Song Yi

Chapter 259 The last resort
There are not many traditional Chinese medicine methods to treat this kind of intestinal obstruction. Before the invention of the air enema reduction method, surgical laparotomy was generally used to restore the intussusception. If the intestine is necrotic, intestinal resection must be performed.

Now that the child has symptoms of shock, it means that the situation is critical. Since it is this kind of disease, even if Qian B is called, he may not be able to come up with a better remedy than these pediatricians.What's more, there is nowhere to find him at this time.

Du Wenhao made a decisive decision and decided to perform an operation on the child to restore the intussusception!However, laparotomy is different from decoction. People generally accept the decoction even if the person dies, but laparotomy is a traumatic treatment. For those who need laparotomy, especially for such a small child, it is easy to say, If it can't be cured, I'm afraid it will be suspected of intentional murder.Du Wenhao has encountered such a thing, he must not be reckless, this is the prince, so he must be more cautious.

Du Wenhao said to Lin Jieyu: "Madam, the little prince's illness is intestinal knots, which is a very dangerous disease. All the imperial doctors have seen it, and the medicine has no obvious effect. The little prince is now in a serious condition. , if you don’t think of any other way, I’m afraid... the little prince won’t survive for long! I have a method that may cure the little prince’s illness, but..."

Lin Jieyu was trembling all over, and grabbed Du Wenhao's hand: "Yunfan, help me, save my son! We must save him! Please! I will give you whatever you want! Please!" !"

Du Wenhao grabbed his hand and patted it lightly: "Don't worry, listen to me, the only thing that can cure the child's illness now is the laparotomy!"

ah?Lin Jieyu exclaimed, her whole body seemed to be frozen in ice.

She had heard that Du Wenhao was good at laparotomy, and that this magical skill was only good at by the ancient genius doctor Hua Tuo.Knowing that this kind of medical technique is to cut open the patient's stomach, and then sew it up after the disease is cured.Such a treatment is scary to think about.She used to admire Du Wenhao's magical skills, but when she really wanted to use this terrifying treatment method on her young son, Lin Jieyu had to hesitate.

After all, the Song Dynasty was not as scientifically advanced as the modern society. It was very common to cut the stomach and head open for surgery. People at that time used soup and medicine to treat diseases, and only used knives to cut skin ulcers. It is said that no one has ever seen anyone who cut open the abdomen to treat diseases, but it is only recorded in the books that Hua Tuo had this technique in the Eastern Han Dynasty.Can't help but make people doubt the authenticity and effectiveness of this method.

When Cao Cao had a headache, Hua Tuo said he wanted to perform a craniotomy on him, but Cao Cao beheaded him.A generation of famous doctors just died in a daze because of the horror of the ancients towards this kind of operation.You can't make the same mistakes yourself.

Therefore, Du Wenhao decided to let Lin Jieyu build up his confidence in himself, but at the same time, he couldn't say too much, and he couldn't guarantee it, so as not to cause trouble for himself if he made a mistake in the operation.

He said in a firm tone as much as possible: "Madam, you should have heard that laparotomy is my exclusive skill. I am the only one in the world who can do it. I have a special operating room in my Wuweitang Pharmacy. Up to now, Dozens of patients have been cured by laparotomy, all cured, and no one died! Among them are the mother of Mr. Zhan Tizhan, the doctor of Kao Gongsi, the son of Dong Peng, the arrester of Kaifeng Mansion, and Jing Ci, the host of Baiyun Temple in Gedong Mansion. Master and so on. In Beijing alone, I have cured more than a dozen critically ill and terminally ill patients by laparotomy. Now there are still a few in Wuweitang who have been hospitalized for observation and treatment after surgery a few days ago, and have not yet been discharged. patients. Therefore, this technology is very mature.”

After hearing Du Wenhao's words, Lin Jieyu's tense nerves relaxed a little: "But..., cut open the stomach, man, won't man die?"

"Of course not. I have performed so many operations. If I cut my stomach open, I would die. I would have been arrested and beheaded."

Lin Jieyu forced a smile: "That's right..., the wound was healed by caesarean section... Will my son's illness be cured?"

