Shinreitejutsu (Psychic Surgery)
This skill is used to perform major surgical procedures. Unlike normal RL surgery this skill does not require instruments. The Medical Shinobi literally inserts their bare hands into the patient, by using an advanced version of the process used in the Extraction method you learned earlier in your training. To do this, you will place a hand on the body/skin of your patient and use your chakra to gently separate the cells and make an opening for you to enter the body, without actually making an incision in the flesh and damaging any tissue or severing blood vessels. This involves you making a controlled break in the the cytoskeletal (more on that in a second) structure of the skin and then triggering the cells around this break to migrate away from that spot, creating a controlled "orifice" in the patient while otherwise leaving them unharmed. You will need this opening to be able to use a technique which will heal the damaged tissue, since it is required to keep your palms just above the tissue that needs repairing. It will also give you the chance to move tissue around with your hands; like you would need to do if you're dealing with a complex bone fracture which can't be fixed with the Bone healing method simply because there are a lot of fragments.
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(Iryō Ninjutsu: Soshiki Bunri) Medical Technique: Tissue Separation
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user places a palm on the patients body, pouring their chakra into the tissue, gently moving it apart to create an opening to allow him to perform surgery on the patients internal organs without creating an incision. In fact, the technique separates tissue in a non traumatic way, avoiding damage and relinquishing the need to heal the tissue afterwards. The opening closes virtually instantly after the chakra input is stopped. However, even if it doesn't do damage, the usage of the technique causes tremendous pain to the patient so the use of anaesthetics before the procedure is highly recommendable.
Note: User must have their hand on the patient for a full turn before this takes affect and must maintain constant physical contact and chakra supply to maintain it. However, the technique can be done in tandem with others such as chakra scapel or mystical palm.
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user places a palm on the patients body, pouring their chakra into the tissue, gently moving it apart to create an opening to allow him to perform surgery on the patients internal organs without creating an incision. In fact, the technique separates tissue in a non traumatic way, avoiding damage and relinquishing the need to heal the tissue afterwards. The opening closes virtually instantly after the chakra input is stopped. However, even if it doesn't do damage, the usage of the technique causes tremendous pain to the patient so the use of anaesthetics before the procedure is highly recommendable.
Note: User must have their hand on the patient for a full turn before this takes affect and must maintain constant physical contact and chakra supply to maintain it. However, the technique can be done in tandem with others such as chakra scapel or mystical palm.
The difficulty of this procedure depends greatly on the exact kind of operation being performed. It is even possible to remove an organ with this procedure in the event that it has been too severely damaged to repair. Note that in the process of using this technique, you don't damage the patient as you are instead manipulation the nerves, blood vessels etc; so that they move out of your way. This technique, though, because it doesn't actually do damage, to make incisions or remove tissue, you'll need to use at the same time, chakra scape and mystic palm, cutting and healing. This technique doesn't allow you to remove or cut tissue and thus has a limit.
As most people do tend to ask; Yes, you can use this to simply reach into your opponent and pull out their heart, however you would have to keep your hand on them for one full turn before you are able to even touch their heart so in combat, this is not effective.
Most surgery requires hours of exhausting work by the Medical Shinobi and only when there is no other choice should such a procedure be attempted in the field. To repair any damage done to the internal organs of the patient, you must use your chakra to reinforce the cytoskeleton of the tissue, re-knitting the flesh to its original state.
The cytoskeleton is essentially made up of proteins that lie in the membranes of each cell and protrude long chain molecules into the space between cells, allowing them to communicate, transfer materials through certain processes and the part you need, allowing cells to bind to each other, forming tissues. Using your chakra, you will stimulate the cell membranes, moving them closer to each other and then stimulating the cytoskeleton to rebind the cells back into the original, intact tissue.
This is essentially a far more complex version of the bone healer skill you learned previously but still a weaker version to Mystic Palm. And on a more broad scale, allowing you to bind tissue and not just bone.
