Lin Gao Qiming
Chapter 1750 Infectious Diseases
Chapter 1750 Infectious Diseases
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, according to the "Regulations on the Administration of General Affairs and Administrative Work of Government Organs" issued by the General Office, the office that was originally noisy and crowded with people came and went. The municipal government has standardized and systematized.If Liu San wants to talk to the indigenous people outside, he can't just call someone casually. He must first fill out a "summons form", and then the General Affairs Division will send someone to summon him.
It's already dark for Liu, but it's an extraordinary period, and there is no concept of going to and from get off work.All agencies work 24 hours a day, and there are people on duty at any time. As soon as Liu San's list is sent to the General Affairs Department, Wang Sangou immediately issues a night pass and sends a few retainers to find people according to the list.
These medical officers had already fallen asleep, and when they heard the summons from the newly appointed senatorial doctor, they hurriedly got up, put on their robes and shoes, and came here led by Mending.Before Liu San had finished his dinner, the four medical officers were already waiting outside the house.
Liu San looked out the window and saw these people waiting respectfully in the yard.According to the standards of this time and space, they are all old people, and one of them has white beard and hair, so he was ashamed to ask them to wait outside the house for a long time, and asked the servants to let them in first—because he was a senior official sent by the ministry, so he occupied the room. The main house in a small courtyard.The open room of the main house was used as a meeting room and conference room.
Liu San came out from the inner room with a lunch box, and the four medical officers were standing together, and they were about to kneel down to attend the court ceremony, Liu San hurriedly said: "No, no, please sit down."
The medical officials saw that this Song Dian doctor was not only poorly dressed, but also ate like a peddler, directly holding a "rice bowl" - or a square iron box, and felt a little contemptuous.But when they met for the first time a few days ago, they knew that this "classic doctor" was knowledgeable, and he was good at everything, so he didn't dare to underestimate him.Thank you for your seat.
They are very disturbed in their hearts, one emperor and one courtier. "Medicine" medical officials do not need to be awarded by the Ministry of Officials, they are "not in the stream", let alone a change of dynasty, even a change of county magistrate can tell them to go away at any time.So every time the county magistrate changed people, they had to go up and down to bribe them in order to keep their positions.
Once unemployed, without the halo of a medical officer, it would be extremely difficult to be an ordinary bell-ringing doctor.Although the income of famous doctors is not low, the average doctor can only maintain food and clothing.They are still not up to the level of "famous doctors".
When Liu San met them for the first time, the medical officials pooled their money and gave them a "public gift", which also amounted to 60 taels.However, Liu San's polite refusal made them confused about the doctor's mind—especially after the private gift from someone was also rejected, everyone felt that he was unfathomable.
It was already dark, but they were summoned suddenly, what was the plan?
Liu San put down the lunch box and said:
"You guys are all old medical officials in Guangzhou, and you have contact with many patients on weekdays. You are also responsible for the establishment of medicine in the government. I am new here, and I don't know much about the local situation, so I need to ask you more. consult."
Several medical officers hurriedly stood up and kept saying they didn't dare, and only asked Liu San to "inquire".
"You are welcome. We are all doctors, and it is our duty to save lives and heal the wounded." Liu San said very sincerely, "Don't think about the difference between the top and the bottom. You guys first talk about the epidemic situation in Guangzhou."
What Liu San wants to ask is mainly about various "epidemics" in spring and autumn and local common diseases when practicing medicine.
The health department has great concerns about the health and epidemic prevention of the big cities in the Middle Ages.The reason is simple. There are no anti-epidemic and immune measures in this time and space, and the spread of various pathogens is rampant.The increasingly developed long-distance trade has spread many local infectious diseases to various places.
In the past few years, the health department has encountered various types of infectious diseases in the decontamination camps, and the wide range of origins has surprised the doctors.They have encountered almost all the infectious diseases listed in textbooks: smallpox, measles, dysentery, typhoid fever, diphtheria, encephalitis, dengue fever, cholera, kala-azar, scarlet fever, hepatitis, tuberculosis... There were also alarming detections among immigrants from the north. Hearing the plague, the wind changed, and for this reason, the wooden sheds of the quarantine camps were burned down more than once in Kaohsiung.Syphilis, which was recently introduced in the Ming Dynasty, was also detected among immigrants, and there were even cases of mother-to-child transmission.Tuberculosis is even more widespread.
Through the simplest and most effective tool of isolation and quarantine, the Senate basically managed to keep all kinds of severe infectious diseases out.But things are not so simple in Guangzhou—Guangzhou is a city located in the mainland and open on all sides, so it is difficult to control the flow of population.This creates favorable conditions for the spread of the disease.
