A doctor who travels through two eras

Chapter 173: Western Medicine Used to Save Lives

crematorium.

It is called a crematorium, but in fact it is just an area marked out in the wilderness with a large pit dug next to it.

After the corpse was cremated, the charcoal, bones and ashes were all poured into the pit, ready to be filled with soil after the plague was over, returning dust to dust and earth to earth.

Ordinary people have their own set of rules for epidemic prevention and control, and this is not the time to talk about humanitarianism.

Lin Sanqi held the little girl's body and gently placed it on the firewood pile, then placed a small bag of fruit candy next to the girl's hand.

He didn't cry, but just touched the little girl's dry hair, sighed and left.

Village Chief Lei chased after him and said, "Comrade Lin, do you want me to light the fire?"

Lin Sanqi really wanted to complain, are you holding the Olympic Games?

He shook his head and said, "Forget it. It was just a chance encounter after all. Just send her off for the last time and let her go in peace."

"Okay, that's fine..."

What doctors fear most is empathy. This is one of the most important medical practice principles taught by teachers to every medical student in school.

Lin Sanqi was very upset before, but after calming down, Lin Sanqi knew that he could not make the same mistake again and could not be obsessed with the death of a patient.

A little girl died, but there are still hundreds of patients waiting to be saved.

If he does not take action, dozens or even hundreds of new patients will be added every day, and dozens of old patients will die every day. The plague is a life-and-death struggle.

Since God allowed him to travel back to the year 59 and accidentally come to this remote mountain village, it must be that God hoped that he could save someone.

It's destined, so let's do it!
Lin Sanqi was determined and ready to start the real fight against the epidemic:

"Village Chief Lei, please ask the county and the district for help and ask them to send these Chinese medicinal herbs over. The sooner the better."

Lin Sanqi handed a piece of paper to Village Chief Lei. Village Chief Lei took it and took a look. There were about ten kinds of medicine.

Coptis chinensis, Scutellaria baicalensis, Phellodendron chinense, Gardenia jasminoides, Bupleurum chinense, Citrus aurantium, Tangerine peel, Ligusticum chuanxiong, Peony root, Cyperus rotundus, Licorice root…

Lin Sanqi requires so many medicinal materials, in fact, it is just to confuse people and make things mysterious so that people can't figure it out.

"Village Chief Lei, these are common medicines. Most drug stores or Chinese medicine clinics have them in stock. Don't ask me how to use them. This involves the secret recipe of our Lingnan School, so I won't tell you!"

Village Chief Lei burst into laughter when he heard this:

"Okay, I won't ask. I just know that the great doctors from your capital are all very capable. It seems that I have chosen the right person to stay with you. I will go to the county myself now."

Lin Sanqi then said to Huang Zhibai:

"Doctor Huang, please help organize a group of villagers to help me boil the medicine. Prepare medicine jars. The more the better. If you don't have medicine jars, any iron pot will do."

Huang Zhibai is a little strange:
"Doctor Lin, are you so casual? If Chinese medicine is cooked in an iron pot, its efficacy will be greatly reduced."

When boiling Chinese medicine, casseroles, pottery, earthenware jars, etc. are the first choice because these utensils conduct heat evenly, have moderate heat, have strong heat preservation around the pot, reduce water evaporation, and are not prone to chemical changes.

As for iron pots, copper pots, and aluminum pots, they all have certain chemical components, which can easily react with the medicines in traditional Chinese medicine and reduce their efficacy, and may even easily produce toxic side effects.

Therefore, Huang Zhibai, who has been engaged in traditional Chinese medicine for decades, was very confused by Lin Sanqi's request.

Lin Sanqi thought, I am going to use Western medicine ingredients, just covering them with a layer of Chinese medicine. Now there are more than 600 patients waiting. If I use the traditional Chinese medicine slow-cooking method, how long will it take to finish?

What needs to be ensured now is quantity, not quality.

In fact, if he wasn't afraid of not being able to explain himself clearly, he could have just taken out the capsule and stuffed it directly into the patient's mouth. There would be no need to go through so much trouble.

"Don't worry, Dr. Huang. Our Lin family's secret recipe doesn't specify which tools to use to boil the medicine. You're right to listen to me."

Huang Zhibai had heard what Lin Sanqi had just said, don’t ask too much, this is his family’s secret recipe, so he nodded heavily:
"Okay, Comrade Lin, I'll follow your instructions and I'll make the arrangements right away."

Several groups of people started to work separately. In order to save more villagers' lives, everyone was ready to fight to the death.

All the medicinal materials of Huang Zhibai's team were gathered together and handed over to Lin Sanqi, the "commander-in-chief".

Lin Sanqi didn't know too many medicinal herbs, so he pointed to one of them, Polygonum aviculare, and said:

"Doctor Huang, distribute the Polygonum hydropiper leaves immediately and have everyone start to boil the medicine. Use 1 qian for each pot. After boiling for 30 minutes, pour out the water and put it in a bowl to cool. I need it."

Do I only need 1 qian of Polygonum hydropiper leaves for one pot? Or is it just a single herb and a single recipe?
This was also the first time that Huang Zhibai encountered such a strange prescription. Usually, the dosage of Polygonum hydropiper leaves was more than 3 cents, and this dosage seemed not enough.

But he suppressed his doubts, immediately organized a team of 50 people, and started boiling hot pepper leaves on the school playground.

