Once Li Shizhen's test results come out, the diagnosis can be confirmed.
In the emperor's pus and blood, he found not only a large number of syphilis Treponema pallidum, which was named "Portuguese pathogen" by Jiangnan Hospital, but also a large number of Staphylococcus aureus, hemolytic Streptococcus, etc., so the emperor actually had syphilis combined with a series of purulent inflammations.
Although their request to consult the internal diary and the medical records of the Imperial Hospital was rejected, Wan Mizhai and Li Shizhen were still able to roughly deduce the process of the emperor's illness based on their rich experience, scientific test results, and the testimony provided by Eunuch Feng:
After the Portuguese pathogen enters the human body, there is usually an incubation period of about 20 to 30 days. Calculated based on the time when the emperor began to fall ill in the late first lunar month, he should have been infected in the late twelfth lunar month last year.
Generally speaking, the first stage of Portuguese disease is not fatal. However, the emperor's body was hollowed out by alcohol and sex, and he was very weak. His own immunity was very low, which led to the rapid reproduction of Portuguese pathogens in his body. However, the imperial physician did not think of this disease at all, and only thought that the emperor was overworked and abused tonic medicine, which led to internal heat. So he only prescribed some medicines to clear away heat, detoxify and reduce internal heat, which not only had no effect, but also delayed the golden time for treatment.
When the emperor fell ill again on the 22nd of last month, the Portuguese disease had already developed to the second stage. In fact, the imperial doctors had already diagnosed the disease, but they were not sure they could cure it, and they did not dare to take the responsibility of using strong medicine. As a result, the emperor's disease continued to develop, leading to multiple infections in his body, and he looked horrible.
"In other words, the Portuguese disease is just the trigger, and the fatal thing is the infection. The next step is septic shock and multiple organ failure, and even life may not be saved..." Li Shizhen took off his gloves and disinfected his hands with a large bottle of alcohol, saying lightly: "So the most important thing now is anti-infection treatment. If it is successful, maybe you can live a few more years."
"How to treat it?" Zhao Hao asked with a heavy heart.
"The traditional treatment is nothing more than Fangfeng Tongsheng Powder with some modifications." Wan Mizhai answered slowly. Although the emperor's condition was severe, it was not a difficult or complicated disease, so the treatment plan was also very clear. "Combined with the new medical antibacterial and antiviral treatment, it should be effective soon."
"Yes." Li Shizhen nodded in agreement and said, "In fact, regardless of tradition or science, the key to this disease lies in the word 'poison'. If the evil toxin is not eliminated, the symptoms will be difficult to cure. From this point of view, the methods of clearing away heat, detoxifying, cooling blood and purging fire used by the useless people in the Imperial Hospital are not inappropriate, but because the power to attack and expel the evil toxin is not focused, and the way to purge the fire toxin is not smooth, so it is useless."
"That's right. This disease requires urgent attack on the poison and turbidity, and the toxicity can be blunted to eradicate the root cause. Therefore, the original formula of Fangfeng Tongsheng Powder cannot be used. It is difficult to stop the disease if it is not attacked quickly." Wan Mizhai pondered again and said, "I want to subtract Chuanxiong, Gui, Citrus, and Atractylodes from the original formula, and add Pueraria root, Notopterygium, and Artemisia annua."
"This way, dispelling wind and detoxifying turns into sweating and detoxifying." Li Shizhen nodded and took note of Wan Mi Zhai's prescription.
"That's right. We also need to use more saltpeter and yellow to turn the effect of dissipating heat from the interior into attacking heat toxins, thus making it a drug that specifically attacks evil toxins." Wan Mi Zhai finally determined the prescription, and then he couldn't help but sigh like Bian Que, "If it had been done a month earlier, this would have been enough."
"Yes, but a course of allicin injection should be able to detoxify..." Li Shizhen wrote the last word, put down the pen and said to Zhao Hao: "If it still doesn't work, you have to use your life-saving magic weapon."
"Yes." Zhao Hao nodded, and paced in the hall for a long time with his hands behind his back before asking, "If penicillin is used, can it ensure that the emperor will recover?"
Jiangnan Medical College had already cultivated penicillin in the fourth year of Longqing, but the yield was very low. Apart from the use in experiments, it had only cultivated enough to treat one or two critically ill patients. Because it was too precious, it was designated as the highest-level controlled drug by the group's board of directors. Except for treating Zhao Hao himself, it must be approved by Mr. Zhao before use.
"Who knows?" Li Shizhen spread his hands and said, "But what is certain is that if penicillin is useless by then, then there will be no hope for the patient."
"I understand." Zhao Hao nodded and said calmly, "Write it into the prescription."
"Huh?" Li Shizhen showed a hint of surprise, but he quickly reminded himself that he was just a tool without any emotions, so he picked up the pen again and added a sentence at the end of the prescription.
After blowing the ink dry, the two deans stood up and went out to report.
Zhao Hao stood at the door of the ear room, watching their backs as they walked towards Jujing Pavilion, and laughed at himself...
He was in great trouble on the way here, and even couldn't sleep last night. All his thoughts could be summed up in one sentence: should he give penicillin to the emperor?
With Zhao Hao's limited medical knowledge, he also knew that penicillin was a specific drug for treating syphilis. Even if it could not completely eradicate it, it could extend the emperor's life by a few years.
