Chapter 73 70. The Manmin Umbrella (for further reading and collection)
"Take this imperial envoy to see the patient." Wang Zhi ordered the Imperial Physician Order and Medical Cao.

The governor of Yangling City also rushed over, and after paying a visit to Shi Li, they went to the courtyard where the patients were concentrated.

The yard is filled with the smell of sulfur and burning wormwood, and the lime powder sprinkled on the ground makes the busy people trample like a mess after snow.

There are dozens of couches lined up in a row, filled with patients.The doctors set up an iron wok in a corner of the yard, and there was a strong medicinal soup rolling in it.

Approaching the couch, Wang Zhi observed the patient.

All the patients were red in the face, neck, and chest, like a drunkard.

"Is it uncomfortable?" Wang Zhi asked a young man nearby.

"Pain! Body ache, headache, back pain, eye pain!" the man said, moaning and crying, "I'm going to die! I'm the only one left in my family, and I'm going to die too!"

"It's okay! So many doctors were sent by the court to save everyone..." Wang Zhi comforted him, and ordered the doctor next to him to open the patient's eyelids to expose the patient's hands and feet.

Most likely hemorrhagic fever!The patient's eyelids were red with bleeding spots, and the hands and feet also had red masses that appeared to be bleeding under the skin.

Wang Zhi closed his eyes, and his mind was spinning rapidly, recalling what Wu Chaofan was preparing for the doctoral exam, which she helped record.

Hemorrhagic fever, also known as epidemic hemorrhagic fever, is a natural focal disease caused by bunyavirus cohantavirus (HV).

The source of infection is mainly rodents such as Apodemus spp. and Rattus norvegicus.

People who are bitten by rats, or eat food and water that rats have crawled over, or come into contact with virus-laden rat blood, urine, feces, etc., may be infected with hemorrhagic fever.Although hemorrhagic fever is also an infectious disease, it is not transmitted from person to person. It is mainly transmitted through contact with rodent animal secretions or excrement contamination, so there will be no large-scale leapfrog infection.

Typical hemorrhagic fever will be manifested as one heat, three reds and four pains: fever, flushed face, red neck, red chest, body aches, headache, lumbago, and orbital pain.

At the beginning, the main manifestations are fever and hemorrhage, hence the name.With the progress of hemorrhagic fever, it may progress to severe or critical, severe infection, refractory shock, liver, kidney, etc., bleeding of important organs, heart failure, pulmonary edema, cerebral edema, cerebral hemorrhage, cerebral hernia ,even death!

Wang Zhi calmed down and asked the patient, "Have you urinated in the past few days since you were sick?"

The patient hesitated, and said shyly, "Very rarely... it makes my stomach hurt!"

Let the doctor ask the patients one by one, it's all like this.

So, it is hemorrhagic fever!Hemorrhagic fever with renal syndrome is also called hemorrhagic fever with renal syndrome. In addition to fever, submucosal bleeding points, and kidney damage, oliguria and anuria in the advanced stage, and polyuria in the recovery stage are its main features.

The typhoid patient's complexion is pale and dull, with a poisoned face, and the skin bleeding point is roseola.Significantly different from hemorrhagic fever.

After the pathogen was identified, Wang Zhi breathed a sigh of relief.Hemorrhagic fever is transmitted from rat to human, but not from human to human, so the scope of expansion is limited.As long as the source is found, the problem will be solved.

"Every doctor," Wang Zhi greeted the imperial physician's order, and the doctors and doctors obeyed the order, "This disease is not highly contagious, and many people will not die!"

"Order to everyone! Don't drink raw water, don't eat raw vegetables, drink boiled water, eat steamed food. Before eating food, wash your hands and face!"

"Except for the doctors who care for the patients, and the sergeants guarding Yiguan. Everyone, wear masks, wear shoes and socks, tighten the cuffs of trousers, clean up stagnant water and smelly ditches, clean the corners of the cabinets under the bed, and catch rats!"

