Song Yi

Chapter 304 The Emperor's Illness
He quickly went through the operation steps and procedures in his mind, and felt that the operation was sure, but this choice could not be made by himself. Although only he knew the consequences of the two choices, the right to choose should be left to the family members.

Du Wenhao walked to the window, and said to Sima Yong and Hui'er brothers and sisters standing in the yard outside the window: "My father's illness is worse than I expected, the evil poison in the body has spread, now there are two options: one is to stop the operation , In this case, the father can live for two or three months at most; the second is to continue the operation, there are two possibilities, one is that he will die due to various uncontrollable reasons during the operation or within a few days after the operation; the other is The operation is successful, and your father can live for at least five years."

To die on the spot, or to live for a few days, three months, or five years, everyone will choose the last option. However, the possibility of the last option is not very high. If it fails, you will die on the spot!

The siblings looked at each other with sad expressions.Sima Yong didn't have any ideas, he looked at his sister: "What should I do?"

Hui'er said sadly: "If the operation is stopped, father can only live for three months at most. If he continues the operation, he may live for at least five years. I choose the latter. Even if the operation fails, my father will smile when he says it. Just this time!"

Sima Yong nodded with tears in his eyes: "Okay! Doctor Du, please continue the operation!"

Du Wenhao nodded and returned to the operating table.

According to the detected cancer, he quickly made a surgical choice.Block the circulation around the stomach first, and suture and ligate the blood vessels at the branch of the descending branch of the left gastric blood vessel. Since the cancer has penetrated the serosa, cover it with gauze suture to prevent cancer cells from metastasizing in the abdominal cavity.Transect the omentum attached to the transverse colon to the hepatic flexure of the colon, free the omentum and the anterior leaf of the transverse mesocolon, and remove the lymph nodes around the middle colonic artery.Then, the lymph nodes in front of the pancreatic head, under the pylorus, around the pancreaticoduodenal artery, as well as in the proper hepatic artery and common bile duct ligament were removed.

Then, the splenocolic ligament was cut off, the lateral peritoneum of the spleen was cut open, the spleen and tail of the pancreas were lifted to the right, freed to the left edge of the inferior mesenteric vein, the splenic artery was cut off by double ligation, and the splenic vein was cut off.

Pancreatic body resection is a bit troublesome. Place an intestinal forceps on the head side of the pancreas at the cutting line, and a coat intestinal forceps on the tail side. Cut off the pancreas between the front and back of the pancreas. Then find the main pancreatic duct in the center of the pancreatic section, ligate it, suture a few loose stitches after tight hemostasis, and add a U-shaped suture to the main pancreatic duct.Free the esophagus, cut off the vagus nerves on both sides, remove the tissue around the esophageal cardia, and cut off the esophagus.

Next, total gastrectomy and digestive tract reconstruction.

First remove the omentum and omentum, then cut off the atresia duodenum to remove the lymph nodes around the stomach, cut off the vagus nerves on both sides to pull the esophagus downward, remove the lymph nodes on both sides of the cardia, and use two vascular forceps to clamp the esophagus and cut it out. The opposite side of the mesentery of the jejunum was incised, and full-thickness interrupted sutures were made on the posterior wall of the esophagus and jejunum.

.........

Due to Sima Guang's old age and frailty, he couldn't tolerate long-term surgery, so before this, Du Wenhao pushed back the surgery again and again. On the one hand, it was because of dealing with the false pregnancy of Concubine Liu Gui in the palace, and on the other hand, it was also because of his need to prepare for the surgery. , He wrote down every step of gastric cancer surgery, made assumptions about common cancerous situations, and conducted repeated drills and pondering based on different assumptions.

He formulated several sets of different surgical plans, trying to be as meticulous as possible to avoid residual cancerous tissue. The most important thing is to speed up the progress of the operation, minimize the operation time, and reduce the risk of the operation.

The preparations these days were not in vain. The cancerous changes seen after the laparotomy did not exceed his surgical plan, so he moved skillfully and quickly without hesitation, as if he had performed this operation a thousand times. Pang Yuqin and Xue Feier's eyes went straight.

After Du Wenhao resected the entire stomach and adjacent cancerous tissues, he made a substitute stomach for Sima Guang.

