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第470章 医院

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PS:期末很忙很忙,大章一二了,感谢二次转生成为本书舵主,欠下的加更放假再说,一定要帮我记着OO

“医疗制度?”

扁鹊知道暂时留在西鲁受庇护和壮大,这是目前较好的选择,同时也很好奇赵无恤又有什么新的主意了,他总是能给人以惊喜。

“没错。”无恤露出了一丝有趣的笑:“也可以叫医疗保障制度,简称医保。”

他将那些要求惩处灵鹊,亦或是为灵鹊求情的奏疏扒拉到一边,露出了一份自己写就的草稿,上面,是他设想的西鲁医疗制度蓝图……

“在周礼中,天子诸侯自有医保,宫廷中设有医师、药府(管药库)、史(管用药诊治记录)、徒(杂役)等。医师又分食医(管饮食卫生)、疾医(内科)、疡医(外科)、兽医四种。不可谓不全面,但这些医者服务的人只是肉食者其家眷,亦或是高级的家臣、宾客等。”

扁鹊颔首道:“老朽行走诸侯时,的确有不少国君卿大夫想要我当他们的医官,管他们的病痛,却不问墙垣外的死活。”

无恤晒然,要不是扁鹊名声太响亮,诸侯不敢强留,恐怕早就沦为这体系里的一员,身份自由被死死限制起来了。最初时他和老爹赵鞅也是这样的,但单靠高官厚禄可留不住扁鹊。

他说道:“然,但军中的兵卒和都邑的民众,就不受这些医者负责,他们只能依靠少数医肆和夫子这样游走列国的行医求活。而乡鄙的民众更是凄惨,只能仰仗巫祝和鬼神庇护。正如诗言,旻天疾威,天笃降丧;瘨我饥馑,民卒流亡。遇到头疼脑热等小病,就靠自身的体力熬过去,但碰上稍微严重的又无处求救。嚼野生的药草不一定管用,就可能一命呜呼了,乡鄙中人通常活不过四五十岁,孩童容易早夭。原因就在于此。”

扁鹊听明白了:“小君子的打算,莫不是想将官方的这套医官放到民间,让万民受此德泽?”

“然!今岁有疠疫,万民多有勤苦冻馁、转死沟壑中者,,既已众矣。我打算先在各邑设置官办的医院,方便民众看病。同时也可以定期组织行医到乡间排查疫病,收养被遗弃的孤儿。”

扁鹊愣了片刻,居然感动得老泪纵横。

“孔子让官学走向民间,变成士人庶民之学。而小君子则是让官医变成了万民医!”

他叹息道:“这是哪怕是尧舜小康之世,也没有过的事啊。既能惠民,又能让医者们收集病例,锻炼医术,此事灵鹊接下了!”

……

时间进入四月中旬,在一片和平的大野泽中采摘收集草药的扁鹊弟子们陆续被召回郓城。

“医院?”众弟子见夫子没事,灵鹊也不会被驱逐解散。一个个欢天喜地,却又听扁鹊说出了一个陌生却又亲切无比的词汇。

“民疾疫者,舍空邸第,为置医药,称之为医院。吾等过去行走诸侯,无立锥之地,从今以后就不一样了,这医院,便是医者安歇诊治的固定场所。”

喜欢到处奔走寻觅草药的子明不解地问道:“夫子,吾等不是要救济天下。行走九州的么?为何现在却要停留在一地,莫不是赵小司寇要将吾等禁锢于领地之内?”

众弟子多为不畏权贵的士,早先齐侯扣押子阳,就已经引发了他们的一致愤恨。一时间义愤填膺。

扁鹊大摇其头:“非也,只是小君子的话让我明白了,不断更换地方,其实能救助的人还没脚踏实地在一处呆上几年多。这医院并非只给贵人们看病,而是针对民众的!”

弟子们大惊:“还有这等善事?”

医院面向的治疗对象主要是郓城的驻军和国人,对军中兵卒义务诊治。不收取任何费用。对于有经济基础的士和国人,则收取药费和一定的诊费作为代价。但派出行医去穷困的乡鄙诊治,就不再苛求费用了。

过去领主对于治下的民众,一向都是只管大病大灾,不问小痛小患的,殊不知这些小疾病导致的死亡却不亚于大疫。

所以扁鹊觉得即将要做的事情重要程度不亚于游医天下,他精神抖擞地对弟子们发号施令。

“医院是公共医疗的核心,其内部自有分职,依然是食、疾、疡、兽四科。以我为首,二三子为医师,各司其职。”

如果说赵无恤的资助是基石,扁鹊是撑起这屋檐的大柱,那弟子则仿佛一个又一个木楔子,共同组成了医院的构件。

“子阳擅长诊脉,如今他不在,便由老朽亲自来,此外子术掌开方、子明掌司药,按方制配出成药。子同掌火灸、子仪掌针灸、子越掌行走周边乡鄙,子容先跟着子明学习,待日后可掌采药。”

众弟子见夫子心意已决,也不再劝,纷纷应道:“唯!”

“其余加入灵鹊的各国医者隶属汝等之下,按照加入年限传授医术,还要有专人负责教授医童,向民众普及医药和防疫知识。”

“医院由赵小司寇资助,医师按照医术高低不同,是有不同俸禄的,但每次治疗成功与失误与否都会加以记录,以便年终考绩,考绩不合者将被剥夺医师身份。”

末了,扁鹊严肃地说道:“善于医者曰良医,精工昧理曰庸医,击鼓舞趋,祈镶疾病曰巫医,灵鹊要培养明医,却容不下巫医和庸医!”

从一开始和巫术划清界限,这就是医家的立派之本!

……

医院的场所早已找好了,就在外区一处宽阔的大宅院里,这是前任郓城大夫的别院,赵无恤家眷少,用不了这么大的地方,就将其划出,作为公益财产的一部分。医院地下用陶管修了完善的下水道系统,前堂是诊治和开药的场所,后寝则改造成了一间间病房,以走廊相连。通风向阳,病人依病情轻重异室居住,以防渐染,还有厨舍以调制汤药饮食。

郓城建起医院。只是整个医疗体系的第一步,在甄于成熟后,赵无恤希望在每个千户之邑,都能有一座官办的医院,里面工作的人却是饱含理想主义的灵鹊医者们……

“郓城内要建医院了!还是由活神仙医扁鹊主持。”这个消息很快就被有心人传遍了城邑内外。本来已经送完家中蚕丝的养蚕女们也巴巴地跑来围观,其中一个老妇人还骄傲地拉着自己那腼腆的女儿,展示她洗得光滑白净的脚踝,宣称这是医扁鹊治愈的。

“当时我女儿脚都断了,老神仙只是轻轻一抚便骨肉愈合,皮肤再生,不信你瞧瞧,就像剥了壳的鸡子一样,以吾女为妻者,家中百病不生!”

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