Volume 3: Confrontation! The Run of Civilization Chapter 585 Barefoot Doctor's Manual
In the 21st century, no matter in which country, the training of a doctor is extremely long, arduous and expensive.
In comparison, the situation in China is slightly better: it only takes five years to obtain a bachelor's degree in medicine. As long as you are not too ambitious after graduation, you can probably find a job in a second-level or lower hospital in a small county. Then you will need one year to take the exam and three years of regular training. By the time you are close to 30 years old, you can basically work independently.
If you want to stay in a big city, you have to study for a master's degree and then a doctorate. Even if you enter a big hospital in a big city, in order to survive in the department and not be treated as a waste by the director, you have to spend most of your spare time doing scientific research and writing papers...
But it’s not so bad, because compared with foreign medical students, the tuition fees for Chinese medical students are not too expensive, and the study time is not too long - of course, the income and social status are much lower than those of foreign doctors.
The root cause, of course, is that doctors are in the business of repairing the human body.
Unlike ordinary craftsmen who can buy a new one when it is irreparable after they have repaired something, human life cannot be replaced. In addition, the human body is the most complex life form known on earth, and the difficulty of repairing it is much higher than that of repairing any machine. Therefore, it is not without reason that among the four trades of scholars, farmers , merchants artisans, doctors are the most important.
But here lies the problem: as a time traveler, Zhu Youdong certainly attaches great importance to the development of medicine after arriving in this plane. However, as a professional doctor, he unconsciously uses modern methods to train students: students can only study medicine after graduating from Fangshan Primary School and Middle School for eight years, and the time required to study medicine is extremely long.
In this way, the doctors trained are definitely top-notch in this era. But the fatal problem is: the population of the Ming Dynasty is too large, and the majority of them are the poorest people. However, there are too few elite doctors trained under this model. No matter how powerful this group is, the number of people they can serve is extremely limited.
After the Ming Dynasty implemented the policy of equalizing the land tax, it became meaningless to hide the population in the private sector. Therefore, in the past one or two years, the population in the Ming Dynasty's Yellow Book has soared to 180 million: this number is almost certainly the real number. According to this data, when the Ming Dynasty responds to global wars in the future, the number of strong men suitable for conscription will be between 25 and 30 million. If the men of the same age in Greater East Asia are added, the number will definitely reach 30 million. This is a huge advantage that the Ming Dynasty has.
However, during the three years that Zhu Youdong toured the country, he saw too many lower-class people being harmed by various diseases. As an emperor, he took lung cancer and cardiovascular diseases lightly. It was the various infectious diseases, endemic diseases , and parasitic diseases that really worried him.
Just imagine, if there is a large-scale military expansion in the future, and a soldier with an infectious disease is accidentally recruited, then under various coincidences, this soldier can destroy a division or even an army group of the elite army of the Ming Dynasty. Or one person can destroy an ironclad ship or even an entire fleet!
Of course, the above is an extreme case. A more likely scenario is that when the army needs a large number of soldiers, it finds that the recruited soldiers are suffering from various diseases, pale and thin, and unable to withstand the corresponding training. Or, after the recruits join the army, small-scale epidemics break out in various units, seriously affecting their combat effectiveness.
Taking a step back, even if we don't consider the issue of competition between time travelers, as a doctor, after discovering that the people here are still suffering from various low-level diseases that have become extinct or very rare in later generations, shouldn't I do something?
"Everyone, this is what I mean. In the past, when I taught you, I started with the theory, then the diagnosis method, and then the symptoms and treatment plan. This teaching method can indeed lay a good foundation, so that even without my continuous teaching, you can find various new ways based on medical theory. However, this teaching method takes too long, and it is not enough to meet the urgent medical needs of hundreds of millions of people in my Ming Dynasty. Therefore, I plan to select at least one person from each village in all villages and communities across the country for simple and quick training, and strive to make this person have the most basic medical knowledge within half a year, and be able to make the minimum diagnosis and treatment of common and frequently occurring diseases. For such people, I call them barefoot doctors. The textbook for their training is the "Barefoot Doctor Manual."
"The students understand the teacher's painstaking efforts. We will arrange personnel as soon as possible to start compiling the manual."
"Yes, I will."
"Teacher, I am here."
"I will leave the position of editor-in-chief of this book to you."
"How dare I disobey your orders? Please rest assured, Master, I will do my best to handle this matter."
The so-called Hui Qing is Zhang Jingyue. The reason why Zhu Youdong chose this "senior doctor" who mainly treated nobles in the historical plane instead of Wu Youke, who had many years of experience as a traveling doctor, as the editor-in-chief is of course that he has played the advantage of being a time traveler.
There is a saying in China that if you can't be a good prime minister, you can be a good doctor. Almost all the famous doctors in ancient China were transformed from scholars. Naturally, these guys also have the bad habit of scholars who like to show off their knowledge.
