After all, she had systematically studied pharmacology and pathology, and Zhu Lingjing knew this very well.
What was before her now was actually a multiple-choice question - yes or no.
Just two options, very simple, but also very difficult.
Therefore, everyone did not dare to make their own decisions, so they could only bring it up at this meeting and let her, the "imperial envoy", make the final decision.
Do you want to follow the rules? This way, no matter whether the outcome is good or bad, you don't have to worry about taking on additional responsibilities.
But if it's something new...if the side effects are serious, it may lead to rumors and public criticism from heretics.
On one side are thousands of patients waiting to be treated, on the other side are the reputations of himself and the royal family. At this moment, Zhu Lingjing felt a mountain-like weight pressing on her shoulders and heart.
Before her eyes appeared the haggard faces and the eyes that yearned for hope.
A qualified politician should not only have far-sightedness, but also have firm and decisive qualities and a thirst for power, and should exclude the influence of personal emotions.
Obviously, the fledgling Zhu Lingjing is still a little short of qualified.
She thought briefly for two seconds, and then said firmly: "There are endless perfect strategies in the world, and it is always better to save many than to save few. Let's use this short-term treatment and test it in Huangmei, Hukou, and Pengze counties first. If it works, then We will promote it as appropriate.”
Now that the imperial envoy has made the decision, the responsibility does not lie with us, and everyone present immediately accepted the order.
After assigning tasks and making general arrangements, the short meeting came to an end quickly.
In terms of specific therapies, the treatment plan prevailing in the Ming Dynasty was gradually accumulated and revised over the past twenty years. The version currently used is the supplement and revision by the Ministry of Household Health and Insurance Department in the 31st year of Zhichang.
Because the side effects of tartar vomiting medicine are relatively large, weak patients may not be able to endure a complete course of treatment. Therefore, it is recommended to recuperate and recuperate for a period of time before then, and then receive later treatment after the physical condition improves.
The initial treatment is a combination of Xiaoyao Powder and Wenbu Zhushui Formula for 30 days to protect the liver, strengthen the spleen and relieve abdominal distension; then the post-treatment treatment is tartar injection for 20 days.
Unsatisfied, Zhu Lingjing considered using new drugs to replace potassium antimony tartrate, which has serious side effects. She had already prepared for this, so she quickly made a plan.
In the past few decades, people all over the world have been dissatisfied with potassium antimony tartrate, which has major side effects. Therefore, many pharmaceutical companies are also developing better drugs.
For example, in order to deal with Schistosoma haematobium and covet the huge Chinese market, Bayer developed sodium antimony gluconate, which is also an injectable drug, but has much fewer side effects.
As for the Ming Dynasty, due to its huge demand, the government and the private sector were also very active - the Gezhiyuan Pharmacy Institute developed quinine antimony hydrochloride, and Shanghai Qianyuan Pharmaceutical Company developed tartar enteric-coated tablets.
However, both of them have not been born for too long, and they have not yet been put into mass production and actual use.
Under Zhu Lingjing's instructions, Fang Bao, the right-hand censor of the Metropolitan Procuratorate who was ordered to assist, called these two places.
"...So, can antimony cinchona be used on a large scale now? How long will it take to put it into mass production?"
"I'm afraid that's not possible now. The second stage of clinical research has just ended, and mass production is even less possible."
It is not easy to set up a pharmaceutical production line. The machine needs to be debugged, the workers need to be familiar with it, and the finished product must have a qualified rate. It can't be completed in just a few months.
"...What is the current situation of oral tartaric medicine? Now that the epidemic has broken out, can it be directly put into large-scale use? It must be enough for at least 50,000 people."
"Fang Yushi, let me tell you straight. This medicine is available today and has good effects. The production line can be modified directly on the basis of spitting tartar. It is also easy to modify, but it requires government approval."
If you violate the law and mass-produce unapproved drugs, if you are noticed by other jealous pharmaceutical companies, and if you report back and the court downgrades you, you may be fined a large sum of money.
Zhu Lingjing didn't care about this concern. She said calmly: "Ask them about the known efficacy and side effects."
Fang Bao nodded and then asked about this issue.
After receiving the answer, he relayed it.
"...Among the 740 cases that have been tested, 682 cases have loss of appetite, 407 cases have some nausea, 334 cases have abdominal pain, and 33 cases have mild to moderate intestinal damage. This is generally the case."
Enteric-coated tablets can be taken directly, without the need for troublesome injections, saving time and effort, and also greatly avoiding damage to the heart.
However, disadvantages also arise. Because it is dissolved and absorbed through the intestines, certain intestinal damage will occur.
Taken together, this is the best choice, much better than the traditional injection of tartar vomiting agent.
Can treat more patients because oral tablets are convenient and plentiful;
The patient can take it according to the course of treatment, and the total treatment time is shorter and faster;
Dangerous heart damage and heart failure are avoided to a great extent, and side effects are greatly reduced, which is good;
There is no need for medical staff to inject and administer drugs one by one, which reduces the workload and saves money.
Is there a better way now?
Without any hesitation, Zhu Lingjing immediately made a decision. She tapped the table lightly, "I order them to start adjusting the production line from now on and put into mass production as soon as possible. Don't wait for the approval from the Ministry of Household Affairs, and don't worry about breaking the law. I will report this matter directly to Your Majesty."
If you are waiting for approval, you will have to wait several days even if you get the green light all the way. But in the face of the epidemic, every day is extremely precious.
Zhu Lingjing enjoys the pleasure of having power. This pleasure becomes even more obvious when she uses it to break rules, especially when it is used on a noble and righteous path.
Power can make people addicted and sinking. It can be said that her experiences in the past few days have made her more determined to pursue a different kind of life.
Zhu Lingjing, who acted vigorously and resolutely, felt good about herself. She immediately returned to Beijing to report on her work, and continued to seek attention and support from all walks of life. She planned to return to Jiujiang Prefecture after Qianyuan Company completed the first batch of tartar enteric-coated tablets.
However, in the eyes of the emperor, although her achievements were good, in the final analysis they were just sparse and ordinary trivial matters.
Even Zhu Shiyan was somewhat confused about the future of Ming Dynasty.
As the crown prince, although the eldest son is good in all aspects and has sufficient abilities, his personality is too stubborn. Once he has determined the strategy, he cannot listen to advice, and he likes to do everything himself.
Listening and listening will make it clear that this kind of person is not suitable to be a leader, but is more suitable to be an executor.
The younger son is still too young, and he is naturally spontaneous and does not want to be restricted. He only likes hobbies and has no interest in power.
In addition, Zhu Shiyan also has a younger brother, King Lu Zhu Shibu, who is also an obscure weirdo - although he is called a ship designer, he is passionate about weird cruise submarines equipped with heavy naval guns, so the Navy They didn't like the prince very much either.
Recently, Zhu Shiyan, who has been feeling in poor health, has become more and more worried about the future of Sheji. His daughter's performance makes him quite happy.
The crown prince is afraid that it will be easy for him to go tit-for-tat with various forces. With a third party like Zhu Lingjing, can the conflicts between the DPRK and China be more or less alleviated?
(End of chapter)