Du Wenhao said solemnly: "Ma'am, there are two things I must explain to you in advance: first, I will do my best to complete this operation to ensure that there are no problems. Second, the operation is risky. There will be unforeseen or insurmountable problems, and once these problems occur, they may cause some sequelae, and may even lead to the death of the child."

Lin Jieyu's nerves immediately tensed again: "Ah? Then..., didn't you say you won't die?"

"Your Majesty, what I just said is that so far, none of the people I have undergone surgery has died, but I dare not boast that every patient will not die in the future, because as I said, surgery is risky." , What are the specific risks? I have a letter of consent to the operation, which lists them all. You can read it and you will know. If the empress agrees to let me operate on the child, it means that the empress already knows the risks. For these risks, the empress must forgive my sins before I dare to perform the operation. After all, it is the prince who performed the operation, and if something goes wrong, I can't afford it."

At this time, the child on the bed began to roll and cry, and the miserable cry drew back Lin Jieyu's tears. She leaned over to pick up the child, and the tears fell on the child's face: "This..., This is how to do……"

Eunuch Ye leaned over and said, "Your Majesty, why don't you report it to the Emperor first. Bring Lord Qian and see if he has a safer solution?"

This is what Lin Jieyu is most worried about. As a mother, she naturally loves her child the most, but her son has the status of a prince, which is different from a princess. As long as he is a prince, he can theoretically inherit the throne and become emperor .Especially for Song Shenzong, the first seven or eight sons died when they were infants. Song Shenzong attached great importance to the remaining sons, and nothing could go wrong.Therefore, now that the child is seriously ill and needs to be treated by caesarean section, such an important matter must be reported to the emperor, and the emperor will make a decision.otherwise,
Lin Jieyu heard Ye Gonggong's words, and asked anxiously: "Yes, have you reported the emperor's reply?"

"not yet……"

Just as he was talking, a court lady came in sweating profusely from the door: "Your Majesty! Your Majesty! The Emperor is here!"

Noisy footsteps could be heard in the distance, and a group of imperial guards arrived first, setting up guards around the palace.

Lin Jieyu ran outside the door with the child in her arms, and stood on the porch to look around. Du Wenhao also followed, and the group of people in the distance walked in. Under a yellow umbrella, it was Song Shenzong with a stern face!Next to him was a woman who turned out to be the emperor's favorite Chen Meiren.

In the garden, all the imperial physicians, eunuchs and court ladies inside and outside the house all knelt down to welcome him.Du Wenhao also lifted his robe and knelt down in the corridor.

Lin Jieyu rushed down the steps with the child in her arms, staggered up to meet her, and then knelt down: "Your Majesty! Si'er, he..., he's going to die...!"

Song Shenzong came closer, leaned over to check, and saw the little prince's face was pale, his forehead was covered with cold sweat, his abdomen was distended as usual, and his crying was weak, he asked in a deep voice, "What's wrong with the child?"

"The child is sick. He started to get sick the day before yesterday. He took the medicine prescribed by the imperial physicians, but it didn't help. Master Qian Yi went out of the city to see a doctor for Mrs. Chen's relatives. I don't know where he went..."

Song Shenzong turned to Chen Meiren with a sullen face: "Where did you send Du Aiqing?"

Chen Meiren forced a smile and said: "It's my auntie's youngest son who has diarrhea. I wanted to invite a famous doctor to take a look, so Chenqie let Mr. Qian go. Unexpectedly, the little prince also fell ill. If I had known earlier, Chenqie would Don't let him go. The concubine will send someone to look for it."

Song Shenzong knew very well that if he really wanted Chen Meiren to send someone to look for him, he might not be able to find him at dawn. After asking for the address, he turned around and ordered his personal guards to find Qian Yi back immediately.

Song Shenzong saw Du Wenhao at a glance and asked, "Du Aiqing, is there anything you can do about the child's illness?"

"Weichen was discussing with Empress Jieyu about the treatment of the child..."

Lin Jieyu took over the conversation and said, "Master Du saw the child, and said that the only way to save him is to have a laparotomy and heal the wound, otherwise I'm afraid it won't last long!"

Song Shenzong frowned: "Du Aiqing, is this the case?"

