Treatments / Serve

Treatments/Serve

Wound TreatmentBleeding: If there is an artery or vein bleeding (spurting blood out), then that must be carefully stitched back together first with a fine curved needle and fine gut suture. There are clamps to close the cut artery or vein until it can be repaired. If there is excessive bleeding, such as in a limb or side, a cauterizing iron may be used to sear it shut. This is usually done when there is no better medical treatment available.Stitching: Use small, fine, even stitches, trying not to pucker the skin. Tie off each single stitch to prevent one from being ripped and loosening others.No Stitches Required: Clean the area using either warm water with green herbal powder added or sterile paga. Sprinkle with green powder, if desired, then layer on healing salve.Bandaging: Wounds that require stitching need to be bandaged. A pad is made to cover the wound, then wrapped with bandage. Tear or cut the end to tie in place. Change bandages daily until no longer needed. Other TreatmentsArrows: An arrow should be removed carefully. If it is not lodged in a vital area, push it through and out the other side. If in a vital area, it will be necessary to cut it out. Barbed arrows should be pushed through to minimize the damage, unless it is in a vital area. Remove the shaft before working on a barbed arrowhead. Clean, stitch and bandage as needed. (Simple-pile arrows are relatively easy to remove, as they do not have barbs, like a broadheaded or barbed war arrow.) Beasts: Be sure there are no teeth or claws left in the wound. Clean thoroughly, as some animals may have residues that are poisonous. Stitch, if needed, apply healing salve and bandage. Burns: Apply a cold water compress to soothe. Lance any blisters that have formed. Cleanse using warm water with green herbal powder. Treat with healing salve. Apply a dressing only if the burn is deep or there is other damage that breaks the skin. Broken Bones: Set by sharply pulling the ends into place. Run a finger along the bone to be sure it is straight and snugly bandage splints to keep it immobile. Bruising or Muscle Strain: Apply cold compresses or an ice pack. Apply numbing salve for pain or lyptus salve to soothe away discomfort. For swelling, clay packs or cold water soaks may be used. For stiffness, hot water soaks and massage may be used. Choking: Get behind the patient and reach around with both hands at abdomen. Quickly jerk back and up in the diaphragm. This will force lots of air out and make the patient cough out the lodged object. If not, see Tracheotomy. Congestion: An ointment, poultice or salve of peppermint or lyptus may be applied to the chest to relieve breathing. Follow with peppermint tea. Cramp: Give chamomile/zingiber syrup. Follow with chamomile or peppermint tea. For female cramping, raspberry syrup followed with raspberry/chamomile tea. Headache: Valerian syrup or tea for pain. Chamomile to relax. Insect Bites: If the bite has a known poison to it, use antivenin injection. For the affected area, clean and apply bergament/kanda salve. If the bite is of a nonpoisonous insect but there are many bites, consider treating as though the person has received a poisonous bite. Lung, Collapsed: Use the chest tube in the med kit. Insert between the ribs on the side of the injured lung. Use a sharp trocar to make the hole (ask permission first. A trocar is an ice pick and can be considered a weapon). Insert chest tube between ribs. Stab gently with firm pressure with a little twist. Remove trocar and leave the tube. Blow hard on the end of the tube, until you hear the lung pop back open. Pad the end to catch bloody drainage and stitch in place. Remove the chest tube when lungs sound clear and stitch back together, usually two days. Lung, Punctured: Use the chest tube in med kit and insert between the ribs on side of injured lung. Use a sharp trocar to make the hole (ask permission first It is an ice pick and can be considered a weapon). Insert the chest tube between ribs. Stab gently with firm pressure with a little twist. Remove trocar and leave the tube. Pad the end to catch bloody drainage and stitch in place. Remove the chest tube when lungs sound clear and stitch back together, usually two days. Nausea: Give chamomile/zingiber syrup. Follow with chamomile or peppermint tea. Poison: There are antivenins or antitoxins available for certain