Dirty Dan

[Klad]

Ondochousetsu (Temperature Control)​

The normal body temperature (which varies between 36°C and 37°C, or 96°F and 98,6°F) is a very important aspect of the body, because when the temperature is other then normal, the organism can't work properly (the more it deviates from the normal values, the more the metabolism gets hindered). Normal temperature is needed for all enzymes to work properly and all proteins to exist in their normal state (non denatured, denaturing is a process where the structure of a protein gets irreversibly destroyed and the protein becomes unusable).

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Homework:

Questions (Answer these after reading the article):

-Which part of the body initiates the increased tempreature, and how does it happen (On the cellular level)?
-Why do we get fevers?
-Why do we feel chills after getting a fever?
-Difference of a Bacterial and Viral induced fever?
-Difference between 'Hypothermia' and 'Hyperthermia'

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There are many factors that can disrupt the human bodies temperature; environmental exposition, internal processes (infection, reaction to a poison, etc) or maybe chakra dis-balance. Even extreme physical exertion can destroy enough muscle to trigger an inflamatory rection that will trigger fever. There are various ways to regulate body temperature based on it being high or low, the cause and how far it has risen or dropped. In this skill, you'll learn a few techniques that serve to lower or raise the body temperature. However, this effect is temporary. You'll need to tackle the condition that triggered the change in body temperature and, when that takes time, you'll need to add medicine to help keep the temperature controlled.


Basically, there are two ways this can go: your body temperature will either be too hgih or too low:

Hypothermia occurs mainly due to environmental influences (i.e. when someone isn't dressed appropriately, when someone falls into cold water, gets buried in by snow etc.), internally it can mean damage to the TRC (look below for what that is) or it can also be caused by overuse of the temperature lowering techniques I posted below; and that is why I made that chart, and that is why you have to learn the values .
To counter hypothermia itself you can proceed in 2 ways; one would be using fire chakra (to heat the patients body, not to burn it!! be careful) or to use this tech:

(Iryō Ninjutsu: Rinkai Roppou) Medical Technique: Temperature rise
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra: 20
Damage: N/A
Description: The user will place both of his hands on the patients body, and insert a fair amount of his chakra into the patient. He or she will then will/make the chakra affect the heart (fastening the heart rate), the blood vessels (constricting them rising the blood pressure) and the thyroid gland (inducing faster release of hormones that enhance the metabolism). As result the body temperature will rise to 37°C (or 98,6°F).
Note: user must be a master of Diagnosis

Sub-febrile temperature is, in most cases, just a symptom of a rising infection/upcoming illness. It is important to not lower this temperature because it actually helps the body fight the disease! The rise in temperature is caused by the body in a complicated way, but I will try to simplify it a bit in a few steps:

1. An infection or a strange substance triggers the detection/production of an antigen (as viruses, bacteria, poisons etc.).
2. The antibodies react to the presence of that antigen by attacking it, but first they release mediators. Mediators (histamine for example) are chemical substances that notify the entire organism of the presence of an antigen.
3. Mediators reach the center of thermal regulation (which is located in the hypothalamus) and signal that an antigen was detected.
4. As a result, the TRC (thermoregulation center) rises up the temperature by more or less 0,5°C (that is about 0,9°F) by sending off hormones that tell the pituitary gland to release the TSH hormone which controls the thyroid gland, which in turn releases T3 and T4 hormones which enhance/speed up the overall metabolism of the person, which, in turn, is what is really needed to achieve the rise in temperature. Temperature rises by increasing blood flow, metabolic functions and by burning calories. Shivers, for example, are a way for the body to use the muscles to burn calories through involuntary movements which in turn produces heat.
5. The slight rise in temperatures activates more and more antibodies and enhances their performance as well as further increasing blood glow and circulation which then further increases the response of the organism.
​

Febrile temperature comes in place when the previously mentioned antigen continues to be produced as a result of a resulting infection, so more and more antibodies get released which in turn release more and more mediators, which then make the TRC go berserk and it totally looses its sense of normal temperature. When this happens, the temperature isn't optimal for enzymes and antibodies in general anymore, and they loose their effectiveness, therefore the effect of sub-febrile temperature is negated, and the state is useless or more often dangerous because at a point the antibody stop working altogether. This is when you need to start lowering the temperature, and you do this by using this technique:

(Iryō Ninjutsu: Rinkai Umou Seppan) Medical Technique: Gentle Temperature Ease
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra: 20
Damage: N/A
Description: In order for this jutsu to take effect, the user must somehow have contact with the earth; be it actual ground or a mere pot filled with earth. The user places his dominant hand on the patients chest, and the other hand on the ground/earth. By activating this technique the user takes excessive temperature from the patient, guides it through his body and releases it into the earth through his other hand. This relieves the temperature of the patient by 0,8°C (or 1,4°F) per use until the patient's temperature is 36ºC.
Note: If unable to guide the chakra into the ground/pot of earth, then the users temperature rises for the mentioned amount

(Iryō Ninjutsu: Rinkai Umou Mattou) Medical Technique: Complete Temperature Ease
Type: Supplementary
Rank: A-Rank
Chakra: 30
Damage: N/A
Range: Short
Description: In order for this jutsu to take effect, the user must somehow have contact with the earth; be it actual ground or a mere pot filled with earth. The user places his dominant hand on the patients chest, and the other hand on the ground/earth. By activating this technique the user takes excessive temperature from the patient, guides it through his body and releases it into the earth through his other hand. This relieves the temperature of the patient by 1,6°C (or ~3°F).
Note: If unable to guide the chakra into the ground/pot of earth, then the users temperature rises for the mentioned amount


Make sure you don't lower the temperature too much (below sub-febrile) because you want that effect it gives, but then again you need to lower it enough to not be dangerous anymore. You'll perfect this with practice .

