Changsheng County Military Hospital.

Physician Chen Shigong handed the last white-lacquered wooden box to the young doctor, shook his head and said, "No, there are only so many mature seedlings, and later, it will take time to sprout." ”

The so-called mature seedlings are the pox slurry taken out in the past, which is properly placed to reduce the harm of germs, and when it is used, it will infect people, and the disease will lose its killing effect, so that the vaccinated person will be safer and can effectively reduce the probability of failure.

Shi Miao is a pox slurry taken from smallpox patients and diluted to make Shi Miao, which is more toxic and has a relatively high probability of failure.

After a large number of uses and appropriate experiments, most of the methods of selection, production and use of smallpox vaccine have been summarized in the past few years, and the Beiyang Medical Academy in Tianjin has been able to ensure that less than half of the vaccination failures are reduced.

In Changsheng County, there is a lack of updated medical knowledge, but doctors are professional enough to reduce the failure rate to about 10% if they are inoculated with suitable mature vaccines.

But with the time seedlings, they are only eighty percent sure.

There are only two possibilities for the failure of pox, one is that the pox vaccine is not enough to make people infected with smallpox, this situation mostly occurs in the local adults of the Ming Dynasty, and the flowers mainly appear in children in the Ming Dynasty.

Since the early years of the Eastern Han Dynasty, the general Fubo Ma came to aid the southern Xinjiang to quell the chaos and returned to bring back the sores, the smallpox that has been raging for thousands of years has caused some antibodies in people's bodies, and only children with poor resistance will suffer from smallpox.

However, once an adult is infected, the virus defeats the antibodies and becomes more powerful, infecting more people and forming a plague.

The aboriginal generation has very few antibodies, and their failure to get pox is only the second possibility - to really contract smallpox.

At the macro level, it is half or 10 percent, and at the micro level, it is 100 people who are vaccinated, and five or ten people really contract smallpox, and one or three of them will die from smallpox.

The failure rate is greater when the seedlings are chosen, and more people will die as a result.

Chen Shigong said: "Tell the marshal, compared with Shi Miao, there is no epidemic in the county, first send the patient to one place with a blockade, away from the city, and be treated by a doctor - Shi Miao is not available, and the people in the county should wait for the Miao to mature before using it, otherwise there will be too many deaths and the people's feelings will boil." ”

The young doctor nodded and said: "Dashuai has already done it, it is called isolation, the isolation area is arranged in the col next to the official road in the north of the county, and the mayors of each mile will lead the people to strictly check the pox traces, and all the sick people will be sent to the isolation area for treatment, and the clothes, utensils, furniture and even the house they have touched will be burned, leaving nothing behind." ”

"But this is not enough, in the south of the county to open another vaccination area, to plant pox for many tribal leaders and retinue of nearly 10,000 people, there are not enough mature seedlings, and it is too late to adjust the pox vaccines in Yuanqiao and Majiagang, so you can only use mature seedlings."

The first-class doctor frowned: "When vaccination, five or six people will die in a hundred people, why do you have to be vaccinated?" ”

In fact, Chen Mu was also forced to vaccinate the seedlings at the time of vaccination, and required the patient to have a suitable condition, a good form of pox on the body, obtain the vaccine at the most appropriate time, and then use appropriate surgical means to inoculate.

Children can wear Shi Miao on their clothes for three days, and they will naturally get sick, but adults usually need a little surgery.

The problem in Changsheng County is that after the ripe seedlings are used up, the mature seedlings are used in a small area and are seen, and the aboriginal shaman thinks that it can be prevented by finding a pox and cutting it and then cutting it into the person who is not sick, and as a result, it is not uncommon for people to plant pox privately.

Some healthy people have contracted smallpox due to private vaccination, and some have not suffered from smallpox but have other surgical diseases, such as very severe inflammation and suppuration, and the most serious can cause amputation.

Because there are so many beans here.

Chen Mu didn't know how to spread the rumors, not to mention the difficulty of standardizing the preparation of time seedlings, in fact, if they casually used bad time seedlings to inoculate, it would be a good thing for those who were vaccinated privately - after all, the ships of Beiyang Phase I and Phase II were equipped with many drugs for the treatment of smallpox, such as cohosh, honey, and wine, which have inhibitory properties.

But the local people who don't know much about it because of their fear of smallpox have almost carried their boldness to the extreme, not limited to smallpox, pimples, mung beans, peas, cowpeas, cloud beans, red beans, kidney beans, frame beans, lentils, beans, but any bean, they can stab it.

There was indeed a shaman in Changsheng County who stabbed the pea, stuffed the pea into the broken wound of the person, and then sewed the wound like a doctor in the Ming Dynasty.

It's not surprising if nothing happens, the coast of Changsheng County is the hottest, and the Beiyang Banner Army who died after the war had more wounds that became inflamed and died than they were killed by muskets on the spot, but they were so bold.

What's more, he was afraid that he would die of pox, so he drew a small cross on his arm and leg, and lied that he had been pox, so as to avoid pox.

The key is that even if he is lucky enough not to die of wound inflammation after planting, and he still has a pox scar on his body, he has not actually had smallpox, and he will still get sick sooner or later if he is not careful.

It is precisely for this reason that Changsheng County isolated the patients on the one hand, searched for the people who planted the pox without permission on the other hand, and on the other hand, the county was divided into pieces according to the people's residences, and began to plant pox one by one, and most of the production was stopped.

Pox is not a simple matter, for those who are lucky, it may be ten days before the acne scabs will appear; But if you are unlucky, you will have all kinds of complications, and if you don't get it right, it will take a month or two to cure, and even some people who are very unlucky will not survive and die due to complications in the process.

Changsheng County can only take the means of compulsory pox, even if it is a seedling.

But Chen Gongshi didn't know about this situation, and his duty was more to study than to go out to inoculate the people.

The young doctor couldn't say anything, he knew even less, so he had to say what he knew, and said: "The marshal has already spoken, he died of smallpox from pox, the child was raised by the Oriental Military until he was sixteen years old, the old man was taken care of until he died, and the family still had strong laborers to give half of the rations—no matter whether the probability of failure was half, one or two, whether one or three of the hundred people who died because of this, they had to be planted." ”

"And the tribal leaders agreed."

The doctor remembered that he had been vaccinated with pox a year before his voyage from Beiyang, and the situation was almost the same as it is now, and a small number of soldiers, doctors, and craftsmen accompanying the ship had smallpox, and even fewer of them died.

He complained: "If you say something above, you have to do it below, and no one can do it." ”

This was originally a complaint, but Chen Shigong was persuaded by this complaint: "We look at ourselves, and the handsome look at everyone, can you think of what the situation is now if we go to sea without pox?" At that time, only a few dozen people died in Beiyang. ”

"If these hundreds of thousands of people didn't plant, tens of thousands of people would die here."

The first-class doctor shook his head, and his gaze gradually became firm: "Send the military medical team, go into the quarantine area to collect seedlings and plant them!" ”

Open the sea

Open the sea