He inserted a section of jejunum between the esophagus and the duodenum, folded the inserted jejunum, and sewed it side by side to form a double cavity, preventing the duodenal fluid from regurgitating into the esophagus, and at the same time replacing the stomach to store food.

Finally, the abdominal cavity was carefully washed, drainage was placed, and the abdomen was closed layer by layer.

After the operation was completed, Du Wenhao felt that his whole body was about to fall apart, his legs were trembling, and he wanted to sit on the ground. He held on and looked at Xue Feier, who was in charge of monitoring vital signs: "How is it?"

"Pulse, body temperature and breathing are relatively normal! No problem!"

"Okay, give him resuscitating saline, and then send him to the intensive care unit. Special personnel will take turns to accompany him. Observe day and night. Don't take it lightly. After waking up, put the bed on a small slope so that the peritoneal exudate can be drained at a low level. In addition, put a belt on the abdomen , aid breathing, reduce tension on wound sutures, and relieve pain and discomfort."

"Yes! I understand." Xue Fei'er nodded.

"Also, encourage him to take deep breaths, turn over frequently, get out of bed as soon as possible, pay attention to the observation of drainage fluid and urine volume, pay special attention to complications such as lung infection and incision infection, so as to achieve early detection and early treatment."

"Ok!"

Pang Yuqin wiped Du Wenhao's sweat, and said with a smile: "Husband, you have taught us all these things, don't worry. Fei'er has been in charge of nursing many cases, and she is very experienced."

Du Wenhao said with a smile: "I know, it's just that Master Sima is different and needs special care."

Xue Feier nodded and said, "Okay! I will take care of it myself."

After sending Sima Guang out of the operating room, Sima Guang's son Sima Yong and daughter Hui'er all came up to him.Nervously looking at his unconscious father, looking at Du Wenhao.

Du Wenhao said: "The operation is successful so far, the key is in the next few days, nursing is very important.

Sima Yong asked anxiously: "Will that father live for more than five years?"

"Sorry, I can't tell you now, it depends on the situation later, but we will do our best to take care of it."

He was sent to the ward, where Sima Guang's wife Wu and other relatives, as well as many relatives and friends of the Sima family who had received the news, were waiting anxiously.Seeing Sima Guang pushing him, at least he was still breathing, he was still alive, the stone hanging in his heart was slightly lowered, and he surrounded him and chattered non-stop.

Du Wenhao didn't bother to explain much, and asked them all to leave the ward, and only two people could stay with them each time, and they could take turns to exchange.Relatives and friends began to discuss how to accompany him. Sima Guang's wife, Wu Shi, insisted on accompanying him throughout the process. Du Wenhao asked Pang Yuqin to add an accompanying bed in Sima Guang's intensive care unit.Wu and her daughter Hui'er accompanied them first, and after discussing how to rotate, the rest left.

After Du Wenhao and Pang Yuqin washed up briefly, they returned to the house.Du Wenhao wrote two prescriptions and handed them to Pang Yuqin: "Take the medicine according to the prescription. Now start to administer the medicine slowly through the stomach tube. After ventilation, remove the stomach tube, and then take it orally. Take a small amount and take it slowly for many times."

Pang Yuqin took the prescription and looked at it: "This one is for antibacterial and anti-inflammatory. I know that, but this one is all about strengthening the body, promoting blood circulation, removing blood stasis, and clearing away heat and detoxification. Why use these medicines?"

Du Wenhao said: "Master Sima's epigastric disease, the exact name is gastric cancer. The most feared thing about this disease is the metastasis of cancer cells in the body. I told you what cells are before, remember?"

Du Wenhao taught Pang Yuqin a lot of modern medical knowledge, including the knowledge of cells. Pang Yuqin nodded: "You said that the human body is actually composed of many cells."

"Yes, it can be understood in this simple way. Cancer metastasis is the main cause of death of cancer patients. Gastric cancer metastasis usually occurs within three years after surgery. Therefore, preventing cancer cell metastasis is the main treatment direction after surgery. The patient's body has dealt a serious blow, and cancer cells can take advantage of the void to enter and cause metastasis. As the saying goes, "the most empty place is the place where evil is contained." Therefore, within one year after surgery, focus on phlegm, blood stasis, and accumulation of poison It can strengthen the body, eliminate phlegm and detoxify, activate blood and remove blood stasis, and improve the body's ability to fight diseases, especially the ability to resist cancer cell metastasis, so as to achieve the purpose of preventing and controlling cancer cell metastasis."

