The Crown Prince That Sells Medicine -
Chapter 84
The Crown Prince That Sells Medicine Chapter 84
Episode 84 How to prevent reperfusion injury (2)
thrombus.
A lump of blood solidified in a blood vessel. Every person has some degree of microscopic blood clots in their body.
But blood flow slows down. Excessive coagulation occurs. What if blood vessels are damaged or excessive blood clots are formed?
It almost always causes various problems. It clogs blood vessels. It interferes with the flow of blood. If the area affected is the brain, the situation becomes more serious. Like the emperor who had fallen right before our eyes.
‘…what is this.’
Rachiel frowned. Concentration pushed to the limit to the point where the back of my neck became stiff. Thanks to this, I was able to look into the emperor’s mind. Finally, we were able to replace the area that was blocked by a blood clot and causing a cerebral infarction.
‘Anterior inferior cerebellar artery territory infarcyion…’
The cerebellum is located deep in the brain. Damage to the middle cerebellar peduncle and lateral pons was seen there.
The flow of mana that was originally supposed to actively color the place was barely visible. It was a sign of cranial nerve damage.
‘If this happens… it will be accompanied by facial palsy in the same direction, trigeminal sensory loss, hearing loss, tinnitus, and limb ataxia.’
Suddenly, I remembered something I learned as an undergraduate student.
People often think that oriental medicine students only study acupuncture and meridians, but the truth is different. Various pathology, medical epidemiology, physiology, anatomy, histology, microbiology, immunology, medical diagnostics, cell biology, emergency medicine, diagnostic medicine, neuropsychiatry, etc.
In addition, many modern curricula had to be completed. It was thanks to that. I was able to realize this by diagnosing the emperor. The area where the cerebral infarction occurred was not good. What was especially worse was that a cerebral infarction occurred in the cerebellum.
‘The size of the cerebral infarction is breathtaking. If it grows larger, the edema can compress the brainstem (herniation) or block the ventricle, causing hydrocephalus. Then you might have breathing problems. But that’s not the problem.’
The wrinkles between Rachiel’s eyebrows deepened.
His gaze fell on the emperor’s cerebellum. It was directed to the anterior inferior cerebellar artery, which drains into the cerebellum. I kept an eye on the clot blocking the area. The shape of the blood clot was strange.
‘Why on earth… can’t I see fine lines in the blood clot?’
lines of Zahn.
It was a trace like a growth ring of a blood clot.
‘As long as a person is alive, blood clots form in situations where there is blood flow. Because it doesn’t happen all at once. Because it happens gradually. That’s why fine lines appear. As blood flows, the process of blood clots expanding is engraved in layers like tree rings. But why…there are no fine lines in this blood clot?’
Blood clot without fine lines. It was something that could only be seen in blood clots (postmortem clots) that form in blood vessels after a person dies. But that was the case with the emperor’s bloodbath. It was smooth with no fine lines at all. It was both common sense and realistically impossible.
‘How did this happen?’
It is absolutely not normal.
There is something about this.
‘It’s not a naturally occurring blood clot.’
Whether it is due to an external force. Whether it’s due to drugs. Or maybe it was another trick. The blood clot currently blocking the emperor’s cerebral blood vessel did not occur naturally.
‘….’
who?
For what?
‘Could it be one of those here?’
Even the chamberlain, the commander of the Knights of the Guard, and the attending physician. Those who work in the closest circle of the emperor. Could it be that someone among them was secretly working on the emperor? I had doubts.
But Rachiel did not cling to suspicion. Treatment is the priority now. It would not be too late to raise doubts after saving the emperor.
“Could it be possible for me to take a closer look at the medicine that was prescribed to Your Majesty this morning?”
I asked my doctor. Do you feel confident in yourself? The attending physician answered triumphantly.
“Yes, Your Highness. Here comes it.”
Soon, what the doctor brought was…
“This is dried and steamed aronia leaves.”
“Is this an herb that is said to be effective in treating paralysis?”
“Yes, Your Highness. It is excellent for relieving cramps in the hands and feet and numbness in the muscles. This is a combination that I have used for 12 years and treated several patients in my experience…”
“Stop. Until there.”
“…yes?”
“Unfortunately, this can’t be done.”
Rakiel spoke harshly.
There is no way. Muscles are not the emperor’s problem now. Brain tissue is dying because it cannot receive oxygen due to blocked blood flow. But the doctor can’t figure it out at all.
‘It won’t work here.’
Wouldn’t it be better to move the emperor to the annex oriental medicine clinic? It seemed better to receive intensive treatment there.
But that was then. The bedroom door opened. An old man wearing pure white clothes, whom I had never seen before, came in. The chief chamberlain looked at the old man and smiled.
“ah. Welcome, Archbishop.”
…archbishop?
That old man?
While Rachiel was looking, the archbishop bowed to the emperor. And then I looked this way.
“May everyone replace peace in God’s arms. Archbishop Bertona meets His Royal Highness the Crown Prince.”
“This is Crown Prince Rachiel Adria Magentano. “Have you come to treat Your Majesty?”
