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what exactly does the medical skills do to differ the outcome of getting sliced?
Getting sliced by what?
has been stated that the jutsu is to powerful and to fast for one to break from it or even get an oponent to send chakra inot their body.
She has the Yin seal where she stores chakra and it has been shown that she doesn't need any type of movement to release the seal and let the chakra flow into her.
As I stated before, the jutsu has to do with chakra disturbing.
For a character that doesn't have perfect control over his chakra it could work, but Tsunade is praised in the manga for having perfect chakra control.
So if she can control her chakra perfectly, how can it be disrupted?
It's like you try to move a piece of wood with bear hands, but when you try to move a tree, you cannot do it because of its roots.
As well she is a medical ninja and knows how the brain works, shockwaves and such. Also she is mentally powerful as she could overcome her fear of blood.