Sanitation Kou originally wanted to search the history books of the large library to inquire about the infectious disease problem in Guangzhou, but whether it was official local chronicles or private notes, they were not very clear about such things.It is simply recorded as "spread epidemic" and "great epidemic".Few details are available beyond the number of deaths and their duration.There are few descriptions of symptoms.No details can be seen at all from these crude records.
So Liu Xiang had no choice but to turn to the local medical officials—the reason why he asked them was that there was basically no such thing as seeking medical advice for the lower class people in ancient society. God prays to Buddha to get a bag of incense ash, no matter how good it is, it is just to get some medicine for oneself when the pharmacy or Shanju is dispensing medicine.Those who can invite a doctor to come to see and ask about it must at least be someone with certain assets.Therefore, the patients faced by doctor Langzhong are extremely narrow, and the cases encountered have no universal significance.
The medical officers are members of "public medical institutions". Whether it is prevention or treatment of local plagues and seasonal diseases, county "medicine" must come forward, and they are also responsible for the diagnosis and treatment of people who are accommodated by various charitable organizations in the county.Compared with the average doctor, he has a more comprehensive understanding.
Liu San was eager to understand the specific situation of the infectious disease, but also to start formulating a response plan as soon as possible.The opinion of the health department is to establish a special infectious disease hospital as soon as possible to isolate and house all such patients.This is also the traditional practice of continuing the quarantine camps -- the only way to go in the absence of medicines.
Liu San first talked about his observations in the city in the past few days - he knew that traditional medicine in this time and space had no clear concept of hygiene and epidemic prevention, and many modern people thought that they were easy to get sick, but they didn't take it seriously at the time.So I just picked some situations that they can understand and talked about it.
"...I'm going back to Nantian soon. I know that this weather is the most likely to spread the epidemic. Since our Senate has entered Guangzhou City, we have the responsibility to keep one side safe. Everyone is here to work together to keep the people in this side safe. It is an infinite merit to be sick and die less.”
As soon as these words were said, several medical officers were greatly surprised.They are all old medical officials for many years, and they have seen too many "admonitions" from new officials: either they are stern words that are high-sounding but useless, or they "remind" them to be filial quickly. People mentioned things about curing diseases and saving lives.
I didn't expect that the foreign Australians would tell them about this as soon as they entered the city!Moreover, this real guy ran around many places in the city to visit the sick and suffering—some places were poor and dirty places that they had never entered before—and felt a great shock in their hearts.Several of them have practiced medicine for generations and attach great importance to traditional medical ethics. Liu San's words resonated with them.The oldest medical officer named Hu Ziming stood up tremblingly, cupped his hands and said: "When the master took office, he cared about the sufferings of the people regardless of the fatigue of the horses and horses. It is really a blessing for the people! Students should do their best Do your best." The others also echoed.
Immediately, they recounted what they had seen and heard during their years of practicing medicine.Liu San listened carefully and took notes in a notebook.Although he himself is a Chinese medicine student, many diseases have different names in ancient and modern times, so he specially asked the medical officials to describe the symptoms when they told them.
According to the descriptions of the medical officers, Liu San generally knew that the most common infectious disease here was influenza—this was not beyond his expectations.But the mortality rate of colds is not low: colds are often accompanied by inflammation. In ancient times when there was a lack of antibiotics and antipyretics, it was not uncommon to die from a cold because of a cold.
The most common severe infectious diseases in Guangzhou are smallpox and cholera.Small-scale infectious diseases occur at any time.Large outbreaks occur every few years.Cholera, in particular, would erupt once every seven or eight years, and the interval between smallpox outbreaks was only five or six years.
What shocked Liu San the most was that from the medical officer's description, he knew that bubonic plague had broken out in Guangzhou many times, some of which lasted for a long time and were very severe, killing tens of thousands of people.
The Senate's response to the plague could be described as "changing face upon hearing the news".I thought that the plague was mainly spread in the north, but I didn't expect that the plague had already broken out in Guangzhou.
In addition to these three severe infectious diseases with the highest mortality rate, other infectious diseases are also very common from the symptoms described by medical officials, especially intestinal infectious diseases have a high incidence rate, and dysentery is quite common.As for the "fasha" with the highest mortality rate in summer, Liu San estimates that most of it is also an intestinal infectious disease.
From the description of the medical officer, he also roughly sorted out various common diseases in Guangzhou in this time and space: scrub typhus, malaria, typhoid fever, tuberculosis, dysentery, meningitis... leprosy, which made the ancients change their faces, is also on the list .
The medical officers also told him that there is also a kind of bloating disease in the local area. People's stomachs will gradually swell like a drum. Although they will not die immediately, they will die in the end.No matter what genius doctor you are, you can't do anything.In some villages in Panyu and Nanhai counties, the disease was so severe that no one, man, woman, or child was spared, and some villages even died from it.
