Song Yi

Chapter 291 Excision
Du Wenhao checked Xiaolian's neck cyst carefully, and found multiple nodules of different sizes. The glands could move up and down with swallowing. The massage felt smooth, soft, with unclear edges, no tenderness, and the skin color was normal.Determined that it was a simple thyroid cyst, she said to Xiao Lian, "The tumor on your neck is a gas gall, and I can remove it by surgery."

Xiao Lian looked at Du Wenhao in puzzlement, let alone her, few people in ancient times could understand this sentence, because most of the surgical operations in the Song Dynasty were superficial tumors like boils, and the most important tumors like the neck In the absence of anesthesia and aseptic knowledge, surgery almost means death.Therefore, this kind of tumor is treated with drugs that soften the firmness and reduce swelling. The effect on the initial tumor is good, but the effect on large cysts is not good.

Du Wenhao briefly introduced the operation process, and Xiao Lian understood, but Du Wenhao was too young and his medical skills were not enough for her to trust.Fortunately, there was Yu Ge'er's rhetoric, and Yu Ge'er also dreamed of curing the disease and winning her husband's heart, so she quickly agreed.

Wang Anshitou drank a few more glasses in one night, saying that people are most afraid of drinking alcohol, which is the same as drinking alcohol, which not only hurts the body but also makes people sad.Besides, young people like Wang Anshi and Du Wenhao can't compare. When they are old, they can't bear to toss and turn. Lying on the bed in the middle of the night, they tossed and turned, their heads hurt like they were exploding, and their mouths were parched until dawn. , Then I got up and was ready to go out to find some porridge to warm my injured stomach.

When I went downstairs, I happened to meet Yu Ge'er who was giving me a headache. I was stabbed a few times. I felt very unhappy, so I went back to the house, thinking that after the little girl left, I would go find something to eat again. After entering the door, I met Yu Ge'er and Du Wenhao head-on, and a woman followed behind.

"Morning shopkeeper Wang!" Yu Ge'er bowed slightly to greet Wang Anshi who was coming.

Wang Anshi nodded, with no expression on his face. He didn't have a good impression of Yu Ge'er, who was chattering tirelessly all day long. In his opinion, Confucius' famous words had a source and basis. His hair was long but his knowledge was short. This is why they have to reluctantly get along with each other.

Seeing Yu Ge'er bowing to Wang Anshi, Xiao Lian quickly bowed her head. Only then did Wang Anshi see the woman next to Yu Ge'er with a pomelo-sized sarcoma hanging from her neck. As a baby, he casually asked, "Your relatives?"

"Why is my relative here? It's a sick person. Shopkeeper Du wants to see a doctor for her. Let's go tell the shopkeeper, find a room for her, and get her some food."

Wang Anshi frowned slightly, thinking that this Yu Ge'er was probably coming up with old-fashioned enthusiasm, how could he just bring a stranger here?
Seeing Wang Anshi's face darken, Du Wenhao guessed what he was thinking, and went up to explain: "This woman is a villager nearby, and she was crying outside the inn because she had no money to see a doctor. Yu Ge'er and I couldn't bear to see it. That's why we brought her in."

"You can do whatever you want, anyway, Fifth Master is in a bad mood this time, and if you don't want to go out, you will have nothing to do all day." Wang Anshi said coldly, shaking his sleeves to leave.

Yu Ge'er heard the thorn in Wang Anshi's words, and knew that he was not happy that they made decisions without authorization, so she deliberately said loudly: "Yes, we are naturally not as busy as you. It is a good thing to be busy, and the worst thing is that it will be in vain."

After Du Wenhao heard it, he hurriedly wanted to stop it, but Wang Anshi stopped immediately after hearing it, and turned to walk in front of Yu Ge'er, his eyes seemed to be breathing fire, and pointed at Yu Ge'er's nose, Yu Ge'er Xiao Lian beside Ge'er was terrified and couldn't help backing up, but she tripped on the steps under her feet, she couldn't stand still, she fell backwards, and the swaddling baby in her hand flew out.

Du Wenhao had quick eyesight and quick hands, and flew to catch the baby, but Xiao Lian sat down on the ground.