Very high febrility is when it becomes lethal. The temperature is now higher then the protein structure can stand, and they begin to disintegrate, denature and become useless, this means actually tissue is dying off! And of course, the most effected by this is the brain. At this moment don't think about getting to the optimal temperature, lower it by any means necessary; be it water jutsu (of low rank, you don't want to hurt the patient) or even ice jutsu. Of course you can not use a jutsu and got for the old fashioned way of putting him/her in a bathtub full of ice cubes. Your main goal is to save life here!​

This has some cientifical knowledge here but the main aspects to rettain for NB RPG are these:

-All large wounds and trauma will always induce fever due to either the inflamatory reaction to the tissue destuction or the infection caused by large open wounds.

-Toxins, Venoms and Poisons will always rise the body temperature before dropping it abruptly unless its defined in the toxin, venom or poison description as otherwise.

-Blood loss will always lower your body temperature and bring about a state of hypothermia, severe or not.

-Chakra depletion will lower your body temperature.

 

[Jᴀʏ]

1. Which part of the body initiates the increased tempreature, and how does it happen (On the cellular level)?

The hypothalamus is commonly associated with maintaining homeostatic systems, including temperature regulation.

2. Why do we get fevers?

Homeostasis must be consistently maintained or else the body will die. Since homeostasis includes body temperature regulation, a certain normalized temperature is needed for certain enzymes to exist, so a fever is way for the body to react by increasing temperature and causing enzymes to denature. It is a defense mechanism, a reaction the body gives to an external threat.

3. Why do we feel chills after getting a fever?

Chills are caused by muscle contractions, it is the bodies way of creating heat. After a fever has subsided we get chills in order to regulate our temperature.

4. Difference of a Bacterial and Viral induced fever?

Between the two types, bacterial fevers are more common and can happen to anybody given that bacteria are single-cell organisms that thrive in a wide variety of environments. On the other hand, a viral fever requires a living host in order to multiply, and is thus less frequently induced.

5. Difference between 'Hypothermia' and 'Hyperthermia'?

Hypothermia is when the person loses heat, Hyperthermia is when someone becomes too hot. Both are not related to fevers and are usually caused by the environment the person is in.

 

[Klad]

Kigusuri Souzou (Medicine Creation)​

Any medical nin naturally studies the effects of various naturally occurring compounds on the human body and how they can be combined in order to create medicine. In spite of increased knowledge of medical techniques there are times when mixing a medicine is the only solution to a problem. Medicine creation has a variety of uses, such as creating poison antidotes, healing ointments, and disease fighting but is a key aspect of sympton management. Medicines can also be used to treat minor every day ailments such as an upset stomach or cold.

A young nin using this skill has only rudimentary knowledge and often requires a small guide in order to find and create basic medicines. A more experienced ninja will know how to prepare a medicine for any normal injury, poison, or disease.

In the past lessons you have learned how to summon medical tools, and have received kanji for the basic ones. Of the ones you already have through that lesson, you'll need the bottle of sterilized destilied water, the bottle of 96% ethanol (used to desinfect and clean) and the sterile syringe for injecting the medicine if it's to be injected (most aren't!). Here is what you can add to that summon list:

モルタル - mortar and pestle, chemically clean
スプーン - spoon, sterile
パテ - putty knife, metal, sterile


What makes up a medicine then?

All medicine in NB RPG have 2 aspects to it:

-Active Ingredients: these are the ingredients from which you'll borrow a given effect that you need for your medicine. For example, if you want to decrease the amount of pain someone has you can choose poppy seeds. The more active ingredients you add, the more effects you'll cover but the less effective each of them will be.

-Solvent or Medium: this is the medium in which you'll put the active ingredients for delivery to your patient. For example, if you want it to be ingested, you need a medium that can be digested and helps to absorb the active ingredients. There are 3 types of mediums: simple steryle non mineral water (distilled water, normally the norm for injectable IV or IM medicines), oils (any vegetable oil, normally used for skin absorptions or simple mucosa absorption) and other organic mediums (milk, juices, sap, honey, etc, generally used for ingestable medicine), each picked depending on the ingredient, type of delivery, etc.
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These are picked based on Chinese and oriental knowledge for medicinal herbs. There is no fixed rule as long as what you describe how and why you added each compound. A herbal list we have will help you but so will google. Since the effects are beneficial either way but not exactly a cure, there is no harm in some freeform as long as its logical and supported somehow.

How can these medicines be applied then?

They can be ingested (and in this case, they can be shyrups or pills), injected (either subcutaneously, intravenously or intramuscularly), inhaled (as either powders or mists/gas) or absorbed through the skin or mucosa (as creams, ointments, etc).

Are they similar to real life medicine in their effects?

Yes, to some extent. We disregard side effects ( too complex to implement) and we add the notion that, like with everything in narutoverse, chakra makes everything faster, stronger and more effective. So an antibiotic medicine that would need to work in RL in 7 to 8 days, can be made to work from one RP day to the next.

What effects can be made into medicine?

The main ones are:

• Fever medication (to decrease body temperature and keep it at normal levels)
• Pain medication
• Anti-inflamatory medication
• Antibiotics
• Antidotes (these will be covered in a specific class but are medicine none the less and obey the same rules)
• Anxiety medication
• Sedatives
• Anti-psycotics (these, in narutoverse sense, will help deal with the after effects of Genjutsu, like mental stress and pain)
• Various Nutrient Concentrated Combinations (stuff like a supplement of Iron and Folic Acid to help deal with blood loss or Vitamin C boosts to help improve your defenses against infections)
• Regenerative pills (help to regenerate tissue or heal wounds)
• Vital Faillure Medicine (stuff like adrenaline to help with cardiac arrest or diuretics to make your kidneys function)
• Chakra Medicine & Chakra Medicine (this is a very specific and advanced type of medicine that will directly influence the takers chakra; one can create medicine to more rapidly regenerate chakra, to improve a given skill or technique or even to empower his own body through the use of chakra)
• Empowerment Drugs (these are medicine used to empower your own physical abilities, not through chakra (although they can be combined with those effects for a maxed effect) but through physical organic empowerment like, for example, increasing speed, strength, etc.