poisons. Except for the deadly ones like ost, there is antivenin, if given within a certain amount of time (to be determined in play). Sedative: This is used when quick or strong sedation is needed for rest or for surgery. The most effective are capture scent and frobicain. Capture scent is given by cloth upon the nose. It must be carefully timed by counting. If the person begins to show reaction to it, cease using it until the symptoms have eased. Frobicain is given by injection. In addition, in higher doses, valerian works well, but watch for toxic reaction. Shock: This can occur with almost any injury, so remain alert for it. Signs of shock include pale, clammy skin, rapid heart rate, low blood pressure, decreased alertness, and confusion. To treat, have the person lie down and elevate feet, unless it is a head wound. Loosen any tight or restrictive clothing. Keep the person as calm as possible. Keep warm, though not to the point of overheating. At this time, liquids may be given. Sleep: For gentle rest or relaxation, herbals work better. Chamomile is best, with valerian as a good alternative. Tracheotomy: If airway is blocked due to smoke inhalation or blocking objects or broken windpipe, and the patient cannot breathe, take a knife and cut a small hole at base of neck where the indentation is. That is just below Adam’s apple for a man. Insert some tubing, The patient will be able to breathe now. Remove object or repair the broken windpipe and sew back the trachea. For smoke inhalation, have the patient drink cool tea of peppermint and sage for two days. When the patient can breath better, sew back the trachea. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Medical Serve Outline Ask the person where the injuries are. Determine what the worst injuries are and treat them first. Offer a painkiller for a person who is in pain. Clean the injury thoroughly. Remove any objects from the injury. Cauterize to stop fast bleeding. Stitch when it seems necessary. Apply healing salve. Dress and bandage the injury. For poisons, induce vomiting or give antidote or antivenin. Medical Serve Steps Ask the person where the injuries are. If there is any doubt that you can handle the injury, ask for a healer or another person that might have the training or experience. Determine what the worst wounds are and make sure those are treated first (i.e. fast bleeding, limbs pointing the wrong way, major leaking of body fluids, difficulty breathing). Offer something if the person is visibly in pain. There are quick acting syrups for this (such as valerian). It may be followed up with additional syrup or tea. Make sure to remove dirt, blood, fragments of metal, bone, wood, or other debris. Use tweezers, pliers or forceps to remove objects from the wound. Soak a cloth in warm water with green herbal powder added, or sterile paga, and clean the wound thoroughly. If there is fast bleeding, try to repair it. Use cauterizing only when there is no artery or vein bleeding. Apply pressure or a binding (tourniquet) to slow blood until it can be treated. To cauterize, retrieve a cauterizing iron from the fire (slaves must ask permission to do so). If untrained in its usage, get someone that is and quickly. To cauterize, place the heated iron to the wound for five seconds, making sure to touch it to where there is the most bleeding. If muscle is torn, check to see if arteries are severed. If there are, and you have not already done so, try to repair it. If no arteries are severed, and you are trained for it, take a threaded needle with dissolving gut and make an inner layer of stitches, knitting together the fibers of the muscle.NOTE: Specific stitches are not mentioned here for the sake of easier role play. For those that have r/t medical knowledge, you are welcome to specify what stitch is used. Stitch the skin closed with gut or silk. Move skin together, matching as best one can and making sure there is no puckering or bleeding. Snip it with scissors, scalpel, or teeth after securing the last stitch. Coat the wound with healing salve making sure to apply it gently, as the wound will be tender. Place a soft pad of bandage across the wound to cushion and cover it. Wrap the wound in bandage to keep it clean and to prevent further damage. Advise the person as to the healing time required, checking injuries for cleaning and fresh bandages, and any limitations on their activities.