"Whoever catches a mouse and turns it in, each mouse will be rewarded with one piece of money!"

Let Yangling be guarded, find sergeants and watchmen with loud voices, and yell along the streets and alleys.

As a result, Yangling town was full of noise and shouting.

"The Imperial Envoy has an order: Everyone! Don't drink raw water, don't eat raw vegetables, drink boiled water, eat steamed food. Before eating food, wash your hands and face!"

"Everyone, wear a mask, put on your shoes and socks, tighten your trousers and cuffs, clean up puddles and smelly ditches, clean the corners of the bedside cabinets, and catch rats!"

"Whoever catches a mouse and turns it in will be rewarded with one piece of money for each mouse!"

"The patient has a fever, try to use warm and cool water to scrub and cool down," Wang Zhi told the doctors, "If the patient is not thirsty, the patient does not need to drink more water."

The original idea of ​​epidemic prevention was to give patients a large amount of medicinal soup for dispelling heat and eliminating plague.This will undoubtedly increase the burden on the patient's kidneys.

Originally, I wanted to follow the method of reducing fever and relieving pain for Jingdi, smashing willow leaves and willow bark for external application as mud, so as to reduce fever and relieve pain for the patient.Considering that salicylic acid is excreted by the kidneys after being metabolized by the human body, it may aggravate the condition.Coupled with the subcutaneous bleeding of the patient, external application may cause skin irritation and discomfort, so it is better to scrub with water to cool down.

What puzzled Wang Zhi was: Hemorrhagic fever is not highly contagious, and there is no human-to-human transmission. Why did the whole family die of the disease with more than a dozen members?
"Where is Yicao? Come, mark the houses with the disease." Wang Zhi asked Yicao and Lizheng from Lifang to draw a floor plan together.

It turned out that only two Lifangs had the epidemic!And these two Lifang are still close to each other!

Yangling is under construction, and Yangling has just moved from Jinan County, Hedong County, Henan County, and Liang State to powerful families, and the population is not dense.Taking Lifang as the basic unit, it is convenient to compile households Qimin and households.

Two adjacent Lifangs, dozens of families, hundreds of people, what caused the hundreds of people to be infected with the hemorrhagic fever virus so concentratedly in a similar period of time?As a result, dozens of people died of illness?
"Take this imperial envoy to visit these two Lifangs." Wang Zhi wanted to become a medical detective to track down the source of infection.

In Lifang where there was an epidemic, Wang Zhi asked the residents about their eating habits and food storage methods in detail.

"It was the emperor who forced us to move here! We are not familiar with the place, and the water and soil are unsuitable! Pity my family of a dozen or so, and only five of them died! My father has a high fever! He was carried away to die!..." A middle-aged man A young woman, hugging two and a half older children, wept bitterly.

"My sister-in-law, the emperor is very concerned about you all! I have specially sent an imperial envoy to find out the source and put out the epidemic! It will be fine soon!" Wang Zhi said while observing the decoration of this house. "It's close to the capital, so it must be better than the original place. Future generations will appreciate your migration."

Those who were forcibly moved to Yangling were all powerful families in their original places, with household income of more than 20 yuan.In addition, the relocation to guard the mausoleum this time is of a reward nature, and each household will pay [-] yuan.The furnishing of this house is quite luxurious.

"Mother! I want to drink water!" The older child in the woman's arms called.

"Go to the kitchen sink and scoop water yourself." The woman pushed the child.

"Sister-in-law, the imperial envoy has issued an order not to drink raw water! Go and boil water for the child!" Wang Zhi hastily stopped.

"It turned out that the servants went to fetch water and cook... But the family members died, only me and my two sons were left!" the woman cried, "My father and the cook fell ill and were taken away! There is no water and no water in the house. Chai... the water in the tank is about to bottom out..."

"Mother! I don't want to drink water!" The younger child pulled the crying mother, "There are dead mice in the water! Mother, I don't want to drink water!"