"Understood, these medicines prescribed by my husband are for strengthening the body, resolving phlegm and detoxification, promoting blood circulation and removing blood stasis, and preventing cancer cell metastasis."

Du Wenhao nodded and said: "That's right, Mr. Sima's stomach has been completely removed. I used a small piece of intestine to make a stomach for him. Of course, it is not as good as the original stomach. The diet will be greatly affected. In addition, the operation itself In the first year after the operation, Fuzheng Peiben is the key, and Fuzheng Peiben has a single medicine that is the most effective, but unfortunately, there is no one on the drug market."

Pang Yuqin wondered, "What kind of medicine is it?"

"Cordyceps sinensis! This is a tonic and strong medicine. It is the most effective in tonifying deficiency and strengthening the body. It is the first choice for nourishing the elderly and infirm. It can regulate the human immune system, enhance the ability to fight against tumor cancer, and also has a direct anti-cancer effect. If It’s the best thing to be able to buy this medicine.”

Pang Yuqin thought for a while: "Why haven't I heard of this medicine?"

Cordyceps sinensis has been known to the ancients for a long time, and it was recorded in the Jin Dynasty. However, it was used as a medicinal material in the Ming Dynasty, and the earliest medical technique recorded it as a traditional Chinese medicine was in the "Materia Medica Congxin" of the Qing Dynasty. Therefore, people in the Song Dynasty did not Knowing that this medicine is nothing more than normal.

Du Wenhao said with a smile: "This medicine is not produced in the Central Plains. It is mainly produced in the high cold snow mountains of Tubo. So few doctors in the Central Plains know about it."

"Then how do you know?"

"I...hehe, I used to be a doctor of bells and traveled all over the world. I happened to meet a monk from Tubo. He took this medicine with him, but he took it as food. He said that he took it to increase his strength. I bought some , the test found the efficacy of the drug."

Pang Yuqin nodded and said, "This medicine is so good. Unfortunately, Tubo is thousands of miles away from us, so we have no way to buy it."

"Yes." Du Wenhao said, "Actually, you don't have to enter the hinterland of Tubo. You can also find this kind of medicine in the west of Shu, but the quality is not as good as Tubo's."

The two were talking, when suddenly Wu Cong, the waiter, rushed in: "Sir! Eunuch Ning is here, and he said there is something urgent, so you should follow him into the palace immediately!"

Du Wenhao was taken aback. Eunuch Ning was the eunuch next to the emperor. He came suddenly. Did something happen in the palace?He hurried to the front hall, cupped his hands and said, "Eunuch Ning, what's the matter?"

Eunuch Ning's face was gloomy, and he said in a low voice: "Let's talk about it on the way, first follow our family into the palace!"

Even before he had time to set up a car and take a sedan chair, Eunuch Ning let Du Wenhao directly enter the palace in his own carriage.Du Wenhao called Pang Yuqin, Xue Fei'er, Yan Miaoshou, and Hantou over, gave a few instructions about Sima Guang's medical care, and then got into the car.

After walking for a while, Eunuch Ning said, "The Emperor is ill!"

"Ah? When did it happen?"

"Just now!"

"What symptoms?"

"I don't know what happened to the person who fainted. We don't know the specific symptoms. You have to go to see it to find out."

"what reason?"

"It's not about the reform!" Eunuch Ning said in a deep voice, "The emperor came back from a private visit last time, so he personally sent spies to visit people's attitudes towards the reform. These days, the secrets of unannounced visits keep coming, and the emperor is in a constant state of mind. Very bad, it seems that the effect is not what the emperor thought. At noon, the empress dowager and the empress dowager brought a stack of memorials to the emperor. They were all from those who opposed the reform, and they were all from prefects and prefects from all over the world. It’s all about the local people’s resistance to the reform. The emperor read it and said he already knew about it, but the empress dowager and the empress dowager cried and persuaded the emperor to abolish the new law. For some reason, the emperor suddenly felt that the sky was spinning, his blood was surging, and he passed out immediately.”