Du Wenhao said: "Yes, Your Majesty, I saw in my clinic that the intestines in the little prince's lower abdomen are intussuscepted, resulting in intestinal obstruction, and the intussusceptible intestines must be reset. In this case, in my humble opinion , decoction is very difficult to work, and the treatment of Xiaofangmai imperial physicians has also proved this point. If the villain Qian Yi comes back and can't think of a better way, I'm afraid he can only have a laparotomy! However, laparotomy has certain risks, and there is no guarantee that it will be safe. .”

Song Shenzong pondered for a moment, and ordered the child to be carried into the house and put on the bed.Then Du Wenhao and several senior imperial physicians were called in.He also carefully inquired about the dialectics of several imperial physicians, and found that it was the same as Du Wenhao, but the treatment method was different.They don't know how to treat wounds by laparotomy, so naturally they dare not judge Du Wenhao's trick.

At this moment, Zheng Gu, the envoy of the imperial hospital, and others were also notified to come urgently. Song Shenzong ordered Zheng Gu and several other imperial physicians to come in for consultation, and the rest of the imperial physicians waited in the garden.

The Left Hospital of the Imperial Hospital judged that Fu He had been dismissed, Xiaofangmai Imperial Physician Cheng Qian Yi was sent out by Chen Meiren and had not returned yet, and the rest of the imperial physicians joined forces with Zheng Gu and Du Wenhao to conduct a consultation on the child's condition again.The result is the same as before.The prescriptions they each said are similar to those of the former doctors.

The crying of the child on the bed was already weak, and he started to convulse.At the beginning, Lin Jieyu was afraid of delaying the consultation with all the doctors, but when the results of the consultation came out, and it was still the same as the previous doctor, Lin Jieyu was almost desperate, and she hugged her son and cried to death.

Song Shenzong walked back and forth in the room a few times, stopped in front of Du Wenhao, stared at him for a moment, and asked in a deep voice, "How sure are you of the laparotomy?"

Du Wenhao thought for a while, then bowed and said: "If the laparotomy is performed now, there is a [-]% certainty. If it is delayed until midnight, it is only [-]% sure. If it is after five o'clock tomorrow morning, it is only [-]% sure!"

Intussusception reconstruction surgery itself is not difficult. It only needs to open the abdominal cavity and unfold and reset the intussusception. However, if the intestines are necrotic, intestinal resection is required. If the intestines have been perforated and cause peritonitis and other complications, Then it is very troublesome, and the risk is relatively higher.

Judging from the current examination situation, no symptoms of acute peritonitis have yet appeared, which reassures him a little.Although it was the first time for Du Wenhao to perform an abdominal operation on a one-year-old infant, he once performed an abdominal operation on the four or five-year-old son of Dong Peng, a policeman from Kaifeng Prefecture. That time not only intestinal perforation caused peritonitis , Intestinal suture was needed, and the operation went smoothly, so he was still very confident, thinking that he could at least reach [-]% certainty.But this time, he is the prince after all, it's better to be on the safe side, so I only said [-]% sure.

[-]% certainty, this is a probability that makes it difficult for people to make a decision.

Song Shenzong frowned tightly, and walked around the room again.As it was about the prince, no one dared to come up with random ideas, they all bowed their heads, not daring to speak out, for fear of disturbing the emperor's train of thought.

After Song Shenzong turned around a few more times, he finally stood in front of Du Wenhao: "Du Aiqing, what equipment do you need for your laparotomy?"

"The necessary equipment and medicines are available in Weichen's pharmacy, but if you decide to have a laparotomy, you need some time to do some pre-operation preparations. This can be done by Weichen's wife and younger sister, who have always been Weichen's surgeon. His assistant has already helped Weichen perform many laparotomy operations."

"Well..." Song Shenzong is not Cao Cao of the Three Kingdoms, especially Du Wenhao has dozens of successful cases of laparotomy as a basis, and he has cured several terminal illnesses of empresses before, which finally made him raise his eyebrows , said in a deep voice: "Okay! Du Aiqing, you first send someone to move all the things needed for the laparotomy to the palace and prepare them first. If Qian Aiqing still has nothing to do when he comes, then... let's have the laparotomy for healing." !"

Du Wenhao bowed and agreed.With a few servants from Tai Hospital, they hurried back to Wuweitang in a carriage.