There are dead rats in the water!Wang Zhi was shocked!
"Where are the dead rats in the water?!" Wang Zhi asked the child.

"Asheng went to fetch water and said there were dead rats in the water, so he fished them out and threw them away!" said the child with pure eyes.

"Where is Ah Sheng? Where did you get the water?" Wang Zhi asked again.

"Ah Sheng is a servant of the family. He is dead... The water is all brought from the well in Qianjie." The woman said, wiping her tears.

"Take me to see the well!" Wang Zhi ordered him to take him to the well in Qianjie.

This is an octagonal well, with three stone steps, a wooden fence, and a willow tree with luxuriant branches beside the well.Not far from the well fence, there is a one-person-high earth temple, with shriveled and messy tributes.

Climbing up the steps, Wang Zhi looked down at the well.

This place is not far from the Weishui River, the groundwater level is high, and the wellhead is only one meter above the water surface.The well water was fairly clear, with a few fallen willow leaves floating on the surface.There is new green moss on the wall of the well, and it seems that there are gnats swimming near the water surface.

"How long has this well been in operation? Do both Lifangs use this well water?" Wang Zhi asked Lizheng.

"I started using it after I moved here last year, and it's only been a year, more than thirteen months. This well is in the adjacent street of Lianglifang, and I always get water here." Li Zheng seemed to be a gentleman, and he didn't speak much.

"Homesickness well." Wang Zhi read the words on the fence, "The well is the homesickness well, so this willow is the hometown willow!"

Li Zheng blushed, bent over and cupped his hands: "What the imperial envoy said is..."

"Is the land temple enshrined in the land of the hometown, or the land of this place?" Wang Zhi asked again.

"It's hard to leave my homeland... There are offerings in both places. During this epidemic, the villain thought it was because the water and soil were unwell, so he specially sprinkled the homeland soil he brought for offerings into this well for everyone to drink..."

"Kill it! Hey~ hey~ stop it!" Several people ran over noisily.

It turned out to be chasing a fat mouse.The rat jumped over quickly, and Li was about to step on it, but it whizzed down the stone steps of the well curb.

Everyone's eyes widened.

"Quick! Disassemble the stone steps!" Wang Zhi ordered.

Everyone hurriedly lifted the stones, only to see a mouse hole under the stone steps. The soil at the hole was smooth, and fruit cores and food residues were scattered.

It seems that the mouse's little life is going well.Guarding the well, the earth temple next to it has tributes, food and drink, it is really a geomantic gem for rats!
In an instant everyone understood.A sergeant lit firewood and stuffed it into the mouse hole.In the well and next to the Earth Temple, smoke rose from several openings.Someone had already been waiting at the entrance of the cave, and the mouse was killed as soon as it emerged.

"Seal this well!" Wang Zhi ordered.

Suddenly a thought popped up, which scared her so much that her back felt cold!Calm down, she softly instructed Zhi Qing beside her.

"Go, get a bottle of pure dew in the clothes box." Before leaving the palace, she brought a few bottles of pure dew with her to drive away the epidemic.

Zhi Qing brought it over, Wang Zhi avoided the crowd, drank the pure dew in one gulp, and handed the empty bottle to Zhi Qing.

"You went to the kitchen of the woman's house just now, filled the water tank with water, and tightened the stopper. Come back and hand it over to Bengong."

Zhi Qing nodded and left quietly.

"Please guard over here." Wang Zhi ordered the guards around him.

"The imperial envoy believes that dozens of people died due to the epidemic, and some households lacked water and food. Please send people to cook water and cook for [-] days. Within ten days, the epidemic will be eliminated! Corn and money will be provided by the imperial court. Call down." Wang Zhi said to Yi Shou.

"Your officer obeys!" Yi Shou hurriedly went to arrange the manpower.

