Chapter 558: A Taoist priest becomes a military doctor

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Xia Hongsheng and Yuan Tiangang talked until they didn't know how many times they cut off the lanterns, and Yuan Tiangang said goodbye and left.

The high mortality rate in ancient wars was caused by many reasons. Among them, of course, there are sea tactics, armor and armor, and decapitation and ear cutting to calculate combat exploits...... and so on, but among these many factors, one of the most influential factors must be the backwardness of medical conditions at that time, especially first aid and wound treatment technology.

Among Xia Hongsheng's friends, most of them are the sons and daughters of the military, and they have heard their parents talk a lot about things on the battlefield, and Xia Hongsheng also knows a lot.

After a battle, the fight will kill people, and the trampling in the chaotic army formation will also kill people, and even kill people who are crazy and don't look at people at all, as long as it is the people around them, they will cut a lot, which will cause death and injury. There are always more people who are injured than those who die immediately. However, due to the backward medical conditions and technology, these injured people often cannot receive effective treatment, and then become a member of the mortality rate.

Xia Hongsheng has seen the methods of dealing with the wounded in the army.

To be honest, in fact, in ancient times, it was not that military doctors and wounded in the army were not not taken seriously, but they were very important.

There are military doctors in the army who specialize in treating war wounds, such as the captain of the imperial medical school, the imperial physician Sima, the golden sore doctor and the wounded doctor, and the soldiers who enter the army will also undergo physical examinations.

As early as the Wei, Jin, Southern and Northern Dynasties, the development of practical medicine has accumulated and developed the clinical experience of Jinchuang ulcer. For example, the book "Behind the Elbow" describes the early management of critical trauma, describing the areas where head injuries and trauma can lead to death from massive hemorrhage. In addition, there is also the "Golden Sore Taboo Preface" in "The Secret of Outer Taiwan", which quotes Ge Hong as "Where gold sores bleed, people are thirsty." Bear with it. Commonly use dry food and fatty things to quench thirst, be careful not to eat salty, if you drink more porridge and meat, the blood will overflow and kill, and it will not be saved. He also refrained from being angry and laughing, thinking of yin and yang. Action works. Don't eat too much sour and salty, eat and drink, hot soup, all make sores swollen and painful, and even die. These measures are still used in the modern management of traumatic shock and hemorrhagic shock.

Ge Hong believes: "All gold sores that hurt the fontanelle, the corners of the eyebrows, the brain, the pulses in the arms, the pubic femurs in the hips, the upper and lower breasts, the heart, the dovetail, the small intestine and the intestines of the five Tibets are all dead places and cannot be treated." This means that there is a craniocerebral injury and bleeding from the brachial or femoral arteries. or pneumohemothorax caused by rupture of internal organs and rib fractures, there is no help. And these are also serious war wounds for modern medicine.

At the same time, Gong Qingxuan's "Liu Juanzi's Ghost Relic Prescription" is the first Chinese prescription book with a more detailed discussion of carbuncle gold sores. He also proposed: If you are injured by a poisoned arrow with a net, you can use Lanzi to disperse the poison. If the arrow does not come out of the meat, it can be sifted under Banxia and Baiqi and served with wine. And said, "The shallow one rises ten days, and the deep one twenty days." I can't live in the flesh."

In addition, the Tang Dynasty's vast territory and long border defense line were able to be consolidated. One of the important factors why the relatively stable ruling order of the landlord class in the Tang Dynasty for more than 100 years was that the government soldiers had formed a powerful Tang Empire army. In the "General Dictionary", Li Jing's art of war was cited: In the army, each battalion has a "school inspector for sick children", who inspects the condition of the wounded and sick every day, as well as the diet and daily life, so as to arrange medical treatment and evacuation, and if a new sick or critically ill soldier is found, it must be reported to the general manager. Ordered the doctor to patrol the camp and give appropriate treatment. The camp owner and the school officer shall arrange for transportation and nursing personnel according to the severity of the wounded and sick person's injury. A patient who can walk is given a servant (i.e., a caregiver); Those who are too sick to walk are given a donkey, and those who cannot even ride cattle are seriously wounded and sick. then give two donkeys, and take care of the two to bind and transport. If the inspector and the servant of the sick child do not take good care of the sick and wounded, they shall each have 100 rods; If the wounded or sick who are not dead are buried, they shall be beheaded. Every three days, the cadets of the army must patrol the barracks of the sergeants of the headquarters, inspect their diet and whether their work and rest are appropriate, and compensate the soldiers for their sufferings and medical care. If a soldier dies, he should report it immediately, bury him with a funeral, and pay tribute to his family. If he dies in battle, his body should be buried in the same fire, and if he dies from wounds in battle, the general of the headquarters shall report the situation in detail and present it as a gift. If only the injury is sustained, the reward should be given according to the severity of the injury. These records show that the Tang Dynasty seems to have set up a similar modern ambulance center in the army, and had a more detailed medical evacuation system.

All this shows that the ancient military doctors were not only not neglected, but were very valued by the rulers. Because under the imperial system, only if the ruler attaches great importance to it, will a large number of people spend their attention on this.

However, limited by the cognition and level of doctors, there are some things that seem to be very common sense in later generations, and military doctors of this era are also aware of them.

Take Sun Simiao as an example, even if his medical skills are extraordinary, he knows how to treat the rotten disease of infection, but he doesn't have much concept of how to stop the infection.

In fact, debridement and suturing have long existed, Ge Hong of the Eastern Jin Dynasty first treated the wound with saline, and then performed suture surgery, and at this time, a complete debridement system has been formed.

However, there is still room for improvement. And it just so happened that Xia Hongsheng had seen an old Chinese medicine doctor in the village stitch up his wounds.

The village was remote and poor, and the old Chinese medicine doctor did not have sutures at all, but used another kind of suture instead of medical sutures to suture the wound - mulberry thread.

The so-called mulberry peel line is a thin fiber line made by taking the root bark of the mulberry tree, removing the yellow skin on the surface, leaving a white and soft long fiber layer, and hammering it. Mulberry thread is not only simple to make, easy to apply, and not easy to break, but also has the therapeutic effect of medicinal properties and peace, clearing heat and detoxifying, and promoting wound healing.

In addition, how to bandage wounds, how to disinfect wounds, how to disinfect equipment used for first aid, etc., are not many aspects that people in this era pay little attention to.

More importantly, there are too few military doctors!

Too little! There are very few people who study medicine, and even fewer people who enter the army to become military doctors, plus the professional skills are not very strong, and even a large number of witch doctors exist, which is also a major factor in the death of many wounded soldiers in the army due to improper treatment or untreatment.

If Sun Simiao can train a group of professional first-aid teams to follow the Tang army to carry out first aid and wound treatment for wounded soldiers on the battlefield to prevent infection. It is not only beneficial to the Daomen, but also beneficial to the Tang army.

Xia Hongsheng believes that Yuan Tiangang will definitely accept this suggestion.

Yuan Tiangang needed Daomen to gain a good reputation and be valued by the imperial court. Xia Hongsheng needs more and more professional first aid personnel in the army.

Both are mutually beneficial and win-win.

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