Yu Ge'er glared at Wang Anshi bitterly, stepped forward to help Xiao Lian up, Xiao Lian quickly took over the baby, and felt relieved after seeing that the child was fine.He timidly looked at the old man who was pointing at Yu Ge'er, with an angry expression on his face, he couldn't help being afraid, and said timidly to them: "Good-hearted girl, don't argue about me, I think I'd better take the child away."

Seeing that Xiao Lian was about to leave, Yu Ge'er grabbed her by the sleeve, smiled and gently pushed Wang Anshi's hand away, and said softly but firmly: "Shopkeeper Wang, go and do your work, this Xiao Lian's I'll just pay the rent, don't bother you."

Du Wenhao was afraid that the two of them would be in a stalemate, but it would not be good for Yu Ge'er. After all, Wang Anshi held a high position in Song Shenzong's heart. There are women, women are just an accessory, used to relieve worries and talk about joy, Yu Geer is still young, as the saying goes, a newborn calf is not afraid of tigers, she doesn't care who you are Wang Anshi or Li Anshi, in the end it is herself who suffers.Then he interjected: "Shopkeeper Wang, we wanted to tell Fifth Master just now, but we saw that he hadn't gotten up yet, not only disturbing, so we made a decision first, don't be as knowledgeable as Yu Ge'er, she has always It's out of mind."

Wang Anshi put his hand down with a snort, he was not unreasonable, besides Du Wenhao didn't provoke him, so he could only swallow his breath temporarily.

It was a good early morning, when Wang Anshi woke up and opened the door, Yu Geer, a little girl who didn't know how to do anything, said something like that, if it wasn't for Yu Geer's deep love with the emperor, Wang Anshi would have had an affair with her a long time ago. Angrily walked around the backyard of the inn twice, muttering in his mouth: only women and villains are difficult to raise.

Hearing someone calling for breakfast in the front yard, Wang Anshi walked back to the front yard with a gloomy face. Seeing Eunuch Ning coming down from upstairs in a hurry, he went to meet him: "Butler Ning is in such a hurry, isn't it? Master Wu is unwell?"

Eunuch Ning shook his head with a smile, pointed to Yu Ge'er's room upstairs, and said, "Treasurer Du wants to cut off the big thing on the neck of that girl named Xiao Lian. I'll go and prepare some things."

When Wang Anshi heard it, he thought he heard it wrong. He didn't have such an advanced concept of surgery in his head, so he couldn't understand it. , This is not the work of a medical practitioner, it is clearly a butcher.Human life is at stake, so you can't let him mess around!

Seeing that Eunuch Ning was in a hurry to leave, Wang Anshi grabbed Eunuch Ning's sleeve, his expression was very surprised: "You...what are you talking about? Then how could Datuo's flesh be cut off just by saying it? Isn't that true? Is it absurd? Hurry up and go to the fifth master, if something happens, the family will turn us into the yamen, it will be ridiculous." As he spoke, he was about to drag Eunuch Ning upstairs.

Eunuch Ning lowered his voice: "Don't worry, Shopkeeper Du can even cut open the little prince's stomach to treat his illness. It's nothing to cut a big tumor on his neck. Besides, he is a calm person. I'm not sure about things. I think he won't do it, and I have to go to work, so I won't accompany you."

The two people were talking, when they heard the door of a room upstairs creak open, Song Shenzong stretched his waist and yawned, walked out from the door, and looked downstairs, the two people just looked up .

Song Shenzong frowned slightly, pointed at Wang Anshi and the two of them, and said, "I thought who was arguing with me, but it turned out to be the two of you. Why are you arguing downstairs?"

Seeing Song Shenzong getting up, Wang Anshi hurried upstairs, but he was old after all, so he didn't say anything in a hurry, and he didn't have time to watch his footsteps, his foot slipped and fell, he rolled down the stairs screaming, and returned He arrived at Eunuch Ning's side.Holding his ass and screaming non-stop.

"Look at you, why are you so anxious, Steward Ning, hurry up, help shopkeeper Wang up, and see if you have fallen." After speaking, Song Shenzong also walked down.