But how do we use this in a battle?

You don't. You'll never have time to make a medicine in the middle of a fight and that medicine would never be fast acting enough to be of any help to you during that fight. This skill is solely to use when treating patients in treatment situations, where there is no limit to moves per post but only limits to how much chakra you can spend.

There are, however, medicine you can use in the middle of a fight. These, however, are pre-made and stated in your bio. You'll be able to make a custom medicine for yourself and submit it for approval. If its approved, you can add it to your bio and, like a kunai or some other tool for your fight, it will be there at your disposition in a fight. These custom medicines are made following these principles but are unique to you and are considered to have been made before the fight even starts.

Let's then create a medicine just for example:

I have a patient that has a stomach ache, so I need something that acts calming on the stomach. Also considering the solvent I will need something he can ingest that will help calm his stomach and be absorbed.

After a quick search I find two active ingredients: chamomile and mint. Both have calming effects and both can be digested in the stomach. Both can also be easily infused into any organic liquid so, to help with the calming, I choose goat's milk. Its very rich in all nutrients but, like all milk, its also alkaline in nature, helping to treat stuff like "heart burn".

I put a few fresh leafs of a mint plant in the mortar a long with some dried chamomile leafs, add some milk and crush it all with the pestle until its a uniform paste. I add more milk and stir, creating a thick shyrup. I want it thick to be stronger. I then give it to my patient. After a few minutes, he feels much better.

Let's make an ointment now for demonstrative purposes. Situation: a patient came complaining about a rash that is the result of a poison that was poured over his left arm.
After cleaning the skin of all possible poison residue, I inspect the skin.

Right on touch I notice it's warm, it's red (irritated) and the patient is complaining it hurts on touch. So logically I need something that will cool the arm down, counteract the redness and remove the pain. For that I use mint again (because it has a cooling effect), the roots of a dandelion which both counteracts the red coloring AND the pain because it slightly numbs the skin.

Again I put those in the mortar, add some olive oil and crush it til I'm happy with the result. Oil will protect the skin from harm while also making sure it doesn't dry up. Its also ideal for ointments and, in the case of olive oil, has both reparing and calming properties and is ideal to mix herbs into it. You could use other mediums like water but ideally, in the skin, because it takes longer to absorb, you want a medium that will last in the skin without evaporating. I clean the area with simple water, dry it up carefully and apply the ointment in shallow slow circular movements.

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Training:

Create a medicine for a patient with skin ulcers disease/condition

 

[Jᴀʏ]

Killua could see that his colleague suffered from a skin ulcer, an open sore or wound developed on the skin. Killua would first disinfect the wound using an antiseptic. Then he would use chamomile oil, an oil that would effectively reduce the inflammation and pain, and pour it into a bowl with more antiseptic. Killua would finally add this oil into some moisturizing cream in an effort to cream the wound as moist as possible. The combined result would be an ointment Killua would gently rub onto the patient. The ointment would reduce the pain and inflammation, whilst simultaneously disinfecting and keeping the wound moist. "There we are..."

 

[Klad]

Jokyo Dokubutsu (Poison Removal)​

Okay so this is a tricky one . To begin with, this technique does not cure a poisoning; it simply extracts a portion of the poison and prevents immediate death by delaying the ongoing poisoning. It mainly allows a medical nin enough time to prepare an antidote for the poison and to slow down the effects of a poison used against the medical nin so as to give them time to escape or prepare an antidote for themselves. A patient will still die from a lethal poisoning even if this technique is used if the poison is not treated. Truth be said this technique is less effective against highly advanced poisons that have very fast acting times.

(Iryō Ninjutsu: Doku Ekiso) Medical Technique: Poison Extraction Jutsu
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra: 20
Damage: N/A
Description: An advanced medical jutsu used when the user cannot make enough antidote to cope with a poison. This is used to extract a great deal of the poison from a body, and then the antidote can be administered. The user will need a medium (his own chakra or a chakra receptive medium compatible with the human body, like water) which he will insert into the patients body, using his chakra to gather the poison directly from the tissues, merging it with the medium to then remove and discard. The technique can only remove a limited amount of poison and will not negate any ongoing effects as it cannot remove poison already being metabolized/in effect. Because of this, the medical ninja will still need to administer an antidote and will need to use the technique twice to remove all of the poison from the patient.
Note: can only be used twice, each use delaying the effects of the poison for 2 turns.

The jutsu works in the way that you insert (either your chakra or another highly absorbable, chakra-reactive medium) into the patients body, where it then looks for the poison in various vital organs, and when it finds it, it binds it to it's own energy and draws it out of the body. If using your own chakra (which you will most of the time) then that chakra cannot go back into your body otherwise you'll poison yourself, you have to discard it, if you're using the previously mentioned medium you have to throw it away. The use of specific chakra receptive mediums helps to mitigate/diminish the risk of self poisoning or injury when dealing with unknown poisons and, more importantly, with corrosive ones.


Removing the poison makes it easier to heal. You remove the "inactive" poison that is circulating the patients body and hasn't yet affected any tissue. By removing that you prevent further injuries and damage into the patient. However, the poison which is already affecting the tissues needs to be dealt with with antidote. If you didn't remove the "inactive", unused one, you'd need to supply antidote for a much longer period of time and would risk losing the patient in the inbetween.