Du Wenhao asked in a deep voice, "How is your majesty taking medicine during this time?"

Eunuch Ning sighed and said: "The emperor always said that he is fine, so he always takes this medicine for a while."

Du Wenhao was taken aback: "Why? Didn't I say that the emperor's illness is already serious, and he must insist on taking medicine for long-term treatment. The emperor also agreed to me last time."

"The emperor doesn't want to eat, so who can persuade him? The emperor said that he has no other symptoms except loss of appetite, so we don't need to be so nervous."

Du Wenhao said anxiously: "What the emperor suffers from is chronic nephrotic tuberculosis (chronic renal failure)! This disease is very hidden. Many people only show obvious symptoms after their kidneys have been greatly damaged. Even if they show symptoms, It is also very slow, and it is easy to confuse it with other diseases, such as fatigue, indigestion, etc. In fact, when I was examined by the emperor last time, there were already obvious symptoms of kidney failure, indicating that the damage to the kidneys is already serious. If you don’t persist Treatment will make it worse!"

Eunuch Ning smiled: "It's not that serious, is it? Our family has been following the emperor. The emperor's health has always been good. You know that the last time the emperor fainted was because of the ministers kneeling and admonishing him. There is no other way." The fainting this time is mostly because the Empress Dowager and the others cried and advised you to act."

Du Wenhao said with a bitter face: "But the emperor's illness is real! Do you know the story of Bian Que seeing Duke Huan of Cai? The illness can't be cured when it's on the surface, and when it's terminal, there's no cure for it!"

Eunuch Ning's face darkened: "How can Lord Du compare a foolish emperor like Cai Huan with the emperor?"

"I don't mean that. I'm a doctor. Chronic renal failure is a very serious disease. Once this disease develops to the end stage, there is no cure, and there is nothing I can do about it!"

Eunuch Ning glanced at him: "Sir, is this alarmist talk?"

Du Wenhao said: "Forget it, I will tell the emperor directly after a while. This disease really cannot be taken lightly!"

The carriage hurried to the palace. In the emperor's bedroom, the emperor was lying on the dragon bed with his eyes closed. The empress dowager, the empress dowager, and the empress stood aside, looking anxiously.

On the square stool in front of the bed, an old man was sitting, it was Wei Zhan, the grand doctor of the Taiyuan Hospital, who was called again this time, and was feeling his pulse there with a bitter face.Obviously, he couldn't find out why the emperor was in a coma.However, with the experience of last time, he didn't dare to talk nonsense, but just delayed the time and waited for Du Wenhao to come.

Seeing Du Wenhao, Wei Zhan breathed a sigh of relief, hurriedly stepped forward and cupped his hands and said, "Master Du, you are here, the emperor has passed out again, and the humble medical skills are shallow, so please ask Mr. Du to treat the emperor."

Du Wenhao is the emperor's physician, so he didn't refuse. After sitting down, he raised his wrist to check the pulse. As expected, there was no syncope pulse, obviously he was pretending again.

This time, Du Wenhao is going to take this opportunity to clarify the emperor's chronic renal failure disease, which will attract the attention of the emperor and the empress dowager, treat him early, and treat him strictly according to his own requirements, otherwise, it will lead to a catastrophe.

However, the emperor had to wake up first.

Du Wenhao took out the golden needle from the first aid kit and used it for Song Shenzong.Song Shenzong also cooperated, and after a while, he woke up leisurely.But he closed his eyes and said nothing, looking very weak.

The empress dowager and the others all breathed a sigh of relief, and asked Du Wenhao in a low voice: "What disease does the emperor have?"

Du Wenhao said to the Empress Dowager: "Old Ancestor, the emperor fainted because of kidney tuberculosis!"

"Kidney tuberculosis?" The Empress Dowager asked with a frown.

"Yes!" Du Wenhao got up with a solemn expression, and said, "The emperor has been worrying about the political reform day and night. His long-term eating disorders, internal injuries of the seven emotions, and overwork have weakened the body's righteousness. Retention of dampness leads to failure of the spleen and kidney, positive deficiency and evil excess, mixed cold and heat."

The Empress Dowager frowned and said: "You don't have to explain this to Aijia, just say whether the emperor's illness is important or not."