When Pang Yuqin and the others heard Du Wenhao saying that he was going to enter the palace to perform laparotomy on the little prince, they couldn't help but feel worried, but now they had to do so.He didn't say anything else, and called Xue Fei'er, Lian'er and others to help move a complete set of surgical equipment and medicines into the carriage. Pang Yuqin and Xue Fei'er were assistants, and of course they would follow.

Lin Qingdai, Lian'er and others were very worried and wanted to go with them, but without the emperor's call, they could not enter the palace at will, so they had to wait at home with sleepless nights and lights.

All the equipment needed for the operation was transported to the harem. When they went to transport the equipment and medicines, they had already found a secluded suite in the back garden of Lin Jieyu's bedroom, and used it as a temporary operating room.

After Du Wenhao and the others transported the items, they immediately set up the operating room and re-sterilized all surgical instruments and supplies.

Although it was already dark, Du Wenhao already had experience in night surgery, and also specially designed and customized a device that could continuously provide stable fireworks for reflected lighting.After the layout was completed, a trial run was carried out first. Although the lighting effect was not as good as the shadowless lamps in modern operating rooms, and the brightness was not stable, it basically met the requirements for surgical lighting.

Nearly three days later, the sent guards finally found Qian Yi back.This beauty Chen is also ruthless enough. She sent Qian Yi to a ravine more than 100 miles away. Fortunately, all the guards sent there were experienced, and they left people and horses along the way. After finding Qian Yi, they changed horses and ran wildly. It was time to rush back to the Imperial Palace in the capital.

Qian Yi looked very embarrassed, his hat was turned upside down, his hair was loose, and even a shoe fell halfway.

In the past few hours, the little prince went into a coma several times, all of which were revived by Du Wenhao acupuncture and moxibustion. Song Shenzong saw his son's breathing getting weaker and weaker, and fainted again and again. He was really anxious, but he couldn't make up his mind. Asking Du Wenhao to disembowel his son, this thing is really too scary for a one-year-old kid, even thinking about it makes one shudder.So several times when the words came to my lips, I still held back.Still decided to let Qian Yi take a look first.After all, Qian Yi is recognized by the Imperial Hospital as an authority in Xiaofangmai Pediatrics. He once used Huangtu Tang to save the life of Song Shenzong's favorite nine princes. Song Shenzong regarded him very highly.

Qian Yi finally arrived, and Song Shenzong was quite moved when he saw his distressed appearance, and said softly, "Qian Aiqing has worked hard all the way."

Qian Yi knelt down and kowtowed: "My minister is late, please forgive me."

Song Shenzong said a few more words of encouragement, and then asked him to see a doctor for the child.

Qian Yi asked about the condition and symptoms of the disease, and after checking the pulse and tongue, he asked the former doctor about the syndrome differentiation and prescription.After pondering for a moment, he bowed and said, "Your Majesty, the little prince's disease... can only be cured by the laparotomy of his teacher, Lord Du."

When Qian Yi came, no one told him that the emperor was going to ask Du Wenhao to treat the child by caesarean section. During Qian Yi's medical treatment, Du Wenhao was not there. That is to say, Qian Yi didn't know that Du Wenhao was here.After seeing his illness, he offered to have Du Wenhao undergo an operation, which shocked Song Shenzong, and asked, "Why did Aiqing say that?"

"The little prince is suffering from a critical condition of intestinal colon, and the previous medicine is very suitable for the symptoms. Although I think I can find a better prescription, but the time delay is too long, and the condition is critical. It is too late to save the adversity with soup and medicine." It's too late, only the mentor cut open the abdomen to heal the wounds, and directly remove the pathogenic factors from the body, can we turn the tide!"

"Oh?" Song Shenzong walked slowly to the child's bed with his hands behind his back, and saw his son start to twitch again, his heart was also twitching with distress, and without turning his head, he asked slowly: "If you ask Aiqing to treat him with soup and medicine , how sure are you?"

Qian Yi thought for a while, then bowed and said, "If it was the day before yesterday when the illness was onset, it would be [-]%; yesterday, when it was seriously ill, it would be [-]%; this evening, when it was critically ill, it would be only [-]%; and now, it would be less than [-]%!"

Song Shenzong turned his head sharply and stared at Qian Yi: "Aiqing is serious?"

"I don't dare to bully my lord!"