However, if that happens, Gao Huzi will be arrogant for a few more years, and I am afraid that the good days of my father-in-law and Eunuch Feng will be delayed for a few years... If I and Jiangnan Group don't want to continue to be suppressed, they can only fight against Gao Huzi, which will undoubtedly add many variables. Zhao Hao is not afraid of fighting, fighting with others is endless fun. But that will make his great prophecy basically ineffective... Although he has been trying to avoid using the great prophecy, "having but not using" and "not having" are two different concepts, okay?
So "to save or not to save" was a big question that troubled Mr. Zhao. He once thought that he would choose to stand aside and let history develop according to the predetermined trajectory. However, when he came to Qinghe County and stood outside the Jujing Pavilion, all the calculations in his mind became insignificant.
After listening to the two doctors' diagnosis and treatment plans, he made the decision almost without hesitation.
That decision though, could have serious consequences.
But he couldn't just stand by and watch someone die just because something hadn't happened yet.
If I don't help someone in need, I won't be able to get through this hurdle right now. What's the point of talking about the future?
When the time comes, the decision is so simple...
"I'm really not a person who can do great things..." Young Master Zhao couldn't help but laugh at himself. He thought to himself, sorry father-in-law, we may need to work hard to drive Gao Huzi off the stage.
Or work hard and become Gao Gelao's dog...
In any case, Master Zhao, who had finally made a decision, felt relieved. He walked from the ear room to the grape trellis and chatted in a low voice with Master Shao in front of a swing.
Shao Fang told him that the eighteen doctors there had argued for a long time... Oh no, after a heated discussion, they finally came up with a treatment plan. At this moment, Xu Chunfu and Ma Mingju also went into Jujing Pavilion to report.
The two palaces will listen to the report behind the curtain and make the final decision.
It’s just that the two palaces were not in a position to ask questions, and of course they couldn’t answer them clearly, so Gao Ge Lao and Jin Yuanpan of the Imperial Hospital reviewed the medical records of both parties and gave their evaluations, and finally asked the two palaces to make the final decision.
Zhao Hao thought to himself, he is indeed a cabinet minister. Even if he is treating the emperor, he still has to draft a bill...
~~
At this time, in the Jujing Pavilion, two famous doctors from the "Zhairen Medical Association" were explaining their medical cases.
Among them, Ma Mingju had extensive experience in treating syphilis, and this medical case was based on his prescription. They prescribed that "Sanhuang Baidu San" be taken internally first, and "Bai Xing Gao" be applied externally to the ulcerated area. After taking Sanhuang Baidu San for dozens of doses, the patient should be fumigated with the method of "lying in the mist and smoke", and the condition should be cured.
Jin Yuanpan nodded repeatedly after hearing this, thinking that Ma Mingju was indeed as good as his reputation and his moves were extraordinary.
Actually, Jin Yuanpan was quite capable, but in the palace, some things were more important than life and death, even the life and death of the emperor. So he was restrained. He knew how to treat the disease, but he didn't dare to use medicine for the sake of respecting the emperor. Because all medical records of the Imperial Hospital had to be archived as historical materials. Wouldn't future generations know everything if they checked it?
He envied the freedom of these folk doctors, or rather, their ignorance of life and death...
After Ma Mingju finished his report, it was Wan Mizhai and Li Shizhen's turn. The two presented the prescription they had just written, and Li Shizhen explained it. The content was basically the same as what he had said to Zhao Hao before.
When he finished speaking, Gao Gong said to Jin Yuanpan: "You can judge for yourself."
"Yes." Judge Jin hurriedly responded, choosing his words carefully, "The diagnosis of the two famous doctors is almost the same. They both believe that the emperor has evil heat turning into fire, and the fire is blazing into poison. The poison is rampant, filling the inside and outside, burning fiercely, and affecting the qi and blood. They are also focusing on removing the toxins. It should be said that they are both right in this regard."
Gao Gong nodded slightly.
The two concubines behind the pearl curtain also held hands nervously, expecting a prescription that could cure the disease to appear.
"As for the treatment, the prescription of Zhairen Medical Association treats the principle in order and treats both the exterior and the interior at the same time. It seems to be very comprehensive and there is nothing wrong with it." Jin Yuanpan paused and continued: "As for the prescription of Jiangnan Hospital, it can be seen that it is a modification of Fangfeng Tongsheng Powder, but the heavy use of saltpeter and yellow is a bit too strong, isn't it?"
"In troubled times, we need to use severe punishments. How can we remove the evil poison if we are not drastic?" Li Shizhen couldn't help but retort. What he disliked most about the Imperial Hospital was that they always used medicines in a prudent manner, not seeking to achieve results but to avoid mistakes. As long as the medicines didn't kill people, it was fine. Whether or not the disease could be cured was never a priority.
"Let's not talk about that for now." Judge Jin waved his hand and read out the prescription he had written: "What about intravenous injection of allicin? What is penicillin injection?"
"It's similar to acupuncture, except that the needle tip is hollow and the medicine is injected directly into the patient's blood vessels," Li Shizhen explained.
"What are blood vessels?" Pan Jin became more and more confused the more he listened.
Li Shizhen and Wan Mizhai looked at each other and knew that something was wrong.
In front of the Imperial Hospital, which is known for its conservatism, if you need to first popularize new knowledge to the reviewers, don't expect your proposal to win...
ps. This is from yesterday.