Q&A

First of all, what would constitute a "highly absorbable, chakra-reactive medium"? Would this be some form of medical tool, or other cannon instrument we could use, or would it have to be, for example, a Custom Weapon which absorbs chakra?

The Highly Absorbable chakra-reactive medium can be Water, Wood, etc. It can be anything that reacts with chakra and is compatible with organic medium. Water was what we saw used in the manga by Sakura but you can also simply use your raw chakra. Wood is a possibility as its organic in nature and would be a nice medium for this. In theory, other elements/materials that are compatible with organic living things or that exist inside them can be used.

Is there any particular reason the technique cannot extract all of the poison? And, building on that question, if several med-nin worked together at once, would they be able to extract all of the poison? Or is the fact that we cannot extract it all tied into how poisons affect our bodies?

Poison will cling to the cells and tissues in a way that prevents you from pulling it all out without damaging the patient in one go. You need to take the first portion first, then redo the procedure to remove the remnants that might be left. In essence, you'll only be removing the poison that is "waiting to act" in the body, not the one already acting. Think of it as cleaning spilled oil on a surface. First you pass a cloth that takes the majority of the oil but there is always some left on the surface. You then pass a new cloth once again to clean whatever is left.

Would this work on other toxins aside from poison, such as, for example, venom? Or would this extract solely poison, and leave us unable to extract other deadly toxins?

We will speak about Poison, Toxins and Venoms further on but to answer your question, in terms of our RP, all 3 are cured in the same manner: remove + antidote.

What is considered an advanced poison? Considering that the technique is only B ranked, I'd assume that everything poisonous above B rank is too strong to be extracted, right?

Advanced poisons are all the custom poisons, the specific poisons. Anything not existing in real life/nature/narutoverse nature. Basically, man made poison. Poison form normal Poison Release techniques isn't considered advanced. Sasori's poison is considered advanced poison though severely slow acting.

 

[Jᴀʏ]

I understand, no questions.

 

[Klad]

Kaidokuzai Sōzō (Antidote Creation)​

This is actually a simple more specific application of Medicine Creation developed solely to counteract Poisons, Toxins and Venoms.

An antidote is a substance you'll administer to your patient that will counteract the effects and the progression of a poison, toxin or venom. It not only neutralizes poisons, toxins and venoms that are in the body and not in effect yet as it also neutralizes them when they are already acting while also countering the effects their triggered in the patient. Basically,you do the same and follow the same principle as in Medicine Creation as an antidote is, basically, a medicine.

But how do we know what to put into the antidote?

For this you'll need to first use either the poison extraction technique or the poison extraction seal. In the case you use the technique, as you'll be using diagnosis in tandem, you'll be able to know, as you gather the poison and extract it from the body of the patient, its components and mainly its effects. If you use the sealing technique, you just unseal the poison and use diagnosis on the poison to the same effect.

Once you know what the poison is made of and what it can do, you'll be able to determine what herbs and solvents to mix to create an antidote. But here comes the issue: how can you, an NB RPear, know what herbs and what not to mix to counter a custom poison for example? Its not easy and it would become overly complex for the RP to make players do this. Thats why it was decided that creating fixed component of all antidotes, called antiserum* thats made of various herbs, antibodies from various animals and humans, that can counteract any and all non specific or custom poisons, toxins and venoms.

*in reality, antiserum is the component of blood in which passive immunity to diseases is "memorized". Basically, once you're exposed to a disease your body will create antibodies to combat, leading you to cure that disease. Those antibodies don't disappear. Instead, your body creates more and keeps them in the antiserum, circulating in your body for a time when the disease might attack again. If that happens, the antibodies will attack the disease before it infects you and you trully gain immunity to the disease. Vacination works on this principle. And real life antidotes to snake and other poisons, venoms and toxins is often produced and derived from large mammal antiserum (horses, pigs, etc).

Ofc, you'll still need to add specific herbs to counter the effects that poison, toxin or venom creates in the patient but you won't need to worry about finding herbs that are capable of neutralizing the poison. Some toxins, poisons and venoms though, have very specific antidotes, clearly known and defined. When its such a case, you simply use that.

Ok, so how does it actually work? And what technique is that?

So, lets start by stages:

1. Extract Poison and Analyse it
2. Determine the effects you need to counter and if the venom/toxin/poison has a known antidote
3. Gather the antisserum to counter the poison plus all the active ingrdients needed to counter its effects plus a suitable medium for delivery
4. Mix them all together and create the final medicine, your antidote
5. Administer it to the patient
6. Monitor results

Like all medicines, you can choose to administer it in various ways but, normally, intravenously or intramuscular methods are best because they are much faster acting.

But this isn't practical in combat!

Ofc not. Even a very experienced poison master will not be able to counter poisons in combat as you first need access to the poison. However, if you had access to the poison before, you can create an antidote for it and save it on your bio for future uses.

Additionally, you'll always have with you a medical scroll containing all the known herbs you'll need, most mediums/solvents possible and infinite amounts of antiserrum. This way, your own priority is surviving until the end of the fight so you can then produce and administer the antidote for a poison affecting you.

In the long run, however, the best survival possibility is to have someone to treat you if you ever become poisoned.

So, there's really nothing we can do in a fight?

Well, there is a minor technique that might save you long enough to produce the antidote. But its no sure method. This technique is a variation of Power of Resistance but directed at Poisons and Toxins. It works by halting the progression of the poison using chakra, focus and will power. It can't be used until the first effects of the poison are felt though, so you won't be able to fully remain unscaved. Its a self usage technique that cannot be used on others.

Upon feeling the first effects of the poison, you'll focus and use the same method as Power of Resistance to raise your resistance but this time you'll visualize the poison and your own body and focus on having your chakra "hold the poison in place". You cannot expel the poison, neutralize it or cancel it. No. You simply temporarily stop its effects. The first effects you felt, will be there but there won't be a progression of symptons for as long as you can sustain the technique.