"It's very important!" Du Wenhao tried his best to make his words attract the Empress Dowager's attention, and said: "The syndrome of kidney tuberculosis is lingering, and the syndrome is changeable. Liver wind, water qi lingers on the heart and shoots the lungs, under the environment of danger, it will be closed inside and out, the yin will be exhausted and the yang will die, and the yin and yang will be separated!"

The Empress Dowager, the Empress Dowager, and the Empress all looked at each other in horror: "No way? The Emperor usually does nothing wrong. He was just out of breath just now."

Du Wenhao said: "This minister is absolutely not alarmist. The last time I examined the emperor, I already saw the problem, and prescribed medicine for the emperor to take, but the emperor did not insist on taking it. The minister also said that the emperor said this You can't be tired, you can't be angry, you have to rest in peace. Just now, I have a follow-up visit and found that the emperor's condition is worse than before. If you don't treat it strictly, you will be in danger!"

The Empress Dowager said: "Didn't the Ai family ask you to be responsible for the emperor's illness?"

"But the emperor did not insist on taking the medicine according to the request of my minister! Nor did he calmly recuperate."

The Empress Dowager said: "The emperor doesn't want to recuperate quietly, but he has to take care of everything in the world, how can he recuperate quietly!"

The empress dowager on the side interjected and said softly: "Master Du, please treat the emperor's good health."

The Empress Dowager also said: "That's right, you just stay in the palace these few days and don't go back, take care of the emperor's dragon body. ——Xiao Ningzi, please help arrange the residence of Lord Du, and look for it next to the emperor's bedroom." A vacant room is enough, and if there is something to do, we will deal with it immediately.”

Du Wenhao and Ning Gonggong both bowed and agreed.

Du Wenhao took a pen and wrote the prescription, and handed it to the servant of the imperial medicine hospital of Taiyuan Hospital to prepare the medicine according to the prescription.

Seeing that the emperor was fine, the empress dowager waited for the empress dowager and the queen to dare not mention the abolition of the political reform, so they could only leave and leave.

After they were all gone, Song Shenzong sat up straight away, smiled at Du Wenhao and said, "This time you helped me out again! Very good!"

Du Wenhao slammed to the ground: "Your Majesty, your kidney tuberculosis is really serious. It must be treated strictly."

Song Shenzong smiled and said: "I have heard what you said just now, and you are right to say so, lest the empress dowager and the empress dowager want me to abolish the reform."

"Your Majesty, what I said is true! If your Majesty's disease is not treated strictly and in time, it will..., life-threatening!"

Song Shenzong frowned: "You have already said this last time, but I don't think there is anything serious about my body. Except for poor appetite and insomnia, it is not a serious problem. You can prescribe a medicine for me to recuperate Just one click."

"But your majesty, this disease can't be cured without treatment. You must prescribe the right medicine! Take the medicine strictly according to the requirements. If you take it intermittently like this, it will have no effect!"

"Well, the Empress Dowager has just said that you stay by my side to treat my illness, you just treat it, and I won't make it difficult for you, and will take the medicine according to your request. Is this all right? Hehe "

Song Shenzong once again successfully avoided the Empress Dowager's cry and admonition by pretending to faint, and under Du Wenhao's emphasis, it is estimated that the Empress Dowager and the others will not use this trick to force themselves to abolish the reform in the short term, so He was very happy.Xiaohe stood up and walked to the desk to sit down.

He was in a slightly better mood at first, but when he saw a large pile of memorials on the table, he became depressed again. He suppressed his smile, was stunned, sighed, and slowly picked up the memorials and began to review them.

Du Wenhao didn't listen to him asking him to quit, and the medicine hadn't arrived yet, the Empress Dowager told him to stay by the emperor's side, and stood quietly in the corner waiting.

After a while, Song Shenzong suddenly slapped the table heavily, and with a bang, Du Wenhao was startled. When he peeked, he saw Song Shenzong's face was ashen, and he threw a memorial in his hand to the ground, with his hands behind his back. Walking around the house non-stop.

Du Wenhao quickly looked away, and stood with his hands down, as if nothing to do with himself.

After walking around in a circle for a while, Song Shenzong suddenly stopped, pointed at Du Wenhao, and said loudly, "Tell me, is the reform good?"

(End of this chapter)