The archbishop nodded.
“Yes, Your Highness. From the time I was called early in the morning, I walked forward thinking that there would be someone who needed my prayers. “I didn’t know that the person in question would be Your Majesty.”
The archbishop approached the emperor’s bed. I organized the appearance of my legal attire. And closed my eyes. Are you praying? Or is he attempting the divine blessing mentioned several times in the novel?
It seemed like that.
‘Maybe there is hope.’
Rachiel took a step back. I watched the archbishop’s prayers and blessings. On the other hand, I was secretly looking forward to it.
‘please. ‘Anything, be it divine power or anything else, is fine.’
I hope it works. It would be great if the emperor’s condition improved. I clenched my fists, hoping and praying. On the one hand, it retained the acupuncture point scanning option. A blessing from a high-ranking priest. I directly observed the therapeutic effect that prayer had.
Kiiiiing-!
A feeling of stiffness in the eyeball.
The archbishop’s blessing followed.
“….”
The archbishop mutters constantly. He closed his eyes and placed one hand on the emperor’s head. There were no grandiose movements beyond that. I just sweated profusely all over my body. Gradually, changes occurred within the emperor’s body.
Tsuzuzu….
The emperor’s cerebellum was damaged due to cerebral infarction. Brain cells that were dying due to lack of blood flow. Those dense and complex organizations….
‘Are they coming back to life?’
Rachiel’s eyes widened. At first, I thought I had seen something wrong. I thought I was mistaken. But it wasn’t.
‘Cells are regenerating.’
These were the brain cells of the emperor whose mana had been cut off as he died. It was an area that only looked black because the brilliance of mana could not be contained. But the cells were coming back to life. There was a faint glow of mana!
“….”
I swallow dry saliva without realizing it. Is this realistically possible? I couldn’t believe it.
‘Originally, brain cells are an organ that is almost impossible to regenerate once damaged…’
But something ridiculous was happening right in front of my eyes. Hope suddenly bloomed at that sight.
‘Maybe I can save it.’
Is this the archbishop’s divine power? I saw it mentioned a few times in the novel, but when I actually observed it, it wasn’t a joke. I even felt like my oriental medicine was being dented.
‘But it doesn’t matter. ‘As long as the emperor lives!’
Rakiel cheered for the archbishop with great enthusiasm, swinging his light stick. I hope that the divine blessing will show 200% of its strength. So may the emperor be completely healed.
I hoped and prayed.
I hoped and prayed.
Finally, the sacred blessing ceremony was over.
“…after! Phew!”
The archbishop took a deep breath. With a pale complexion, he took his hand away from the emperor. I sat down covered in sweat. It seemed like a huge amount of energy had been expended to offer divine blessings.
‘Then what about the emperor?’
Rachiel looked back at the emperor with a nervous feeling. The cerebral infarction area was observed through acupoint scanning.
Tsuzu… Zuzu… Tsu…
Cell tissue that was successfully regenerated thanks to the archbishop’s divine blessing was seen. There was a bright mana full of hope. It came back to life and was moving actively. But that was only for a moment.
Zzz… Zzz…
The brain cells that seemed alive quickly lost their vitality. The bright glow of mana disappeared. Rachiel could see the cause at a glance.
‘The blood clot was not removed. It’s still blocking the blood vessels. Because the blood flow supply is still cut off like that… even if the brain cells are revived, they die again.’
Rakiel clicked his tongue.
The archbishop’s divine blessing clearly had an effect. It was not just a miracle, it created a miracle of reviving dead brain cells. However, the cause of the stroke could not be eliminated.
‘That blood clot blocking the blood vessel. ‘We have to get rid of that first.’
Rachiel’s eyes turned to the blood clot. Now it is clear. That clot needs to be removed. That takes priority. So what should I do from now on?
“….”
Rachiel looked back on the knowledge in her memory. I remembered the pathology and various medical knowledge that I had memorized until my nose bleeded in order to receive a scholarship when I was majoring in Oriental medicine.
How can I use that here? What kind of improvisation will be mobilized in the absence of modern drugs? How to prevent reperfusion injury in the process.
I thought about it again and again.
I overworked my brain.
I looked for a way.
I finally remembered it.
“…I hope you will follow what I say from now on.”
Archbishop and Chamberlain.
Guard captain and attending physician.
He said to everyone.
“Call me Court Wizard Janetis.”
“…yes? “You mean Lord Janetis?”
“uh.”
I nodded towards the chamberlain who asked the question. He said emphatically.
“His abilities are absolutely necessary to treat Your Majesty now without any aftereffects.”
“If you say it’s his ability…?”
“Magic.”
“Hey, but your highness? “The magic that Sir Janetis uses probably has nothing to do with healing people.”
“I know. But that’s why we need his magic.”
“What… magic are you talking about?”
“Freezing magic.”
“yes?”
“First of all, I plan to freeze your Majesty.”
“…Yeh?”
Everyone’s eyes are filled with astonishment. Rakiel smiled faintly as he calmly accepted it.
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