(End of this chapter)
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, according to the "Regulations on the Administration of General Affairs and Administrative Work of Government Organs" issued by the General Office, the office that was originally noisy and crowded with people came and went. The municipal government has standardized and systematized.If Liu San wants to talk to the indigenous people outside, he can't just call someone casually. He must first fill out a "summons form", and then the General Affairs Division will send someone to summon him.
It's already dark for Liu, but it's an extraordinary period, and there is no concept of going to and from get off work.All agencies work 24 hours a day, and there are people on duty at any time. As soon as Liu San's list is sent to the General Affairs Department, Wang Sangou immediately issues a night pass and sends a few retainers to find people according to the list.
These medical officers had already fallen asleep, and when they heard the summons from the newly appointed senatorial doctor, they hurriedly got up, put on their robes and shoes, and came here led by Mending.Before Liu San had finished his dinner, the four medical officers were already waiting outside the house.
Liu San looked out the window and saw these people waiting respectfully in the yard.According to the standards of this time and space, they are all old people, and one of them has white beard and hair, so he was ashamed to ask them to wait outside the house for a long time, and asked the servants to let them in first—because he was a senior official sent by the ministry, so he occupied the room. The main house in a small courtyard.The open room of the main house was used as a meeting room and conference room.
Liu San came out from the inner room with a lunch box, and the four medical officers were standing together, and they were about to kneel down to attend the court ceremony, Liu San hurriedly said: "No, no, please sit down."
The medical officials saw that this Song Dian doctor was not only poorly dressed, but also ate like a peddler, directly holding a "rice bowl" - or a square iron box, and felt a little contemptuous.But when they met for the first time a few days ago, they knew that this "classic doctor" was knowledgeable, and he was good at everything, so he didn't dare to underestimate him.Thank you for your seat.
They are very disturbed in their hearts, one emperor and one courtier. "Medicine" medical officials do not need to be awarded by the Ministry of Officials, they are "not in the stream", let alone a change of dynasty, even a change of county magistrate can tell them to go away at any time.So every time the county magistrate changed people, they had to go up and down to bribe them in order to keep their positions.
Once unemployed, without the halo of a medical officer, it would be extremely difficult to be an ordinary bell-ringing doctor.Although the income of famous doctors is not low, the average doctor can only maintain food and clothing.They are still not up to the level of "famous doctors".
When Liu San met them for the first time, the medical officials pooled their money and gave them a "public gift", which also amounted to 60 taels.However, Liu San's polite refusal made them confused about the doctor's mind—especially after the private gift from someone was also rejected, everyone felt that he was unfathomable.
It was already dark, but they were summoned suddenly, what was the plan?
Liu San put down the lunch box and said:
"You guys are all old medical officials in Guangzhou, and you have contact with many patients on weekdays. You are also responsible for the establishment of medicine in the government. I am new here, and I don't know much about the local situation, so I need to ask you more. consult."
Several medical officers hurriedly stood up and kept saying they didn't dare, and only asked Liu San to "inquire".
"You are welcome. We are all doctors, and it is our duty to save lives and heal the wounded." Liu San said very sincerely, "Don't think about the difference between the top and the bottom. You guys first talk about the epidemic situation in Guangzhou."
What Liu San wants to ask is mainly about various "epidemics" in spring and autumn and local common diseases when practicing medicine.
The health department has great concerns about the health and epidemic prevention of the big cities in the Middle Ages.The reason is simple. There are no anti-epidemic and immune measures in this time and space, and the spread of various pathogens is rampant.The increasingly developed long-distance trade has spread many local infectious diseases to various places.
In the past few years, the health department has encountered various types of infectious diseases in the decontamination camps, and the wide range of origins has surprised the doctors.They have encountered almost all the infectious diseases listed in textbooks: smallpox, measles, dysentery, typhoid fever, diphtheria, encephalitis, dengue fever, cholera, kala-azar, scarlet fever, hepatitis, tuberculosis... There were also alarming detections among immigrants from the north. Hearing the plague, the wind changed, and for this reason, the wooden sheds of the quarantine camps were burned down more than once in Kaohsiung.Syphilis, which was recently introduced in the Ming Dynasty, was also detected among immigrants, and there were even cases of mother-to-child transmission.Tuberculosis is even more widespread.
Through the simplest and most effective tool of isolation and quarantine, the Senate basically managed to keep all kinds of severe infectious diseases out.But things are not so simple in Guangzhou—Guangzhou is a city located in the mainland and open on all sides, so it is difficult to control the flow of population.This creates favorable conditions for the spread of the disease.