Eunuch Ning helped Wang Anshi up, patted the dirt off his body, and asked him if he was hurt anywhere.

Wang Anshi couldn't care less about the pain of his skinny buttocks, and he held the stairs: "Fifth Master, I have something urgent to call on you. That kid Du Wenhao is so courageous, he even dared to move around on a woman's body..."

"Ah, what are you talking about, what are you talking about Du Wenhao...molesting the girls?" Song Shenzong was shocked.

Eunuch Ning quickly explained: "No, no, shopkeeper Du is going to cut a tumor on a sick woman's neck."

"Oh!" After hearing this, Song Shenzong patted his chest and breathed a sigh of relief: "I mean, he doesn't look like the kind of disciple. It turns out that's the case. It's nothing."

Wang Anshi became anxious, and walked up to Song Shenzong: "No, you don't know how big the thing is on that woman's neck, you should go and see."

"Butler Ning, what's going on?" Song Shenzong asked Eunuch Ning seeing that Wang Anshi was in such a hurry that he couldn't explain it.

Eunuch Ning told the ins and outs of the incident one by one.

After Song Shenzong heard this, he said: "It turned out to be like this. Since it's best to cut the tumor, don't worry. I won't go. I can trust his medical skills. If he sees a doctor for others, we don't want to make trouble. Let's go, you two The one accompanied me to go around the city, and I heard that there is something in Dongming County called... what... the oil is very famous for breakfast, and I am hungry. By the way, listen to what the streets and alleys say."

Ning Gonggong said: "I heard that the owner of the inn also said that the breakfast called oil gourd is really good, but I have never had a chance to eat it. Don't worry, shopkeeper Wang. In fact, the food in this inn is not much better than the ones outside. Fifth Master, please wait for me for a while, I will borrow some things from Shopkeeper Du in the kitchen and send them over."

As soon as Wang Anshi heard that he was going to the kitchen to get things, he became anxious again, and said, "What, the kitchen? Is shopkeeper Du killing pigs or going to see a doctor? I'll go and see, just in case..."

"Treasurer Wang, come back, don't join in the fun, leave this matter to him." As he spoke, Song Shenzong took Wang Anshi's hand and walked towards the door.

Seeing that Wang Anshi was suddenly held by Song Shenzong, and he didn't react for a while. The temperature of Song Shenzong's palm was so obvious that it was on the back of Wang Anshi's withered hand. At that moment, Wang Anshi really had mixed feelings. The scene of discussing state affairs and reform came to my mind, and a tear fell hotly on the back of Song Shenzong's hand. Song Shenzong, who was walking in front of Wang Anshi, trembled slightly, and did not look back, but there were faint tears in his eyes.

In the simple operating room, Du Wenhao was busy.

Du Wenhao came with a full set of surgical equipment this time. He asked Eunuch Ning to find a long table and a high stool that was slightly shorter than the long table. Pillows were used to make Xiao Lian lie on her back with her head resting on a high stool, and a thin pillow was also placed under Xiao Lian's shoulders.

This pose fully exposes her neck cyst.After local infiltration anesthesia on the neck, make a transverse incision at the corresponding skin wrinkles of the two transverse fingers on the sternojugular notch, cut the skin, subcutaneous tissue, platysma muscle, ligate, cut off the anterior jugular vein, and free the upper and lower skin flaps The tumor located in the upper pole can be resected under direct vision.

Then, he made a longitudinal incision of the cervical abulum line, bluntly separated the space between the anterior cervical muscle and the thyroid capsule, transected the subhyoid muscle group on one side, and retracted the muscle to expose the tumor.The outside of the cyst wall is surrounded by a fibrous membrane, and it is peeled off close to the cyst wall. After the cyst is separated to the base of the adenoma, the pedicle is clamped with small curved blood vessel forceps and cut off.

Then hemostasis and removal of hemorrhage and residual tissue fragments in the operative field, the residual cavity of the thyroid gland was sutured intermittently through the bottom of the cavity, the anterior cervical muscle, linea alba, and platysma muscle were transected sequentially, the subcutaneous tissue and skin incision were sutured, and placed drainage.