Song Shenzong walked slowly to the door, looked at the dark night sky, and after a while, finally announced the decree: "Tell Du Aiqing to see me!"

Du Wenhao and other imperial physicians were waiting in the side room of the garden, and the eunuch rushed to pass Du Wenhao.

Song Shenzong looked at Du Wenhao, and said slowly: "It's almost three o'clock at this moment. Earlier, Du Aiqing said that there is a [-]% certainty that the laparotomy will be performed at three o'clock. Is that so?"

As soon as Du Wenhao heard this, he knew that Qian Yi must be the same.He took a step forward, bowed his hands and said: "Report to the emperor, it is like this. The little prince is in a critical condition and cannot delay any longer. Please make a decision as soon as possible."

"Fifty percent versus one percent, alas! Whoever it is, will choose the former! That's all, Du Aiqing, let you heal your wounds by caesarean section!"

Du Wenhao lifted his robe and knelt down: "I accept the order! I will do my best to save the little prince!"

This result made Song Shenzong feel at a loss. His first six or seven sons died of illness at the age of one or two in just a few months. Zhiji waved his hand: "There is Lau Du Aiqing."

Du Wenhao kowtowed and got up, and ordered the maid to send the little prince to the garden operating room immediately.There, the two daughters, Pang Yuqin and Xue Fei'er, were ready for the operation. While Du Wenhao was changing clothes and washing his hands to disinfect, the two daughters gave the little prince anesthesia soup, put it on the operating table, and spread the surgical drape to expose the surgical field.

The two have already divided the work. Xue Feier is responsible for monitoring the little prince's breathing, body temperature, pulse and other vital signs. Pang Yuqin, as the first assistant, helps Du Wenhao complete the auxiliary work such as hemostasis, ligation, blood swabbing, hook pulling, and thread cutting.

The fireworks lighting device was turned on, and Du Wenhao stood in front of the operating table, holding a scalpel.With a steady mind, the scalpel fell.

The abdominal cavity was opened. To Du Wenhao's peace of mind, he didn't smell any peculiar smell, and he didn't find any infection accumulation caused by gastrointestinal contents in the abdominal cavity. At least there is no sign of perforation yet.

However, when his eyes fell on the intussuscepted colon, his heart suddenly rose to his throat——the intussusceptible colon has already reached the sigmoid colon!
He used his thumb and index finger slowly alternately, squeezing the head of the intussusception a little bit to make the lump recede until all the intussusception was disengaged and reset.

The intestinal wall was already severely edematous. After careful inspection, no perforation was found. It was a blessing in misfortune. I hurriedly used warm saline gauze to wrap the intestinal tube for repair.

After a cup of tea, seeing that the blood vessels pulsated well, the color of the intestinal tube turned red and peristaltic waves passed through, I breathed a sigh of relief and repaired the seromuscular layer.The appendix was removed casually, the ileocecal part was sutured in parallel, and the abdomen was finally closed.

The operation went smoothly, there was not much blood loss, and the little prince's vital signs were relatively stable throughout the operation.

Du Wenhao relieved the anesthesia by filling the little prince with salt water.The little prince woke up slowly and opened his eyes. After Du Wenhao confirmed that he was conscious, Pang Yuqin and Xue Fei'er carefully transferred the little prince to the small bed and carried him to the next ward.

Du Wenhao knew that Song Shenzong and the others must be waiting impatiently, and they had no time to change the surgical gowns, so they trotted to the hall in the back garden.

I don't know when, the place is full of people.

Song Shenzong sat on the soft couch in the front seat of the hall, and sitting next to her were the Empress Dowager and the Empress Dowager, and the rest included the Empress, Concubine De, Concubine Gui, Chen Meiren, Wu Jieyu, Lin Jieyu and other concubines. The concubine, the eldest princess, the princess, and several other princes, all those who can count in the harem, stand on both sides.

This night is really a gathering of celebrities in the harem.This is not only because the little prince is critically ill, the emperor is here, and of course everyone has to stand up and cheer, but more importantly, the little prince is undergoing the famous Qihuang magical technique of laparotomy.This is a once-in-a-lifetime opportunity to gain insight. If Song Shenzong hadn't sat firmly on the Diaoyutai, most of these people would have gathered around the operating room, stretching their necks and standing on tiptoes to watch.

(End of this chapter)