Lin Baiguang's Comprehensive Management Office is actually located in the municipal government. After Wang Sangou, the general affairs section chief of the municipal office, took office, in accordance with the "Regulations on the Management of General Affairs and Administrative Work of Government Agencies" issued by the General Office, the originally noisy place was turned into a bustling place with people coming and going.
The city government became standardized and systematized. If Liu San wanted to talk to the indigenous people outside, he couldn't just ask someone to summon him. He had to fill out a "summons form" first, and then the General Affairs Department would send someone to summon him.
It was dark now for Liu, but this was an emergency period, and there was no concept of commuting. All agencies worked 24 hours a day, and there were people on duty at all times. As soon as Liu San's order was sent to the General Affairs Department, Wang Sangou immediately issued a night pass.
Send a few retained servants to find people according to the list.
These medical officers had already gone to bed. After hearing the summons from the newly appointed physician of the Senate, they quickly got up, put on their robes and shoes, and were led by the servants. Before Liu San finished his dinner, the four medical officers had already
Waiting outside the house.
Liu San looked out of the window and saw these people waiting respectfully in the yard. According to the standards of this time and space, they were all old people, and one of them had white hair and beard, so he was embarrassed to ask them to wait outside the house for a long time and called the orderly.
Let them in first - because he is considered a senior official dispatched by the ministry, he occupies the main room of a small courtyard. The bright room of the main room is used as a living room and conference room.
Liu San came out from the inner room with a lunch box. The four medical officers stood together and knelt down to perform the ceremony. Liu San quickly said: "No, no, please sit down."
The medical officers felt a little disdainful when they saw that the great Song Dynasty doctor was not only poorly dressed, but also eating like a peddler and a lackey. He was eating directly from a "rice bowl" - a square iron box.
When Tian met him for the first time, he knew that this "classic doctor" was very knowledgeable and had excellent medical theory on pulse and medicinal properties, so he didn't dare to underestimate him. He thanked him and sat down.
They were very worried, as they were emperors and courtiers. Medical officers of "medicine" did not need to be removed from the official department. They were just "unqualified". Not to mention the change of dynasty, even the change of county magistrate could tell them to get out at any time. So every time
When the county magistrates and prefects are replaced, they all have to pay bribes in order to keep their positions.
Once you lose your job, without the aura of a medical officer, it will be extremely difficult for you to be an ordinary bell-ringing doctor. Although the income of famous doctors is not low, ordinary doctors can only make ends meet. They still have enough to live on.
At the level of a "famous doctor".
When Liu San met them for the first time, the medical officers pooled their money and gave them a "public gift" of sixty taels. However, Liu San's polite refusal made them confused about the classic doctor's thoughts.
——Especially after someone’s private gifts were rejected, everyone felt that he was even more enigmatic.
It was already dark, but they were summoned suddenly. What kind of plan was this?
Liu San put down his lunch box and said:
"You are all old medical officers in Guangzhou. You come into contact with a lot of patients on weekdays. You are also in charge of helping the government set up medicine. I am new here and I don't know much about the local situation. I need to learn more from you.
consult."
Several medical officers quickly stood up and repeatedly said they did not dare, and only asked Liu San to "inquire".
"Don't be polite. We are all doctors, and it is our duty to save lives and heal the wounded." Liu San said sincerely, "Don't think about the distinction between superior and inferior. You guys can first talk about the epidemic situation in Guangzhou."
What Liu San wants to ask about is mainly about various "epidemics" in spring and autumn and common local diseases during medical practice.
The health department has great concerns about the health and epidemic prevention in medieval cities. The reason is very simple. There are no anti-epidemic and immunization measures in this time and space, and the spread of various pathogens is rampant. The increasingly developed long-distance trade has brought many local infectious diseases to the forefront.
Spread to all places.
In the past few years, the health clinic has encountered various types of infectious diseases in the decontamination camps, and the wide range of sources have surprised the doctors. They have encountered almost all the infectious diseases listed in textbooks: smallpox, measles, dysentery
, typhoid, diphtheria, encephalitis, dengue fever, cholera, kala-azar, scarlet fever, hepatitis, tuberculosis... The notorious plague has also been detected among northern immigrants, and the wooden sheds of the quarantine camp in Kaohsiung were burned down more than once.
Syphilis, which was recently introduced in the Ming Dynasty, has also been detected among immigrants, and there are even cases of mother-to-child transmission. Tuberculosis is even more widespread.
The Senate used isolation and quarantine, the simplest and most effective tool, to basically keep out all kinds of severe infectious diseases. But things are not that simple in Guangzhou - Guangzhou is located on the mainland and is open to all directions.
In cities, it is difficult to control the flow of the population. This brings favorable conditions for the spread of diseases.
The Sanitary Office originally wanted to inquire about infectious diseases in Guangzhou through a search of historical records in the large library, but neither the official local chronicles nor private notes were very clear on such matters. They were simply recorded as "infectious diseases".