The communist big pot is here!
In the beginning, the adults were thin-skinned and sent their children to fetch water and food.Where have the children seen this battle?Get together to twitter, forget your worries and fears, and be inexplicably excited.One said that someone handed over a few rats, and the other said that the smell of burning rats was like roasting meat.

Everyone watched the imperial envoy commanding.

Water was boiling in a large cauldron, and the bowls, pots, and pots brought in had to be thrown into it and boiled for a while, and someone had to fish them out before they could be filled with water and food to take away.

The water boiled in another large cauldron was poured into several large water tanks for people to take by themselves.

There is a chef next to him, who is cooking porridge and cakes and distributing them to everyone.

There have been no new patients in the past few days, and those who have been infected are slowly recovering. As Wang Zhi said, first they urinate less, and then they urinate more.In addition, Wang Zhi announced that the disease is transmitted from rat to human, and that human-to-human transmission is not possible. If the rodents are exterminated, the epidemic can be eradicated by not eating raw food or drinking raw water.The mood of the people has stabilized.

At the places where water and food were fetched, grown-ups gradually appeared, with smiles on their faces, chattering about family affairs, lamenting that the imperial court employs capable people and the emperor is benevolent for the people.

When the last few patients recovered and returned home, it was the No. 12 day when Wang Zhi came to Yanglingyi.The epidemic has been extinguished, and people's lives are gradually returning to normal.The sergeants and doctors all packed up and prepared to leave.

"Master Imperial Envoy!" Yishou brought Lizheng, patriarchs, and Yicao and other officials to come, and knelt on the ground, "I am waiting for everyone to ask for orders, and I am willing to present an umbrella for the current emperor, and pray for my emperor's longevity and prosperity! The country is peaceful and the people are safe !"

"Okay! The emperor's benevolence, everyone is grateful. If you want to listen to it, I will upload it on your behalf!" Wang Zhi was overjoyed.

Some people in the court spread rumors about the epidemic situation in Yangling Town that Emperor Jing deposed the prince, which aroused the wrath of the sky.Wouldn’t the people’s praying for the Wanmin Umbrella give someone with ulterior motives a resounding slap in the face?

This situation was unexpected by Wang Zhi.When I came here, I covered my face with a mask, and I was cautious, for fear that these wealthy families who were forced to relocate would have resentment in their hearts, and the epidemic would strike again, and they would have the heart of harming life.

For more than ten days, Wang Zhi never stopped, visiting patients, visiting patients, exterminating rats, providing meals, and digging new wells. Many people saw him and were very grateful.Some people even suggested setting up a memorial tablet for the imperial envoy and enshrining it in the clan ancestral hall.

Wang Zhi was a little moved.The people felt her sincerity, and returned their sincerity.In fact, everyone is very kind.

These rich and powerful families who used to run rampant in their hometown, after being forced to relocate, broke away from the original soil that breeds crime, and they are more contented.

This effect is what I want!If it weren't for the tough means of attacking the nobles, what would follow the evil of "the way of Huang Lao, rule by doing nothing" would be that the nobles would be lawless and commit crimes!
"Tomorrow, the imperial envoy will lead a team back to Beijing, and at the south gate of Yangling City, we will receive the people's umbrellas presented by the people on behalf of the emperor!"

The imperial envoy was successful in eradicating the epidemic, and the emperor sent Emperor Luanjia to pick up the imperial envoy back to the capital.

When Yi Shou and Patriarch Lizheng knelt down to offer the Wanmin Umbrella, a luxurious lady came out from the dragon chariot, wearing a crown on her head and wearing a phoenix robe.

"Empress Empress!" The imperial physician ordered a cry.

It turns out that the imperial envoy is the empress empress of the mother world!Share the joys and sorrows with the people, and save the common people with medical skills.How can ordinary people have the opportunity to talk to the empress without hindrance and get along day and night?Want to see Tianyan?
Someone cried and shouted: "Long live my emperor! Long live the empress!"

(End of this chapter)

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