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Klad

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Alright, this will be the thread where we do all the training, as not to spam the forum making countless threads. With the completion of Cleansing, we're onto the next lesson.

Tekishutsu (Extraction)

One of the most common things to happen to a ninja is to get a foreign object lodged somewhere in his or her body. Normally, this poses an issue as these objects tend to be weapons which are normally designed to inflict even more damage when forcefully removed from your flesh. Medical ninjas, however, can use this skill to, in tandem with other skills you'll learn like blood coagulation for example, remove an object lodged in a body without further damaging the tissue around it. So, when a patient's body has a foreign object in it, such as the point of a shuriken, a senbon needle, or an arrow, it is important to remove the object without further harming the patient. Using this technique the Medical Ninja places their hands on either side of the injured area and uses chakra to very carefully manipulate the surrounding tissues in order to remove the object without causing any further damage. Depending on the severity of the wound and nature of the object, it can take anywhere from a few seconds to a few minutes to remove it.




Training:

Remove various foreign objects from your partner (wood splinters, kunais, senbons, etc)

As usual, have a NPC assist you. Questions?
 

Gin-San

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Gin noticed as he saw a man filled with wood splinters and senbons all over his body. It was clear it was a shinobi who had come back from a successful mission, he had been injured. His wounds did not seem severe though, which might be why he had been in charge of extracting the foreign objects.

Taking a deep breath, he quickly summoned cleansed all of me in his hands, and over all of the patient's body to prevent any infections caused by extractions. Next, he analysed the areas were the wood splinters and senbons were located to make sure the extraction will not create a hemorrhage or that it would not be close to a critical location. Noticing that all wounds were superficial and had no risk of extraction, he then took a piece at a time, placing the residue on a plate with one hand as he cleansed the wound with some disinfectant with the other. He performed this until all foreign objects had been extracted.
 

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Great! Especially good that you did not forget using the cleaning techniques.

Kuchiyose No Jutsu (Summoning Medical Tools)

A medical ninja, regardless of his skill, will always face situations in which he'll need medical tools to treat patients. Be it to create antidotes or medicine, but to also stitch or bandage wounds, you'll always need to make sure you can access medical tools and supplies to treat patients.

*Hands out a scroll to each of you*

This technique allows a Medical Ninja to summon some of the tools of their trade. It is not practical to carry around syringes, scalpels and other tools but a scroll that can be used to summon these and other similar objects is both practical and convenient.

So as for any good summoning jutsu, you need your blood and a few kanji which you can all find in your scroll. You are expected to carry it with you at all times. It includes:

(Kuchiyose No Jutsu: Eisei Yougu) Summoning technique: Medical tools
Type: Supplementary
Rank: B-Rank
Range: N/A
Chakra cost: 20
Damage: N/A
Description: The medical Ninja will bite his thumb and do the summoning handseals before pressing his palm on the scroll. He will summon any of the medical tools he needs that are listed on the scroll, all or just one, depending on his own needs.
Note: This can only be used by Medical Shinobi.

メス - scalpel, sterilized
ナイフ - knife
アルコール - a bottle of 96% ethanol for disinfection
水 - a bottle of sterilized water
スポイト - syringe, sterile, for one time use only
アドレナリン - adrenaline, to be injected intravasulary, induces faster heartbeat
包帯 - bandage, sterile, 8 meters in length
血液 - a set of everything you need to draw someones blood (Sterile syringe, vacuum system and a test tube.)
温度計 - mercury thermometer, for axillary or rectal use
ベッド - a mobile bed to carry patients
バグ - bug spray, effective against all bugs, lasts for 2 turns (used in cases when your patient is having a reaction to multiple bug stings, and there are still some bugs around it, so you spray-kill them. Kills bugs up to A rank if they've been created/summoned from a jutsu like the Aburame techniques)
テント - a small tent, just enough for two people to lie in
光 - a flashlight
ガスマスク - gas mask with a bottle of oxygen that lasts 5 turns (Not 100% effective against all types of poison/gas. The purpose is to protect the user from breathing in toxic substances, keeping the lungs safe. However, if the poison gets absorbed through the pores of the skin it will still affect you).
流体 - a set to start an intravenous fluid addition line, helpful with dehydration amongst many other conditions
モルタル - mortar and pestle, chemically clean
スプーン - spoon, sterile
パテ - putty knife, metal, sterile
研究所 - a small tent. Into the walls of that house, parts of Nexus' eyes DNA have been inserted, so now it mixes Time And Relative Dimensions In Space , creating an effect of being larger on the inside then it is on the outside. Inside is an advanced ninja laboratory with everything needed to create antidotes and medicines.