But then here comes the various limitations. The technique requires constant chakra input so the effort and drain of chakra is enormous. Additionally, if you're in a fight, you'll consume one of your allocated moves per turn the first time you use the skill. While using this will still allow you to use other techniques at the same time (its treated more as a passive skill), the longer you use it, the longer the cost is and the harder it is to focus and maintain the technique.

(Iryo Ninjutsu: Doku Teikouryoku) Medical Technique: Poison Resistance
Type: Supplementary
Rank: N/A
Range: N/A
Chakra: N/A (40x(Z), with Z = the number of turns while using it)
Damage: N/A
Description: The user will raise his resistance enabling him to stop the progression of a poison, toxin or venom he might have been contaminated with after feeling its first effects. This will not cure the poisoning but rather stop its progression so the user can continue to fight, hopefully winning the fight, to then be able to treat the poisoning. This is a passive skill that only consumes a move when activated, passively draining chakra, focus and stamina from the user as each turn passes.
Note: Poison masters will be able to do this technique with half the chakra cost.

Btw, this technique has no other defensive effect other than stopping the progression of a poisoning once it starts. This poisoning, however, can be of any origin like custom elements or custom poisons but cannot be an infection like from bacteria, fungi or nano-insects.

Materials needed:

Add these to your summoning scroll

抗血清 - antisserum
ハーブ - various medical herbs
溶剤 - various solvents and mediums
​

All can be used to summon any known medical herb, antisserum and any known solvent and medium. These can also be used for medicine creation if you wish.

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Homework and Training

-Research and explain what a Venom, a Poison and a Toxin is

-Practice making antidotes

 

[Jᴀʏ]

1. Posion is more or less a broad term for both toxins and venoms, poisons are substances that cause disturbances in organisms, usually by chemical reaction or other activity on the molecular scale, when an organism absorbs a sufficient quantity.

2. A toxin is a poisonous substance produced within living cells or organisms; synthetic toxicants created by artificial processes are thus excluded.

3. A venom is a poisonous substance secreted by animals such as snakes, spiders, and scorpions and typically injected into prey or aggressors by biting or stinging. Unlike the toxins and poisons, Venoms are usually released from summons in regards to the Narutoverse and the RP.


In response to countering a poison, venom or toxin, one will first take note of the symptoms, in order to identify the symptoms, you then use your knowledge on said venom to construct an antidote outside of battle. You can use something to ease the symptoms in the mean-time like we had learned earlier. Killua would after absorbing this information, grind up a number of herbs in the classroom and mix in the oil he had created earlier. After creating the antidote, you need to deliver it. Through injection or injection, there are many ways.

 

[Klad]

Hone Chiyu no jutsu (Bone Healer Skill)​

When an ally or yourself have broken or fractured a bone, you find yourself in need of fixing it. The ideal way to use this technique is to prepare a concentrated calcium + vitamin D pill with medicine creation to aid the technique but in the absence of the pill (when there is no time to prepare it) it is possible to force the patient's bones to connect together and heal into place without the pill.

Chiyute is, in truth, a variation of the Mystical Palm technique which uses less chakra and is somewhat easier and faster. The technique works by, after setting the bones in place or near it, forcing the osteocytes to grow a fracture callus (harder and stiffer bone growth around a fracture point) to "glue" the bone back together, essentially healing the fracture.

It is important to remember that bones must be properly and often painfully set back in place (or as near in place as possible) before they are repaired. While possible to treat complex fractures, if the bone in question is shattered and pulverized into tiny pieces, the technique will not work and you need to use more advanced methods.

A big limitation of this method is that often in a fracture, there is damage to the surrounding tissues, something this technique does not repair. Ideally, and to make it both faster and more effective, you'll need to use this technique to heal the bone and mystic palm to heal the tissue faster. The end result is spending less chakra and time to treat the same injury as opposed to using only mystic palm.

Finally, the technique is ineffective in spinal fractures. Because the spine has a complex level of nerves and the spinal cord closely linked to it, a fracture to the spine needs to be treated by the most advanced techniques available in a different method.

(Iryō Ninjutsu: Chiyute no Jutsu) Medical Technique: Bone Healer Technique
Type: Medical Ninjutsu
Rank: B-Rank
Range: Short
Chakra: 20
Damage: N/A
Description: When facing a clean and complete bone fracture of a bone and having had manually set the bone in place, the user will focus chakra through his palms and pass them over the fracture, forcing his chakra to influence the osteocytes to start releasing their calcium, which then creates a welded suture between two ends of a broken bone. After that, the stimulated osteocytes lock the calcium back into their structure and the bone is completely healed. Despite not healing any injury to the soft tissues surrounding the fracture, the technique can be very useful when treating simple, clean fractures.

Q&A

"Since it's a variation of Mystic Palm, I assume you're able to perform other techniques and procedures such as blood coagulation whilst healing the bone right?"

You can help the technique to work better using at the same time any skill that doesn't need a technique to be used.

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Training:

Treat a fractured bone from your collegue.

 

[Jᴀʏ]

Before him, Killua would find one of his colleagues with a broken leg. Killua would quickly pick her up in a way so as to not cause her any distress. Upon lying her down on one of the tables, Killua would quickly set the bone in place. With no vitamin D + Calcium pill, Killua would have to use Chiyute. He would use a technique similar to that of Mystique Palm but faster. This would cause the osteocytes to grow a fracture callus, that would essentially glue the bone back together. Enabling it to heal faster.

 

[Klad]

Shōsen Jutsu (Mystic Palm)​

This technique is established as your core skill for healing injuries and lesions on your patients. It allows you to basically do anything you wish with few limitations when it comes to healing. However, such a versatility comes with a price as otherwise we wouldn't need to learn all the other methods if we could do it all with a simple technique without drawbacks.