(Iryō Ninjutsu: Seru Soutei) Medical Technique: Cell Binding
Type: Supplementary
Rank: A-Rank
Range: Short
Chakra Cost: 30
Damage Points: N/A
Description: The user will focus chakra through one of his hands, forcefully making separated tissue (cuts, severed body parts, etc) to bind together. First, the user wills his chakra to physically bind the tissue together, only to then force the cells to bind together as they were before the trauma. By manipulating the Inter-cellular proteins on the surface of the cells to re-knit the tissue cytoskeleton. The technique can only bind cells and tissue together if there hasn't been any tissue loss. However, it can be used to even reattach cut limbs or body parts, assuming these were cut clean.
Note: For this technique to have effect, an actual separation between cells that were once together must be present. This technique will not work on uninjured tissue.
Rank: A-Rank
Range: Short
Chakra Cost: 30
Damage Points: N/A
Description: The user will focus chakra through one of his hands, forcefully making separated tissue (cuts, severed body parts, etc) to bind together. First, the user wills his chakra to physically bind the tissue together, only to then force the cells to bind together as they were before the trauma. By manipulating the Inter-cellular proteins on the surface of the cells to re-knit the tissue cytoskeleton. The technique can only bind cells and tissue together if there hasn't been any tissue loss. However, it can be used to even reattach cut limbs or body parts, assuming these were cut clean.
Note: For this technique to have effect, an actual separation between cells that were once together must be present. This technique will not work on uninjured tissue.
Now just to clarify on how the technique works; you are manually performing a process the body performs naturally. Cellular tissue in the early stages of development, such as during fetal growth or in the development of new blood vessels, migrates and binds to cells similar to it, therefore with this technique, it is important to realise that cells perform this as part of their natural functions and therefore you merely "encourage" this using your chakra to stimulate the cells movement and cytoskeletal binding, rather than using your chakra to force them together.
You are able to use this healing method on yourself as long as you can see, sense and know exactly what you're doing. However the issue is, if you require surgery (and this is a method for extended and deep surgery), you normally aren't in a good enough shape to perform one on yourself; thus meaning performing it on yourself might not be possible. It is, however, an excellent method for removing foreign objects or stopping internal bleedings, as examples. Just don't forget to take an anesthetic first.
If you were to try to use (Iryō Ninjutsu: Seru Soutei) Medical Technique: Cell Binding to attempt to rejoin a body cut cleanly in two, there would be some issues. For one, you can't have tissue loss nor can you have tissue movement. Your internal organs would move out of the position they were when it was cut and prevent you from "welding" it back together perfectly.
That is not to say you can't rejoin parts of a body using this technique; it can be done for Arms, legs, and similar but not for parts where once cut and detached, they change and end up not mirroring each other.
Although this lesson does not traditional teach you the "Chakra Scalpel" technique, it does indeed mention it as one of the requirements to more or less complete the lesson, so I will be teaching it to you guys here. Although it is a bummer that you require so many hand signs to activate, at least it is something that can be sustained for prolonged amount of time so long as you have the chakra to fuel it. This technique, glads your hands in chakra as you focus it in order to create blades with your hands in order to cut things. This technique is commonly used to perform surgery but it can be used offensively. In terms of surgical use, it is very useful as it can be used similar to diagnosis in the sense that you channel your chakra into your patient and cut internally without wounding the outside tissue. This of course will require physical contact and its not something that you channel from afar to perform. To cut bone and to be on the safe side, you'd have to use the A-Ranked application of the technique, and to combat Dead-Bone Pulse, because this technique is concentrated ninjutsu, it would play on equal terms unless the bone technique has some specific qualities.