Slave Health

Slave Health

Examination When a slave is acquired, she is examined to determine health and physical state. This examination is thorough and a report is given to the owner. Medication Once it is determined what a slave might need in the way of medications, they are administered. If the slave has not been treated with stabilization serum, it is given, unless the slave is the offspring of many generations of serum use. If there are any conditions that come to the healer’s attention, medicines are given to treat those conditions. Slave wine is also given as a matter of course. Keep girls can be treated with slave wine by the first girl or a healer. Fayeen Keep practices treatment of slave wine on a four-hand basis. All medicines given are reported. Physical State Included in the report to the owner is what physical state the slave is in. Most often, the owner already knows it by asking the previous owner or slave or examining that one. It is the responsibility of the owner to keep a slave groomed. Branding A medical kit is kept at the branding rack to treat a branded slave. When the slave is freed from the rack, soothe the burned flesh with a numbing salve, one that relieves pain. On the next day, apply more salve. The redness should be gone by then. Piercing An owner may choose to pierce a slave. Provide a basin of salty water. Clean the piercing with the water and a cloth. Apply a small amount of healing salve. Do not remove or scratch away scabbing; it is a natural part of healing and protects the piercing against infection.

Medical Reference Guide

Medical Reference Guide

MEDICINE USE FORM APPLIED Calendula (Marigold) Antibiotic Infusion Internal Calendula (Marigold) Antibiotic Salve External Fat, Animal Antibiotic Salve External Green Herbal Powder Antibiotic Powder External Green Herbal Powder Antibiotic Infusion Internal Honey Antibiotic Liquid External Honey Antibiotic Liquid Internal Honey Antibiotic Infusion Internal Honey Antibiotic Salve External Kur Fat Antibiotic Salve External Marigold (Calendula) Antibiotic Infusion Internal Marigold (Calendula) Antibiotic Salve External Natal Cream Antibiotic Salve External Peppermint Antibiotic Infusion Internal Peppermint Antibiotic Salve External Peppermint Antibiotic Wash External White Sage Antibiotic Infusion Internal White Sage Antibiotic Tincture Internal White Sage Antibiotic Tincture External White Sage Antibiotic Salve External Matchweed Anticoagulant Mud Pack Anti-inflammatory Poultice External Green Herbal Powder Antiseptic Powder External Honey Antiseptic Liquid External Honey Antiseptic Salve External Kalana Root Antiseptic Tincture External Kalana Root Antiseptic Wash External Natal Cream Antiseptic Salve External Paga Distilled Antiseptic Extract External Thyme Antiseptic Tincture External Thyme Antiseptic Infusion Internal Valerian Anti-spasmodic Infusion Internal Valerian Anti-spasmodic Tincture Internal Cayenne Pepper (Stinging Spices) Blood Pressure Infusion Internal Stinging Spices (Cayenne Pepper) Blood Pressure Infusion Internal Black Pepper (Stinging Spices) Coagulant Ground External Cayenne Pepper (Stinging Spices) Coagulant Infusion Internal Cayenne Pepper (Stinging Spices) Coagulant Paste External Stinging Spices (Cayenne Pepper) Coagulant Infusion Internal Stinging Spices (Cayenne Pepper) Coagulant Paste External Tuber Coagulant Poultice External Sip Root Contraceptive Drug Internal Slave Wine Contraceptive Drug Internal Teslik Contraceptive Extract Internal Lyptus (Eucalyptus) Decongestant Infusion Internal Lyptus (Eucalyptus) Decongestant Tincture Internal Lyptus (Eucalyptus) Decongestant Extract External Sunflower Leaves Decongestant Inhale Internal Sunflower Seeds Decongestant Inhale Internal Chamomile Digestion Infusion Internal Ginger (Zingiber) Digestion Infusion Internal Ginger (Zingiber) Digestion Tincture Internal Peppermint Digestion Infusion Internal Zingiber (Ginger) Digestion Infusion Internal Zingiber (Ginger) Digestion Tincture Internal Breeding Wine Drug Contraceptive Internal Kanda Drug Euphoric Internal Brak Bush Emetic Powder Internal Arro Fever Infusion Internal Arro Fever Tincture Internal Stabilization Serum Health Injection Internal Bergament Itching Salve External Brak Bush Laxative Leaf Internal Yellow Powder (Brak Bush) Laxative Beverage Internal Stabilization Serum Longevity Injection Internal Blue Short Grass Painkiller Salve External Blue Short Grass Painkiller Ground Internal Lavenia Painkiller Infusion Internal Mud Pack Painkiller Poultice External Peppermint Painkiller Salve External Peppermint Painkiller Wash External Valerian Painkiller Infusion Internal Valerian Painkiller Tincture Internal Valerian Painkiller Tincture External Valerian Painkiller Tincture Internal Valerian Painkiller Salve External Kanda Poison Drug Internal Bergament Rash Salve External Natal Cream Rash Salve External Capture Scent Sedative Inhale Internal Chamomile Sedative Infusion Internal Frobicain Sedative Drug Internal Natal Cream Sedative Salve External Sleeping Powder Sedative Beverage Internal Tassa Powder Sedative Beverage Internal Valerian Sedative Infusion Internal Valerian Sedative Tincture Internal