Two hours later, Song Shenzong and the others finally came back from a leisurely stroll, entered the door of the inn, and saw Du Wenhao sitting by the window, drinking tea leisurely.

Song Shenzong rubbed his hands, strode forward, and said with a smile: "It seems that the operation was successful after being so leisurely."

Du Wenhao was looking out of the window intently, but he didn't realize that Song Shenzong had already walked in front of him, so he quickly got up, but Song Shenzong gently pressed his shoulders and made him sit back on his seat.

"I didn't report it to you beforehand, because you were still sleeping at the time, and I heard Eunuch Ning say that you already knew about it, so I didn't come upstairs..."

Wang Anshi and Eunuch Ning also came forward and sat down. The owner of the inn brought three tea bowls with a smile and came forward with a teapot and filled them up one by one.

"Fifth Master, your pharmacy shopkeeper's medical skills are amazing. I told him the day before yesterday that I have been unable to sleep at night. He only used two gold needles to prick my upper body and neck a few times. You can feel that it's dawn, that poor little Lian is lucky to have met you today, or if she died, it would be pity if the child lost her mother."

Eunuch Ning signaled the owner of the inn to go to work, and after the owner left, Wang Anshi couldn't help but admire: "I can't see that you are really smart, what's the matter with that girl?"

"I'm resting in my room, I can recover after a day or two of rest."

Wang Anshi thought for a while and said, "I think I'll go to that woman's house first."

Eunuch Ning: "What are you doing at Xiaolian's house?"

Song Shenzong pointed at Wang Anshi and said with a smile, "You old master also want to do your best?"

Wang Anshi moved his lips with a slight smile, and said, "Fifth Lord, don't make fun of the old man. I just want to have a good lecture with the woman's husband, so that the woman will not be abused by men again in the future."

Eunuch Ning and Du Wenhao looked at each other and smiled. Du Wenhao poured tea for Wang Anshi and said, "The shopkeeper Wang is more thoughtful than I thought. I just healed her superficial wounds. If shopkeeper Wang can teach his husband to change his mind, then It’s really helping people at home.”

Wang Anshi cupped his hands and got up, Song Shenzong waved to Wang Anshi, pointed to the tea bowl on the table, and said: "There is no need to go now, anyway, Wen Hao said that he would leave the girl to rest for a day or two, why not let the housekeeper accompany you tomorrow morning Go, come, come, come, sit down and drink tea."

"Fifth Master, I think it's better to wait for the woman to drink the medicine and send her back quickly. A woman from a good family can't just live outside. If she makes a confession in the future and lets the man scold her, wouldn't we have harmed her?"

Du Wenhao felt that although Wang Anshi was an old antique, his heart was not bad, and what he said was also reasonable, so he said to Song Shenzong: "I think what Wang Anshi said is not wrong. We then sent Xiaolian back. Let her recuperate at home."

While several people were talking, Yu Ge'er came in from the backyard door with a smile on her face, went to the table, saluted Song Shenzong first, and then said happily: "Fifth Master, you don't know how well Shopkeeper Du sewed up Xiaolian's wound." Now, it's not like a bowl-sized scar like some people said, after I think about it, it's only half a finger wide at most."

Song Shenzong looked at Yu Ge'er, and said with a straight face, "Who are you referring to by some people?"

Yu Ge'er didn't notice that Song Shenzong's expression was wrong, nor did he look at Du Wenhao's wink at her, so he said to himself, "I'm not the king..."

"Shut up!" Song Shenzong suddenly yelled loudly, scaring everyone present to stand up.Only then did Yu Ge'er realize that Song Shenzong's complexion was not good.

"What do you keep saying that your father has called you Biography of Lie Nu, Xiao De Jing, but I want to ask you, do you know what respecting the old is?"

Yu Ge'er had never seen Song Shenzong lose his temper so much before, and he froze there for a moment, his small mouth slightly opened in fright, and his big eyes showed an expression of grievance.

"Even I have never been so rude to shopkeeper Wang. What are you, you dare to teach the old man a lesson. Kneel down."