Homework:

Pick 3 medical tools and explain how they can be helpful to you as a medical ninja.
 
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スポイト - syringe, sterile, for one time use only
Useful for the extraction of blood for sample use. With a blood sample one can analyze the composition of blood and any abnormalities. Also useful in the introduction of vaccines or medicine into the body with low risk of infection.

アドレナリン - adrenaline, to be injected intravasulary, induces faster heartbeat
Adrenaline as described is used to induce a faster heartbeat, which causes blood to be transmitted much faster through the body. It is used to treat cardiac arrest, drug overdose or superficial bleeding. In combat, its used to give a soldier "second wind" to ignore pain temporarily. Does not substitute actual medical attention and can be fatal in large doses.

包帯 - bandage, sterile, 8 meters in length
One of the biggest things to remember when it comes to external bleeding is pressure. Pressure keeps blood within the body and reducing bleed out enough for medical attention. In addition, it keeps the area firm and minimizes motion that might re-open the wound. Lastly, it also protects the open wound from environmental factors that might produce infections.
 

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Keksuki Gyouko (Blood Coagulation)

This is a fairly simple healing skill that takes a single turn and costs no chakra. The user uses his chakra on a wound to make the blood there coagulate and stop bleeding. This is primarily used as a preliminary treatment option as it does not close wounds. The bleeding from superficial wounds can easily be stopped while we're at it, but deep wounds and "blood leakages" can require several minutes to stop, or can't be stopped at all; meaning simply you can't stop every bleeding, sometimes it takes surgery or so larger scale procedures. All in all, this is ideal for superficial wounds - doesn't requires much work, but stops the bleeding.

Although most of you covered the basis, I cannot correct each of your works individually pointing out what was missing or not so I'll simply make a small concise explanation of what I want you guys to know.

The Coagulation process is one of the most basic but yet complicated processes of the human metabolism (and all animals with blood). In simple terms, its the process through which blood becomes thicker and ultimately solid (cloth) if necessary; its the process through which blood thickness is altered. Taking this basic idea, Blood Coagulation is often dispicted as a stagnant occurrence, triggered only when a trauma occurs and hemostasis is needed.. However, its beyond that idea and is actually an active process constantly changing and balancing the blood's fluidity.

Its a simple idea, although the process itself is complicated. The blood, as a fluid, tends to escape the pathways through which it circulates. These pathways are the blood vessels (arteries and veins). Blood vessels have, inherently a given permeability to enable exchanges between the blood and the cells on the outside of the vessel. The coagulation process serves as a basis for these exchanges to work and is constantly adjusting the blood fluidity in order to keep it flowing in a correct way, containing it in the vessels but maintaining circulation. If the blood is too thin and fluid it will escape the vessels and a passive hemorrhage occurs, disabling the normal exchanging process. If the blood is too thick, it will form cloths, clogging the blood vessel and preventing circulation (trombosis).

This is the process that keeps working 24/7 on adjusting the blood in order for the human body to work and is an automated passive process of our metabolism. Many factors revolve around them and I don't expect you guys to know them all obviously. Vitamin K, Platelets, Fibrogen, Colagen, Water, Ionic Concentrations, Genetic Intrinsic Factors (also named often the coagulation factors), etc all play a part in keeping the passive balance in order. However, this process serves another purpose, which is the main one for our application here in Med School. If blood vessels are ruptured, the blood spills outside of them and a traumatic hemorrhage occurs. Because blood is one of the core participants in the metabolism, the organism can't afford to lose too much of it, so it has to stop the bleeding. This is done through the hemostasis process, a process through which blood is used to produce a cloth of platelets and fribin in the rupture, stopping the bleeding and enabling the repairs to start.