For ethnic minorities, it is very easy to make a simple outdoor stove. Once more than 50 small fires are lit, the scene is very spectacular.

Actually, Lin Sanqi had no choice. He didn't know how to formulate Chinese medicine. He only knew that Polygonum hydropiper leaves had the effects of dispelling wind and dampness, dispersing blood stasis and relieving pain, detoxifying and reducing swelling, and could treat dysentery, gastroenteritis, diarrhea, etc. The reason why it was a single prescription was because he was afraid of putting several medicines together. If there was any conflict, it would be even worse.

The dosage is even more random, preferring less than more.

Lin Sanqi put all the medicinal materials in a classroom and started to tinker with the "secret recipe handed down from ancestors", and forbade anyone to approach.

Half an hour later, Huang Zhibai came and knocked on the door:
"Comrade Lin, the hot pepper leaf soup is ready. What should we do next?"

Lin Sanqi opened the door and pointed to a row of tables in the room and said:
"Come on, everyone, pour the soup into bowls and put them on the table. It doesn't matter if there is more or less soup in each bowl. After pouring out the first batch of water, add cold water and continue to boil the second batch."

"Okay, Comrade Lin."

More than 50 people worked together to boil the medicine. They moved quickly and one pot of soup could hold three bowls, which was more than a hundred bowls.

After all the medicine bowls were put into the room, Lin Sanqi slammed the door shut again.

Then quickly open the levofloxacin capsules, pour a grain of powder into each bowl, randomly scrape it a few times with chopsticks, and continue to prepare the next bowl.

More than one hundred levofloxacin powder tablets quickly dissolved in more than one hundred bowls of Polygonum hydropiper leaf soup.

Lin Sanqi quickly opened the door and shouted:
"Hurry, hurry, take this medicine away. One bowl for each patient, no more, no less. Also, this spicy Polygonum leaf soup is not suitable for children. I have other arrangements."

It is strictly prohibited for children under the age of 18 to use quinolone antibiotics, as they can easily cause lesions in children's joints, damage bone and joint tissues, and cause damage to the central nervous system, hematopoietic system, liver and kidney functions, etc.

As a result, when Mycoplasma pneumonia was at its most prevalent in 2023, expert guidelines said that quinolones could be used in children.

But for the sake of safety, Lin Sanqi decided not to use it, as there are alternatives such as cephalexin and amoxicillin.

The villagers walked into the room one after another, picked up the medicine on wooden plates and went out to deliver them to each patient. The whole process was like a banquet.

Huang Zhibai also picked up a bowl of medicine and walked out. After turning a corner, he immediately took a sip to taste it.

The soup is very bitter, with an indescribable bitterness, and there is some powdery residue at the bottom of the soup.

Huang Zhibai pondered for a long time but still couldn't figure out the taste. He sighed in his heart and thought that he really overestimated his abilities. How could the secret recipe of the capital's expert be easily guessed?
Half an hour later, the second batch of Polygonum hydropiper leaves soup was ready, and Lin Panax notoginseng was prepared in the same way.

After the third batch of Polygonum hydropiper leaf soup was ready, Lin Sanqi replaced it with cefuroxime, which was specially prepared for children.

When Village Chief Lei returned from the county seat, almost all the patients in Naxiang Commune had already drunk the spicy Polygonum leaf soup, but no effect was seen for the time being.

By this time it was already evening.

Lin Sanqi was still working behind closed doors to prepare his "secret recipe". Countless villagers were waiting outside the door, waiting for this great doctor from the capital to save their lives.

Suddenly the door opened and Lin Sanqi shouted again:

"Come quickly, take these water jars away. Remember, the patients can drink as much water as they want. Tell them to drink more if they want to stay alive."

When the villagers heard this, they quickly carried the five water jars in different directions, ready for the sick person to drink.

This is not ordinary water. Lin Sanqi has poured a certain proportion of "oral rehydration salt" into it according to the amount of liquid.

What diarrhea patients fear most is actually dehydration. For malignant intestinal infectious diseases, dehydration is the number one cause of death.

In cases of severe dehydration, you cannot drink plain water directly.

Because dehydration will also lead to electrolyte loss in the human body, boiled water does not contain electrolytes. Drinking water directly may lead to deficiencies of sodium, chloride, potassium, etc., which can cause hyponatremia, hypochloremia, and hypokalemia, which can be life-threatening.

Oral rehydration salts contain sodium chloride, potassium chloride, sodium bicarbonate, sodium citrate and glucose. In addition to replenishing water, sodium and potassium, they also have a therapeutic effect on acute diarrhea.

This is the medical black technology from 2023. Without exaggeration or understatement, when facing this large-scale acute gastrointestinal infectious disease, traditional Chinese medicine still has limitations, and Western medicine is still the fastest to take effect.

By 8 o'clock in the evening, all the doctors came back for the meeting.

As the temporary person in charge, Lin Sanqi needs to know how many patients have taken the medicine.

One of the doctors said anxiously:

"Comrade Lin, the situation of the group I'm in charge of is not optimistic. Among the 80 patients, 13 of them were unable to drink the medicine at all, and some of them vomited it out after drinking it."

"Yeah, there are also 10 patients in my group who can't take their medicine."

"I have it too!"

“I have that, too!”

If she can't even take the medicine, just like the dead little girl, that's terrible...

(End of this chapter)