Sanitation Kou originally wanted to search the history books of the large library to inquire about the infectious disease problem in Guangzhou, but whether it was official local chronicles or private notes, they were not very clear about such things.It is simply recorded as "spread epidemic" and "great epidemic".Few details are available beyond the number of deaths and their duration.There are few descriptions of symptoms.No details can be seen at all from these crude records.
So Liu Xiang had no choice but to turn to the local medical officials—the reason why he asked them was that there was basically no such thing as seeking medical advice for the lower class people in ancient society. God prays to Buddha to get a bag of incense ash, no matter how good it is, it is just to get some medicine for oneself when the pharmacy or Shanju is dispensing medicine.Those who can invite a doctor to come to see and ask about it must at least be someone with certain assets.Therefore, the patients faced by doctor Langzhong are extremely narrow, and the cases encountered have no universal significance.
The medical officers are members of "public medical institutions". Whether it is prevention or treatment of local plagues and seasonal diseases, county "medicine" must come forward, and they are also responsible for the diagnosis and treatment of people who are accommodated by various charitable organizations in the county.Compared with the average doctor, he has a more comprehensive understanding.
Liu San was eager to understand the specific situation of the infectious disease, but also to start formulating a response plan as soon as possible.The opinion of the health department is to establish a special infectious disease hospital as soon as possible to isolate and house all such patients.This is also the traditional practice of continuing the quarantine camps -- the only way to go in the absence of medicines.
Liu San first talked about his observations in the city in the past few days - he knew that traditional medicine in this time and space had no clear concept of hygiene and epidemic prevention, and many modern people thought that they were easy to get sick, but they didn't take it seriously at the time.So I just picked some situations that they can understand and talked about it.
"...I'm going back to Nantian soon. I know that this weather is the most likely to spread the epidemic. Since our Senate has entered Guangzhou City, we have the responsibility to keep one side safe. Everyone is here to work together to keep the people in this side safe. It is an infinite merit to be sick and die less.”
As soon as these words were said, several medical officers were greatly surprised.They are all old medical officials for many years, and they have seen too many "admonitions" from new officials: either they are stern words that are high-sounding but useless, or they "remind" them to be filial quickly. People mentioned things about curing diseases and saving lives.
I didn't expect that the foreign Australians would tell them about this as soon as they entered the city!Moreover, this real guy ran around many places in the city to visit the sick and suffering—some places were poor and dirty places that they had never entered before—and felt a great shock in their hearts.Several of them have practiced medicine for generations and attach great importance to traditional medical ethics. Liu San's words resonated with them.The oldest medical officer named Hu Ziming stood up tremblingly, cupped his hands and said: "When the master took office, he cared about the sufferings of the people regardless of the fatigue of the horses and horses. It is really a blessing for the people! Students should do their best Do your best." The others also echoed.
Immediately, they recounted what they had seen and heard during their years of practicing medicine.Liu San listened carefully and took notes in a notebook.Although he himself is a Chinese medicine student, many diseases have different names in ancient and modern times, so he specially asked the medical officials to describe the symptoms when they told them.
According to the descriptions of the medical officers, Liu San generally knew that the most common infectious disease here was influenza—this was not beyond his expectations.But the mortality rate of colds is not low: colds are often accompanied by inflammation. In ancient times when there was a lack of antibiotics and antipyretics, it was not uncommon to die from a cold because of a cold.
The most common severe infectious diseases in Guangzhou are smallpox and cholera.Small-scale infectious diseases occur at any time.Large outbreaks occur every few years.Cholera, in particular, would erupt once every seven or eight years, and the interval between smallpox outbreaks was only five or six years.
What shocked Liu San the most was that from the medical officer's description, he knew that bubonic plague had broken out in Guangzhou many times, some of which lasted for a long time and were very severe, killing tens of thousands of people.
The Senate's response to the plague could be described as "changing face upon hearing the news".I thought that the plague was mainly spread in the north, but I didn't expect that the plague had already broken out in Guangzhou.
In addition to these three severe infectious diseases with the highest mortality rate, other infectious diseases are also very common from the symptoms described by medical officials, especially intestinal infectious diseases have a high incidence rate, and dysentery is quite common.As for the "fasha" with the highest mortality rate in summer, Liu San estimates that most of it is also an intestinal infectious disease.
From the description of the medical officer, he also roughly sorted out various common diseases in Guangzhou in this time and space: scrub typhus, malaria, typhoid fever, tuberculosis, dysentery, meningitis... leprosy, which made the ancients change their faces, is also on the list .
The medical officers also told him that there is also a kind of bloating disease in the local area. People's stomachs will gradually swell like a drum. Although they will not die immediately, they will die in the end.No matter what genius doctor you are, you can't do anything.In some villages in Panyu and Nanhai counties, the disease was so severe that no one, man, woman, or child was spared, and some villages even died from it.
(End of this chapter)
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