is not yet supported.
For now, alcohol is the most suitable disinfectant, and the shelf life is long enough. Except for the irritation to the wound, there are no other disadvantages.
In terms of hemostasis and wound dressing, some treatment methods such as suture and ligation can also be added. This was a very common medical technology in ancient China. In terms of the types and uses of surgical instruments, Chinese medicine surgery considers itself second, and no one in the world dares to claim first place.
Chinese medicine has surgery, and it appeared very early, much earlier than Hua Tuo who scraped bones to treat poison. He was only famous for inventing Ma Fei San. It's a pity that Luo Chong was not a Chinese medicine practitioner and didn't know enough about this.
But he still knew some basic things, such as medical sutures, which are actually not made of intestines, but silk. Silk is secreted by the silk glands in the body of silkworms. The main component is protein, which can be absorbed by the human body. It can be used in the body to suture and ligate to avoid removing stitches.
This is a medical reserve material under normal circumstances, and a temporary suture under abnormal circumstances. If there is no thread, the patient's own hair can be used, but it must be disinfected first.
The Han tribe has long hair for both men and women, so there will be no shortage of suture materials for emergency treatment.
There is also serious injury surgery, which generally involves internal organs, including orthopedics. Orthopedics also has external bone setting methods, but there are also open fractures, which are serious injuries with deep wounds and broken bones directly exposed from the wound.
There is no way to do this, you can only slowly explore and study, but the conditions in this regard are relatively sufficient in the Han tribe. Those cannibal prisoners of war and slaves can be used as experimental subjects for students to practice. The Han tribe has cadaver teachers (human specimens for medical use, mostly donated, a small number of unclaimed corpses, called silent teachers by students, and intact corpses are called cadaver teachers).
Anyway, they are all cannibalistic aliens, so there is no need to talk about humanitarianism with them. Of course, experimental animals are also indispensable. In this regard, you can also learn from the social experience of the previous life, use mice, rabbits, dogs, monkeys, gorillas and other creatures to do drug experiments, or use them to practice, and after the experiment has achieved certain results, conduct human clinical trials.
Dissect more corpses, get more human skeleton specimens, and get familiar with the more than 200 bones and various constituent tissues in the human body. I don’t believe that you can’t teach qualified doctors.
Moreover, the most important thing about medical schools is not medical technology, but inheritance, which is actually more important than medical treatment itself.
Traditional Chinese medicine has been passed down for thousands of years, but not many things have been left. Many good things have disappeared in the process of inheritance. Why? Because of the bad habits of passing on medicine from male to female, and from relatives to outsiders in ancient times. Not only traditional Chinese medicine, but also many advanced technologies and cultural treasures have been lost because of this feudal idea. People would rather take them into the coffin than pass them on to others.
Luo Chong knows the harm of this bad habit, so he will not go down the same wrong path again. Since he wants to engage in medicine, he should put all talents and resources together for centralized training, and use modern teaching models to mass-produce doctors. This is the best way to improve the level of medical care for all people.
Compiling all medical knowledge into books, drawing human body structures into atlases, printing them in batches, and using them as teaching materials for medical students to ensure that all of them are passed down without omission is the most important thing, which is much more important than simple medical technology.
As for the textbooks needed by the medical school, Luo Chong has already thought of the name, "Compendium of Materia Medica", a popular science book that specifically introduces the characteristics of various medicinal materials. The content should include the description of the medicinal materials, the growth environment, the collection method, the cultivation method, the processing method, the usage and dosage, the main function, the taboos, etc.
Luo Chong would not write such a book, otherwise why would he use his title to exchange for other people's medicinal materials? The medicinal materials previously provided by the people and officially confirmed can now be included. As for other efficacy taboos, usage and dosage, etc., you can slowly think about it.
Luo Chong can give a clear direction and let the medical education of the Han tribe take less detours, which is already his greatest contribution.
In addition, there is another book "Atlas of the Internal and External Structure of the Human Body", from skin to muscle, from organ to bone, all are dissected and drawn. Since you want to treat people, you must first understand the human body.
Not only do you need to have anatomical diagrams of each part, but also the functions of each organ, common lesions, causes of lesions, treatment opinions, etc., all need to be noted in detail.
Other books include "Records of Divine Prescriptions of Chinese Medicine", which specifically collects classic prescriptions that have been proven to be effective. This is also worth doing.
"Secrets of Health Care" includes some fitness gymnastics, similar to the ancient Five Animals Exercises, as well as health-preserving food recipes and rehabilitation treatment methods after serious injuries or serious illnesses.
"Collection of Treatments for Various Diseases" specifically collects treatments for various difficult and complicated diseases, including the causes of the disease, symptoms of the disease, treatment methods, etc. Although such books may seem unconventional, they can at least provide some reference for future generations. When future generations encounter similar diseases, they can also have a treatment idea to learn from.
"Infectious Diseases and Hygiene", as the name suggests, is a book mainly for the prevention and treatment of various infectious diseases, which is also very important.
Another book "Common Sense of Maternal and Child Health Care" can be printed in large quantities and distributed to the public. It mainly compiles some precautions for women during pregnancy and infancy, which can be vigorously promoted among the public.
These seven books were not written by one person, nor were they something that could be produced in a short period of time. The process of writing these seven books was actually the development direction that Luo Chong set for the medical school. As long as these seven books could be successfully written, the medical level of the Han tribe would be truly stabilized.
It covers almost all basic medical theoretical knowledge. Of course, these are all basics. In short, this method should be used to train a group of doctors first. As for development, Luo Chong welcomes great people to write new books, such as the Qianjin Prescriptions for Gynecology and the Yellow Emperor's Internal Classic.
After all, medicine is something that requires not only exploration and research, but also accumulation and inheritance. This is a process of continuous development. Luo Chong has pointed out the direction for them, and the rest depends on them.
Although he knows a lot of things, he is not omnipotent after all.
(End of this chapter)
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