(Iryō Ninjutsu: Shōsen Jutsu) Medical Technique: Mystic Palm Technique
Type: Supplementary
Rank: S-Rank
Range: Short
Chakra: N/A (2X the amount of damage healed)
Damage: N/A
Description:
This medical ninjutsu allows the user to speed up the body's natural healing process by focusing mainly Yang chakra onto their hands, forming an aura of greenish healing chakra which he then sends into a wound or afflicted body part. This allows the user to heal a patient without the need for medical equipment or surgery, making it very useful on the battlefield. It can be used to treat both external and internal injuries. It is vital to match the amount of chakra used to the severity of the affliction or injury. This requires a great amount of chakra control. Because of this, only a few highly skilled medical-nin are able to use this technique. The limitation of the technique is that it cannot regrow missing body parts or deal with poisons or toxins, though it can heal its damage. Additionally, perhaps its more severe drawback is the chakra cost, which, as the technique stands as a jack of all trades in terms of medical ninjutsu, is much higher than any other medical technique. For each damage point the user of the technique wishes to heal he needs to spend twice as much chakra. Basically, for X amount of damage the user needs to spend 2X amount of chakra to repair/heal. The user can also use this technique on himself and it can be used with one hand or two and even in two targets at a time or while using another technique with the other hand. The speed of the healing is fast but not instant, specially in internal injuries.

Lets start by how it works. This technique basically infuses vitality (or, in other words, Yang Nature chakra) into your patient. This forcefully makes his tissues and body heal up from any lesion. Highly effective against traumatic damage. You can make the cells divide rapidly and fill in missing tissue in small quantities. You can repair bones, minor peripheral nerves, necrosis, etc. Pretty straight forward.

Not all pink and fluffy though. This technique requires a lot of chakra (for example, to heal the equivalent of an A-Rank technique's damage, you'll need 120 chakra points), concentration/focus and time. Yes, time. Its a very slow technique which means that your patient needs to be somewhat stable to last long enough for you to use it for the time it takes to heal him. It also can't cure poisonings nor mental damage. It can cure the damages left behind by poisons and toxins but it won't remove them or leave them inactive. It can heal up your brains tissue but it won't bring back memories or fix mental damage. It can't also grow missing body parts though, if a remnant of an organ still exists, it can make it regrow.

Its important to know though that, lets say you take a Chidori (A-Rank, 60 damage) to your shoulder. While you'll receive that damage initially and you still have tons of health left, the result is not only 60 damage for you to heal. Each turn/20 minutes that passes, your tissues will get further damaged, your blood loss will lead to further tissue damage and, after the equivalent of 3 or 4 turns, the damage will have multiplied by that same amount.

Basically, when it comes to a medical ninja calculating how much he needs to heal and how much real damage a patient has:

• B-Rank techniques and bellow - damage to be healed is in the same amount that the technique does though 30 damage can be as lethal as 90. For example, if you cut someone carotid artery with a C-Rank wind technique, the damage to repair will be 30 but the wound itself can be fatal.
  
• A-Rank techniques and above - the technique does an initial damage that, by the end of 2 turns, has multiplied by 2 for practical medical effects. So, for example, an A-Rank damage, at the end of the 2 turns will have transformed into 120 damage due to pain, blood loss, suffering, etc. The damage continues to multiply, doubling every 2 turns until something is done to stop its progression. That why some injuries that aren't immediately lethal can lead to death. Others, despite doing, imagine, 60 damage, might cause immediate death. The health pool of ninjas in our RP serve only to asses how long they can survive after receiving non-immediate lethal damage. Nothing else and only has a value for medical ninjas, being of no use in battle assessments.

This knowledge is paramount in assessing how much chakra you'll need to spend and makes it essential to stabilize the patient and initiate what we call "primary care" (restoring blood, initiating blood coagulation, giving anesthetics, etc) which will stabilize and prevent the damage from increasing before you actually begin to use Mystic Palm to heal the damage. It also makes it essential to assist the patient as soon as possible as, the longer time passes, the worse the patient will get and, if his health reaches 0, he's beyond salvation.

Also, yes, Mystic Palm can be used on you but, because its unlikely you'll be able to perform correct primary care on yourself, it will take long and cost a lot of chakra.

As a benchmark in terms of time, getting pierced in the shoulder by a Chidori, leaving a gapping hole but avoid major organs, requires, in battle, 4 turns of none stop healing. You spend the 120 chakra points (assuming you start right after the injury) and need to continue performing the technique through those 4 turns, with focus and concentration. Cuts will be easier to heal than a fractured organ. But the worse are combinations of both external damage (like cuts) and internal damage (like fractured organs), similar to the example of the Chidori wound (which is both internal and external damage).

When its done in a healing thread or, after a battle has ended, before you go into a new battle as your final action, you don't have this time issue but you also don't necessarily have turns. So, how does it work? You'll post a single post with the detailed method through which you heal the patient (or yourself if its applicable) and stating time. In medical terms in our RP, 1 turn equals roughly up to 20 minutes or so of medical treatment.

---

Homework:

Train healing various injuries with all the methods learned so far.

Heal an injury using Shōsen Jutsu

 

[Jᴀʏ]

Killua would watch as one of his colleagues were brought in on a stretcher, there was a nasty sword wound on his back, but luckily no limbs for lost or broken. Killua would quickly channel chakra into his palms, and place this chakra over the wound healing the damage caused completely. However, he was unable to regenerate the tissue. He had infused vitality (Yang Chakra) into the man and managed to completely negate the damage caused by the injury.