(Iryō Ninjutsu: Chakra no Mesu) Medical Technique: Chakra Scalpel
Rank: D-A-Rank
Type: Supplementary/Attack
Range: Short
Chakra Cost: 15-30 (per turn)
Damage Points: 30-60
Description: Chakra no Mesu is a special Ninjutsu technique used by medical ninjas. After forming the needed hand seals Tiger → Horse → Rabbit → Rat → Dog, the ninja will focus chakra to their hands. This medical technique then enables the users chakra to transform into small, sharp blades. This can then be used for highly accurate incisions necessary for surgeries and anatomical dissections. Unlike regular metal scalpels, the chakra scalpel can make cuts inside the body without actually creating an open wound, limiting the risks of an infection (although it can also be used to cut the external tissues as well). The chakra scalpel can also be used offensively, although it requires great precision to be effective. Because of this requirement, using the chakra scalpel offensively is highly unusual. In heated combat, even the greatest medical-nin won't be able to exert the precision needed to make fatal cuts, but it can still effectively cut muscle tissues and tendons, rendering the target immobile. Adding to the technique's blade like quality, it also appears to give the user an increased level of durability over their chakra clad hands. The strength and effects of the technique are determined by how much chakra is put into it and how much skill and focus the user has in the technique. Its effects vary according to the targeted body though to cut through strong tissues such as bone, great skill, focus and chakra is needed. The effect can be sustained while the user focuses chakra into it.
Note: Can only be used by Canon Medical Bios or NB Medical Ninjas.
Type: Supplementary/Attack
Range: Short
Chakra Cost: 15-30 (per turn)
Damage Points: 30-60
Description: Chakra no Mesu is a special Ninjutsu technique used by medical ninjas. After forming the needed hand seals Tiger → Horse → Rabbit → Rat → Dog, the ninja will focus chakra to their hands. This medical technique then enables the users chakra to transform into small, sharp blades. This can then be used for highly accurate incisions necessary for surgeries and anatomical dissections. Unlike regular metal scalpels, the chakra scalpel can make cuts inside the body without actually creating an open wound, limiting the risks of an infection (although it can also be used to cut the external tissues as well). The chakra scalpel can also be used offensively, although it requires great precision to be effective. Because of this requirement, using the chakra scalpel offensively is highly unusual. In heated combat, even the greatest medical-nin won't be able to exert the precision needed to make fatal cuts, but it can still effectively cut muscle tissues and tendons, rendering the target immobile. Adding to the technique's blade like quality, it also appears to give the user an increased level of durability over their chakra clad hands. The strength and effects of the technique are determined by how much chakra is put into it and how much skill and focus the user has in the technique. Its effects vary according to the targeted body though to cut through strong tissues such as bone, great skill, focus and chakra is needed. The effect can be sustained while the user focuses chakra into it.
Note: Can only be used by Canon Medical Bios or NB Medical Ninjas.
This will be the last lesson we move onto the rest of the Medical Ninjutsu Techniques, so please make it count guys and incorporate a lot of the things you've learned throughout the courses. I want you to be as descriptive as possible and amaze me! No simple descriptions! This is a real surgery and I expect to see a full fledged "medical-like" response.Priest's Patient: Your patient's left arm was sliced in half through the center of the humerus. The end still tied to the patient was cauterized by fire to stop the bleeding, however the patient's body temperature dropped severely from the blood loss as well as fell unconscious. The other end of the arm, the one that was cut off, suffered nerve damage on a microscopic level and is currently being kept cold on a cooler so it can be re-attached. On top of it all, the patient has fallen pray to a Tsyukomi illusion. Please perform surgery on the patient and solve all the issues with everything you've learned thus far.
Mudo's Patient: The patient's epiglottis was punctured by a wooden kunai that released small shards of wood within a small radius around the aforementioned area, severely blocking the user's airway. The left side of the chest area is caved in with broken ribs and severe tissue damage which caused internal bleeding, quickly feeling the lungs with blood, making it hard for the patient to bread. The strike was medically enhanced, which caused a chain-reaction that spread through the lungs, beginning to kill them on a cellular level with cancerous cells. You have to take care of the most important issues first and then perform more complex surgery by doing a lung transplant (Lungs available in the freezer near you). The procedure will be difficult as you need to find a way and process to remove the lung(s) either together or separately and deliver oxygen to the body to keep the blood flowing and breathing.