"Pandemic". Apart from the number of deaths and duration, there are few detailed information. There are even few descriptions of symptoms. No details can be seen from these crude records.
So Liu Xiang had no choice but to ask local medical officials for help - the reason why he asked them was because the lower class people in ancient society basically did not ask for medical advice. After getting sick, they either relied on their own resistance to resist or asked for help.
Even better, it would be better to pray to the Buddha and pack incense ash. It is just a medicine shop. When the charity bureau is administering medicine, you can get some medicine and take it yourself. Those who can invite a doctor to come and see and inquire about it must at least have a certain amount of assets. So the doctor, doctor, etc. face
The patient coverage is extremely narrow, and the cases encountered have no universal significance.
Medical officers are staff of "public medical institutions". For local plagues and current illnesses, whether it is prevention, treatment or aftermath, the county "medicine" has to come forward. They are also responsible for the diagnosis and treatment of the sick people admitted by various charitable institutions in the county. For example
Compared with ordinary doctors and doctors, they have a more comprehensive understanding.
Liu San is eager to understand the specific situation of infectious diseases, and also to formulate response plans as soon as possible. The opinion of the health center is to establish a special infectious disease hospital as soon as possible to isolate and contain all such patients. This is also a continuation of the tradition of quarantine camps
Method - This is the only feasible method in the absence of drugs.
Liu Sanxian talked about some of his observations in the city these past few days - he knew that traditional medicine in this time and space did not have a clear concept of hygiene and epidemic prevention, and many modern people thought that they were susceptible to disease, but they did not take it seriously at the time. So.
I only picked out some situations that they could understand.
"...I will be returning to Nantian soon. I know that this is the easiest time for the epidemic to spread. Since we, the Senate, have entered Guangzhou City, we have the responsibility to ensure the safety of this area. We are all working together here to ensure the peace of the people here. Young Master
If you get sick and die less, it will be an infinite merit."
When these words were said, several medical officers were greatly surprised. They were all veteran medical officers for many years, and they had seen too many "admonitions" given by new officers when they took office: either they were stern words that were high-sounding but not meaningful.
They made empty words, or "told them" that they should pay filial piety immediately, and no one ever mentioned the matter of curing illnesses and saving lives.
Unexpectedly, this foreign Australian would tell them about this matter as soon as they entered the city! Moreover, this true gentleman quietly went to many places in the city to visit the sick and ask for help - some places they themselves had never been to.
A poor and dirty place - I felt a great shock in my heart. Several of them have been practicing medicine for generations and attach great importance to traditional medical ethics. Liu San's words resonated with them. The middle age
The largest medical officer named Hu Ming stood up tremblingly, cupped his hands and said: "When I first took office, I cared about the sufferings of the people regardless of the fatigue of the carriage, which is really a blessing to the people! Students should do their best to serve.
"The others also echoed.
At that moment, they told each other what they had seen and heard during their years of medical practice. Liu San listened carefully and recorded it in a notebook. Although he himself also studied Chinese medicine, many diseases in ancient and modern times had different names, so he specifically asked the medical officer to
They describe symptoms when they tell.
According to the descriptions of the medical officers, Liu San roughly knew that the most common infectious disease here was influenza - which did not surprise him. However, the mortality rate of colds is not low: colds are often complicated by inflammation, and in the absence of antibiotics
In ancient times when people used antipyretic drugs, it was not uncommon to die from catching a cold.
Among the severe infectious diseases, the most common ones in Guangzhou are smallpox and cholera. Small-scale infections can occur at any time. Large-scale outbreaks occur every few years. Especially for cholera, there will be a major outbreak every seven or eight years. Smallpox outbreaks
The interval is only five or six years.
What shocked Liu San most was that from the medical officer's description, he knew that there had been multiple outbreaks of bubonic plague in Guangzhou, some of which lasted for a long time and were very severe, with tens of thousands of people dying.
The Senate was very concerned about the plague. It was originally thought that the plague was mainly spread in the north, but it was unexpected that the plague had already broken out in Guangzhou.
In addition to these three severe infectious diseases with the highest mortality rate, judging from the symptoms described by medical officials, other infectious diseases are also very common. In particular, intestinal infectious diseases have a high incidence rate, and dysentery is quite common. The highest mortality rate is in summer.
Liu San estimates that most cases of "sha" are intestinal infectious diseases.
From the descriptions of the medical officers, he also roughly sorted out various common diseases in Guangzhou in this time and space: scrub typhus, malaria, typhoid, tuberculosis, dysentery, meningitis...Leprosy, which made the ancients blush, is also on the list.
.
The medical officers also told him that there is a local bloating disease. A person's belly will gradually swell like a drum. Although he will not die immediately, he will still die in the end. No matter how good doctors you are, there is nothing you can do. There are some cases in Panyu and Nanhai counties.
This disease is very serious in villages. No one, no matter the age or sex, is spared. Some villages even die from it. (To be continued.)