 

[Klad]

Kin'yō Shippai Soshite Chiryō (Vital Faillure and Treatment)​

This would be the equivalent of a Trauma class in a real medical or nursing school. You'd learn all about trauma, injuries, etc and how to deal with patients in those situations. However, this is narutobase RPG and, unlike myself, you don't have medical training. As such, it would be highly confusing, lengthy and overly complex to explain all of this. Instead, we opted for a simplified approach by giving you the knowledge of basic things and how they make the bridge between reality and the RPG.

There are vital functions our bodies need to ensure in order for us to function normally and, well, live. Someone is sick when, due to a plethora of reasons, these functions aren't working as intended. Your job, as a medical ninja, is to assess which ones and fix them. To do so you need at least rudimentary knowledge about the most common vital functions and the most common issues associated with them.

Vital Signs:

These are various parameters that are measured in oder to evaluate how your body is functioning. They are 6

• Heart Rate/Pulse - Measured by putting your finger in either the radial artery or the carotid artery and counting how many "pulses" are felt in a minute OR by evaluating the electrical current in the heart. Since the heart beats based on electrical impulses that trigger the muscle reaction to contract the heart, each impulse is equivalent to a heart beat. With diagnosis it can be measured by detecting both the electrical impulses but also the pulses in the arteries. Measured in beats per minute.
  
  
  Bradicardia = low heart rate. Normally, anything beneath 40 to 30 bpms is bad. The normal is around 60 to 70.
  Taquicardia = high heart rate. Normally anything above 150 while not doing exercise is bad.
  Arrhythmia = abnormal/irregular heart rate. In a minute, the heart can beat sometimes fast, sometimes slow.
  Assytole = no electrical current in the heart muscle.
  Fibrillation = short circuit in the heart. Normally, what happens is that theres a lot of electrical activity in the heart but its not producing heart beats. The impulses happen and travel into the muscle but don't trigger a muscle response. There is no pulse but you can feel the electrical currents in the heart.
  ​
• Blood Pressure - Measured by diagnosis. Its the pressure the blood exerts on the blood vessels. It has 2 values: Systolic (max value, when the heart contracts and sends blood flowing) Diastolic (when the heart is released and not exerting pressure). Measured in mmHG. Its influenced by blood volume, diameter of the blood vessels and osmosis balance.
  
  
  High blood pressure or hypertension = blood pressure is high and can make weak vessels (like in the brain or eyes) rupture, leading to hemorrhagic strokes. Highly associated with stress, anxiety and nervousness. Pain and general distress might have that effect.
  Low blood pressure or hypotension = blood pressure is low and can make it so that blood doesn't heave enough strength to reach all the minor vessels further from the heart. Blood loss leads to hypotension. If the tension is too low, the person will lose conscious.
  ​
• Temperature - We already talked about this. Measured by a thermometer or diagnosis. Values are either degrees ºC or ºF.
• Breathing Frequency - How many ventilations are done in a minute and its characteristics. Breathing can be normal (around 20 to 30 cycles per minute), rapid, slow, superficial (when there is barely movement of the lungs and the ventilation as a result becomes shallow) or difficult (when the lungs have trouble ventilating). You can also have other charateristics like coff (normal sympton of irritation of the lungs/throat), secretions (normal sympton of infection in the lungs), etc.
• Pain - Pain is a vital sign, one that can be measured by diagnosis but is generally measured by the patient himself in a scale from 1 to 10, with 10 being the worse pain. If pain is high enough, it can make the person shut down and faint. Different people have different tolerance to pain.
• Suffering - A vital sign associated with the emotional distress brought upon the body. Its linked mainly to terminal patients and extreme physical pain.

Other aspects to consider as vital are:

• Consciousness - If the person is conscious or not. If he isn't, he might be easily awoken or not. If he isn't, even with painfully stimuli, you call it a coma.
• Orientation - if the person, while conscious, has normal grasp of time and space (if he or she knows where and when he or she is). If they don't, its normally considered that the person is confused.
• Body Integrity - basic aspect to look at when you asses a patient and a vital portion of a patients health. It basically means to check if the patients body is complete and without external visible injuries or changes. Wounds, abnormal angulation of bones and limbs, growths or edema (swelling), skin color, having all body parts one had, etc etc.
• Elimination - this basic means both feces and urine excretion. These need to happen normally in a frequent basis.

These are the main aspects you'll look for in a patient to assess if something is wrong with him in narutobase RPG. This is very very very basic and somewhat dumbdown so you can look up some aspect in the web to use in battles or for creating customs.

Main Problems, Conditions and Diseases in Narutobase RPG:

• Skin and Soft Tissue Trauma - simple to understand. It pertains to bruises, hematomas, cuts, stabs, etc. Basically, any wound on the body, both internal and external. You need to heal the wounds and treat their consequences (blood loss, pain, infection).
• Blood Loss - Loss of blood and all that comes with it. You'll need to help the body restore the blood, prevent more from escaping or replenish the blood.
• Infections - bacterial and viral infections, normally after your wounds getting infected. You need to fix the cause and treat the bacteria/virus. Don't forget the fever.
• Bone Fractures - heal the surrounding tissue and whatever lead to the fracture, treat the pain, set the bone and heal the bone. Normally, it goes toe and toe with wounds and other injuries, internal or external.
• Poisonings - stabilize the patient, remove the poison, identify it, produce the antidote, administer it.
• Chakra Flow Disturbances - detect the origin, negate it and restore normal chakra flow.
• Mental Trauma - if trauma isfrom a technique, release it or end it and if not, just move on to the next step which is to administer medicine to calm the patients mind and keep him sedated until the mind heals itself with time.
• Severed Limbs & Body Parts - same principle as with normal wounds but with more focus on containing blood loss before attempting to re-attach or heal the injuries.
• Heart & Breathing Faillure - detect the issue, keep blood flowing with CPR, fix the issue, keep blood flowing with CPR, use Thunder Hands to restart heart.
• Allergic Reactions - detect the cause, remove it, administer adrenaline, monitor reaction and vital signs.
• Extreme Fatigue - administer medicine in order to more rapidly restore the patient to normalcy levels of stamina.