Du Wenhao saw that Yu Ge'er's eyes changed from grievance to another kind of thing. This kind of thing is very complicated, with resentment and hatred, but more of perseverance.

Yu Ge'er bit her lip and knelt down slowly.

"Fifth Master, Yu Ge'er is still young, I think it's okay, I'm wrong, I just talk nonsense without understanding the situation." Seeing that Song Shenzong had vented his anger, Wang Anshi wanted to calm down.

"Bring tea to Shopkeeper Wang to apologize." Song Shenzong motioned everyone to sit down, and then said coldly to Yu Ge'er.

Eunuch Ning had a lot of help from Yu Ge'er along the way, and the two of them got along pretty well, so he didn't dare to say hello to her at this time, so he quickly handed her a bowl of tea and asked her to pass it to Wang Anshi.

"Treasurer Wang, I don't know what is good or bad, I shouldn't speak rudely. Please see that I am ignorant for the first time. After drinking this cup of tea, I will forgive my mistake. I promise that I will not do it again. If I do it again, I will voluntarily cut my tongue and slash my neck." .”

Anyone can tell that the slave on the left and the slave on the right are obviously angry in Yu Ge'er's heart, but his expression is respectful, and his words are not offensive at all. Even Song Shenzong is not easy to get angry and say something, besides, Wang Anshi can be regarded as Hypocritically begged Yu Ge'er, and quickly took the teacup from Yu Ge'er's hand, motioning for Eunuch Ning to help Yu Ge'er up.

"I don't dare, my servant is guilty." Yu Ge'er seemed to be as stubborn as Wang Anshi, a stubborn old man. Eunuch Ning went to help him up, but he didn't even get up.

"Okay, okay, get up, Housekeeper Ning will always give you face." Song Shenzong still couldn't bear it. After all, Yu Ge'er was still a fifteen or sixteen-year-old child, and he was also the favorite of his parents before. Yes, naturally a little casual.

Yu Ge'er stood up after hearing Song Shenzong's words, and stood there without saying a word, and they all seemed a little embarrassed.

"Shopkeeper Wang, don't you still want to go to Xiaolian's house? I'll find a buddy to follow you. We still don't feel at ease with you alone." Du Wenhao broke the deadlock and said.

"Let Yu Ge'er go with her, she is young and knows how to be a three-legged cat."

No one thought that Song Shenzong would come up with such a bad idea, even Wang Anshi and Yu Geer were stunned, everyone looked at Song Shenzong with surprised eyes, and saw Song Shenzong slowly holding up the tea bowl , gently brushed off the tea leaves on his face with a tea cover, leaned closer and took a sip, then looked at everyone with a smile.

Only then did Eunuch Ning come back to his senses, exaggeratedly laughing and said: "Oh, yes, yes, what the fifth master said is, I think you should leave now, and shopkeeper Du and I will send her off later. go back."
Seeing that Song Shenzong wanted to make a joke with him, Yu Ge'er gritted his teeth, flicked his braid, and stretched out a hand as a gesture of invitation to Wang Anshi. Du Wenhao and Eunuch Ning held back their laughter, and were a little embarrassed to see Wang Anshi at first. , and then calmed down, gave Song Shenzong a dry laugh, then walked out the door with hands behind his back and slightly bent body.

Wang Anshi and Yu Ge'er first went to ask Xiaolian where she lived and her man's name, and then they set out on the road. Walking in front, a sullen little face followed behind with a wicker stick, sticking out his tongue at the back of the front from time to time to make a grimace.After walking like this for an hour, I finally arrived at Lijia Village.

Wang Anshi finally stopped at the entrance of the village. He didn't look back and hoped that the people walking behind would come forward and talk to him, even if he said that this is Lijiacun and other nonsense, but he was wrong, Yu Geer Seeing him stop, he also stopped a few steps away.

There was a big elm tree at the entrance of the village. The elm tree seemed to be growing well, with green pistils sprouting out of the green field. When the wind blew in gusts, the elm screamed loudly, and the two people under the tree were deadlocked.

(End of this chapter)