Medical Preperations

Medical Preperations

Herbal preparations supply a large part of the medicines that healers use, particularly for Home Stones not located near a city. Herbs may be prepared in specific ways for specific purposes. Some preparations are used when they are ready. Others are stored in containers for future use and have a longer time of potency. Preparation Timing Applied Decoction Stored Internal Infusion/Tea Immediate Internal Ointment/Paste/Salve Stored External Poultice Immediate External Soap Stored External Syrup Stored Internal Tincture/Extract Stored Internal/External DecoctionA decoction is herb that is boiled with water. This is a highly concentrated form of the herb. It should be taken on an empty stomach and 1 hour before a meal. Add 1 tablespoon of bark or root to 1 quart of water. Boil until half of the water is evaporated. Strain and store in a cold place until needed. Dosage is 1-3 teaspoons of the liquid added to a cup of warm water. InfusionAn infusion (tea) is herb that is steeped. Boiling water is poured over the herb and the herb allowed to steep. Each dose should be made fresh. It should be sipped, not gulped down. The reason for this is that the slow sips give the liquid the chance to mix with the enzymes and saliva in the mouth, allowing the herbal medicine to enter the bloodstream. It should be drunk warm, not hot, on an empty stomach and 1 hour before a meal. Add 1 teaspoon of herb to 1 cup boiling water. Steep the herbs for 10-25 minutes, covered. General dosages should be 3-4 cups per day. Ointment / Paste / SalveOne of the best forms of preparations for the treatments of ailments, especially those outside of the body, is the salve. It does need a preservative and sul paga is a usual preservative. A salve also is one of the most inexpensive forms of herbal preparations for a healer to use. Be careful when choosing the vessel for preparing the salve; ceramic or glass is best. Salves should be stored in airtight containers. The basic ingredients are fat (Kur preferred), a small of amount of paga, the herb or herbs of choice, and beeswax. Heat the fat to just boiling. Add the herbs and simmer for about 3 hours. If part of the recipe for the salve includes the use of bark or roots, place these in the fat first, and after 1 1/2 hours, add the flowers or leaves. If using fresh herbs, always take the lid off of the container, this allows water to evaporate from the herbs. After the fat and herb mixture is ready, strain off the herbs from the liquid and add the beeswax. (1 1/2 ounces of beeswax will be required for each pint of fat that is used). Add 1/2 teaspoon of paga to each pint of fat used. Mix well. The mixture should still be hot with the beeswax melting into the strained herbal and fat mixture. It may be necessary to test for consistency, placing a small amount of the mixture on a plate and placing it in a cold room for awhile. When the correct consistency is reached, pour into labeled tins. If the salve is not thick enough, keep adding beeswax until it is. PoulticeThis is used when herbs need to be applied externally, such as for a burn or for a wound. Pour boiling water over the herbs using just enough to dampen them or evenly cover the plant matter. The object is to moisten it. When it is evenly wet, strain away the liquid and place herbal matter between 2 pieces of rence or rep cloth. Apply the cloth and herbs against the affected area and allow soaking into the injury. SoapDepending on what is added to the basic soap formula, it can be used for everyday cleaning, beauty, or medical purposes. Since it has more than one purpose, mention of it is made here and the instructions for making soap are included in its own section. For medical purposes, it will be referred to as antiseptic soap. SyrupA syrup is a pleasant tasting form of liquid that is used when the person is in need of the medicine’s effect immediately, or in the case of a cold or chest complaint when breathing is labored. It is made with honey, a natural sugar and decongestant. For this preparation, herbs should be dried. Herbs are decocted (boiled) and then strained. Honey is then added and the mixture is cooked for a further 30 minutes. Add a flavoring. Bottle the mixture. TinctureA tincture is a highly concentrated form, an herb extract in liquid form. Tinctures can be used externally and internally, however care must be taken by the healer preparing the tincture that the herb being used may, indeed, be ingested. A good example may be a tincture of yarrow that may be used to clean out a wound, or comfrey, which would also clean and kill the pain from a wound. Tinctures may be made from either paga or a liquid form of fat (Kur preferred), depending upon the healer or usage. To each pint of paga, add 4 ounces of an herb or herbs. The paga or alcohol extracts the medicinal alkaloids and volatile acids from the herb. The mixture should be allowed to soak for 2 weeks, shaking it daily. At the end of 2 weeks, strain off the liquid from the herbs and pour into labeled bottles.