 

[Jᴀʏ]

No questions, seems very straight forward.

 

[Shinta]

Right, not sure why you're up to your 3rd sensei (don't answer that if you're just going to bash/flame) but non-the-less, I'm here to hopefully be the one to finish this for you.

To start with, the following lessons are no longer part of the curriculum as they no longer have anything in the jutsu list attached to them:

You must be registered for see links

You must be registered for see links

You must be registered for see links

You must be registered for see links

You must be registered for see links

You must be registered for see links

If you have covered any of those, forget them ^^

Any questions thus far?

 

[Jᴀʏ]

Nope no questions, kinda salty I didnt notice you post tho lmaoo

 

[Shinta]

Right, looks like you only need to learn the canon medical ninjutsu list. I've done a search through your thread but please let me know if I've missed anything, I'm only human and a bad one at that.

---

I'm not sure if you've had me train you before but I prefer to deliver the information and you pick apart and tell me whatever you can/want about the jutstu. Ask questions about them, give me your thoughts on the certain jutsu, I just want to have more than "Cool jutsu, understood" (though sometimes I'll say way too much and that is all you can say xD)

Spoiler

( Iryō Ninjutsu: Chakra No Ito ) - Medical Technique: Chakra Threads
Type: Supplementary
Rank: B
Range: Short
Chakra Cost: 20
Damage Points: N/A
Description: This jutsu makes threads of chakra that the user weaves around the target, somewhat similar to those used by puppet users. The threads then embed themselves into the target and connect both the user's chakra flow and the target's chakra flow directly by the tenketsu surrounding their hearts and in that area. Because of this, the heart rate and chakra frequency of both ninjas equalize and become in-sync in the areas surrounding their hearts. Upon doing this, any alteration between the chakra flow of one ninja will affect the other in the same manner. If one ninja dies, so does the other. These threads are unbreakable unless you use a strong cutting jutsu (A-Rank and above). The technique can also be used to keep an ally alive by sharing with him ones life-force and forcefully making his heart beat as it feeds off the users own heart. This technique only affects the heart but as it's the primary organ to sustain life, it can easily affect the targets and user's life.
Note: Only Medninja or Fuuma Clan members can use this jutsu.

We saw this used a long time ago in the anime, I think it was in fillers during early Shipuuden or late Naruto. Even I can't recall right now.

I think the description covers what I need to say, though do ask any questions.

Spoiler

( Iryō Ninjutsu: Masui Sejutsu ) - Medical Technique: Secret Anesthesia Technique
Type: Supplementary
Rank: B
Range: Short
Chakra Cost: 20
Damage Points: N/A
Description: The user will charge a special chakra into one of his hands manifesting it as an ethereal pure chakra familiar, resembling a snake. It will then bite the patient, injecting chakra into him. This chakra is designed to render a patient unconscious. The effect takes some time to establish and the patient needs to be still for it to be successful but is very useful to perform surgery, suturing wounds, setting bones straight, etc as it effectively sedates the patient and acts as a general anesthesia. While it can be used in battle, its almost impossible to do so because of the time it takes for the sedation to work and the need for the connection to remain intact until it does work.
Note: Lasts 2 turns

Not really useful in battle unless they are already paralysed, but in terms of medical operations it has its use. Your chakra will take on the needed properties and you'll shape it into a snake of which bites and holds onto the target until they are asleep. They'll stay asleep for two turns.

 

[Jᴀʏ]

1. Jutsu that links the targets life force to the user, useful for stabilizing patients so you can treat them. Although quite dangerous in battle.

2. As you said not many in battle usages unless the enemy is paralyzed or something, however surgery or genjutsu with certain stipulations may be negated with this.

 

[Shinta]

Spoiler

( Iryō Ninjutsu: Chakra no Mesu ) - Medical Technique: Chakra Scalpel
Type: Supplementary/Offensive
Rank: D - A
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. 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.

Varies in rank and strength depending on the chakra you put into it, ranging from D-rank to A-rank. In surgeries, you can see the use for this and will have the ability and focus to make prevision cuts. In combat, aiming for certain tendons or blood vessels will be extremely difficult, not to say you wouldn't be able to sever a hamstring but aiming specifically for the spinal-cord between vertebrae would be extremely difficult. This remains active so long as you maintain focus and pay the chakra cost per turn.

Spoiler

( Iryō Ninjutsu: Iryō Mōdo ) - Medical Technique: Medical Mode
Type: Supplementary
Rank: A
Range: Short
Chakra cost: 30 ( -30 per turn active )
Damage points: N/A ( Heals up to 40 damage per turn )
Description: After forming 4 hand seals, this mode envelops the user in a flowing blue chakra and allows them to constantly heal themselves in the midst of battle while at the same time boosting their stamina and vitality as it replenishes their strength and health. The limitation of the technique in terms of healing is its low speed and inability to heal complex injuries (complex fractures, lost body parts, tissue loss etc), though it can heal superficial and medium injuries in a quick fashion. Over time, this mode consumes the user's chakra until it finally wears off by itself. The technique lasts for three turns before deactivation.
Note: Must have medical training.

The famed Mode of Medical Past... used to be a little more OP and Overused by certain individuals until it became what you see now. Good for healing kunai/shuriken wounds, blunt force trauma (not fractures) and the like but only to a max of 40 chakra points for turn.

 

[Jᴀʏ]

1. Kabuto!!! Medical Scalpel that can be used in surges and in battles alike, pretty dope technique to be completely honest. NO questions.

2. HUH, looks pretty dope, does this mean while the mode is on your practically immune to kunai etc. Heals up to B rank damage, so is that B rank immunity or?