Just like Kong Yiji boasted all day long that the word "fennel" in fennel beans has four different ways of writing. In order to highlight their own abilities, many Chinese doctors often gave full play to their knowledge in medical books, which made the entire Chinese medicine system complicated and chaotic. And all of this, from a historical perspective, was not simplified until Zhang Jingyue, who made the medical system clear again.
For example, a simple constipation, which has been summarized and developed by doctors of all generations, in the Ming Dynasty, there are more than a dozen syndromes, such as Yangjie, Yinjie, Piyue, Fengbi, Qibi, etc. The symptoms and medicines of these syndromes are different, which makes later medical students very painful and easy to confuse. When it comes to Zhang Jingyue, he said directly: These names are too complicated, why say so much nonsense? Constipation, just look at the deficiency and excess. If there is something blocking the intestines, it is a real syndrome, you can prescribe laxatives to help the patient defecate. If there is nothing blocking, but the patient is unable to defecate or has difficulty defecation due to lack of water, it is a deficiency syndrome, you can prescribe tonic medicine to replenish qi, water, and blood for him to defecate by himself - in this way, the treatment of constipation is simple and clear.
In fact, in his own monograph, Jingyue Complete Works, there are many examples of simplifying the complex. In later generations, when Chinese medicine students complained that they had to memorize too many soup bases and too many syndrome types, there would always be old professors who sneered: If it weren’t for Zhang Jingyue, you would have to memorize ten times more than you do now!
Being able to simplify complex things, and the key is to make them still usable after simplification, is undoubtedly a talent.
Therefore, such a person is the only choice to be the editor-in-chief of the "Barefoot Doctor Manual".
"Hui Qing, when writing this book, don't talk about theories. Just focus on the problems. For example, what diseases may cause abdominal pain? What are the differences in symptoms between these diseases? Then what medicines should be used to simply treat various symptoms? How to judge whether they are effective or not... In short, it must be simple and clear."
"Yes, disciple understands."
"When compiling, pay attention to increasing the length of the chapters on infectious diseases, parasitic diseases, and endemic diseases. These diseases are not difficult to treat for doctors at our level, but they are too widespread and have harmed too many people. You have to understand that this book is not about advanced medical knowledge, but about helping people solve some of the most common problems."
"Teacher, rest assured. I will be determined to do my research, visit the field, and ask questions. I will compile a manual that is most practical."
"It's good that you have such an idea. Fang Zhenghua, inform Tian Ergeng later and ask him to arrange the Royal Guards to accompany Huiqing and other editorial board members to visit the people. Huiqing, when you go to the people, you must find local rural doctors or even itinerant doctors. I don't think these people can explain the prescriptions they have, but some prescriptions are effective."
"Yes, I will remember the teacher's teachings."
"Okay, just go ahead and do it. Well, set up your editorial committee first. Haha, everyone, in medicine, if you climb to the top and create new drugs or treatments, you will certainly be remembered in history. But compiling this manual has saved countless lives, which is also a great merit."
After Zhu Youdong said this, the Fangshan medical scientists, who were already quite interested, looked at Zhang Jingyue with fiery eyes.
After Zhu Youdong clapped his hands to signal the end of the meeting, everyone immediately surrounded Zhang Jingyue, and their words were all the same: Brother Huiqing, at least we should be counted as one in this matter, right?
After everyone focused their attention on Zhang Jingyue, Zhu Youdong waved his hand and Wu Youke came over with the young Fu Shan.
"Are you Fu Shan?"
"Yes, I am Fu Shan, the humble servant, paying my respects to His Majesty."
"Oh, forget it, I've always been just a teacher in this medical laboratory."
"Oh." The knees that had just bent straightened up immediately after hearing what Zhu Youdong said. Then the young man looked at Zhu Youdong with his eyes sharp.
This was of course very rude, but Fang Zhenghua beside him did not rebuke him: After the emperor came to Fangshan, he had no dignity or airs. He had to keep his tail between his legs.
"I heard that you have only been in Fangshan for two years, and you have already learned everything that ordinary students need eight years to learn?"
"Well... I definitely learned it. But I could read before I came here, and I had no problem with basic calculations, so all in all, it took me more than two years."
You really don't know how to be humble. Well, it's normal to be arrogant at this age.
"How do you feel about being in the institute now?"
"It's quite interesting, but Professor Wu is very strict, so I can't do many experiments."
"Teacher, it's not that the students want to restrain him, but some of his ideas are really crazy. There are many bacterial strains being cultivated in this laboratory. If there is an explosion or something, the experimental equipment is dead. If it is damaged, we can just replace it with a new one. But what if these strains are leaked out?"
"Well, Fu Shan. How about I build a separate laboratory for you?"
The young man did not show any ecstasy at this moment, nor did he bow down to the emperor. Instead, he asked calmly, "What direction does the emperor want me to develop?"
"Very good! He is calm in the face of great difficulties. Haha, that's fine. I like him very much. You can pick another assistant."
Wu Youke smiled bitterly while he cupped his hands. Zhu Youdong turned around and said, "Develop plastics. Based on the formula of celluloid, develop new plastics. Are you interested?"