Coagulation works through 2 main factors: The Cell Factor (platelets) and the Protein Factor (Coagulation factor). Basically and resuming it way down since I only want you guys to hav an idea of it, not all the medical details, when a tissue is ruptured and cells are damaged, a special batch of proteins are scattered throughout the wound and surrounding area (they are released as a byproduct of the traumatic destruction of the cells and celular tissue). When the blood comes in contact with these proteins, the platelets and a special protein in the plasm (the "water" base of the blood where all the nutrients and minerals and etc are transported) called fribrogen changes and immediately the primary hemostasis occurs, as a "tampon" of aggregated platelets forms at the rupture, stopping the bleeding. At the same time,the secondary hemostasis ocurrs, through which a complicated chemical and physical reaction ocurrs in the proteins in the plasma, triggering a cascade of reactions that has the byproduct of producing fibrin strands that strengthened the platelet "tampon" and form the definitive cloth. These proteins in the plasma and the cascade reaction of them is the process through which blood becomes thinner or thicker, by the presence of more or less fibrin and its thicker or thinner structure. Fibrin is a thick and gel like protein that combines with water to give plasma its main body (and through more or less "gel", more or less thicker it becomes).

Okay, so, with my explanation and while writing your homework, you all learned (hopefully) what's the basis needed for blood to coagulate. This technique and the procedure around it doesn't makes it do so, and there is nothing you can do to make successful blood coagulation occur, because it is simply too complicated and has too many factors involved. What you can do, however, is help the body while it's trying to do it on its own. This implies that the patients blood has to be able to coagulate on its own already, meaning that all coagulation factors must be present and functioning in his body, he has to have blood, etc. This means that you simply make your patients blood coagulate faster than normal by aiding it with your chakra.

You do so by laying your hand on the wound and infusing it with your chakra, molding, willing your chakra to be of a certain nature that will help the body in the coagulation process; and you do so by simply imagining the chakra how it goes to the blood vessel and starts sticking fibrin and blood platelets together over the damaged area. Pretty simple and doesn't count as a move or requires a technique.

Are there any questions?




Homework:

Explain how blood coagulation works in your own words and how it relates to narutoverse, chakra and a medical ninja's role.
 

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Blood coagulation is the body's natural repair response when external trauma occurs. Depending on how quickly and effectively coagulation occurs, it might lead to either further bleeding, bruising or the cessation of bleeding. What basically occurs is that blood, which is naturally a liquid, turns into a gel which forms into a blood cloth. This effectively stops superficial bleeding and there are no further precautions needed other than general antiseptics to take care of possible infections.

In the Narutoverse, blood coagulation occurs in the same matter as in the real world. In the world there are drugs that can help induce blood coagulation or fasten it. While a medical ninja might be carrying coagulants with him, there could be an occasion where these are not available. Thus, chakra is used to induced a similar response to these drugs by inserting it into the body and imagining the chakra sticking fibrin and pallellets together. It is a good technique to stop superficial bleeding and aid other ninja when it is not possible to give proper medical attention.
 

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Chishio Tensou no Jutsu (Blood Transfusion Skill)

Loss of blood is a serious condition, and a not very uncommon one in the shinobi battlefield. When a person reaches such a dangerous state, a Medical Ninja can ease their symptoms by using this jutsu. First, the medical nin places a surgically precise cut on the patient and then another cut on the donor. The donor and the recipient must have their respective cuts within six inches of each other; this is typically accomplished by cutting their opposing arms and having them lay beside each other. The Medical Ninja then forms a sphere of chakra between the two cuts drawing out blood from both patients and altering it so that the blood type of the donor matches that of the recipient. It is important to remember that taking more than 1 pint of blood from a donor is extremely dangerous, even with the loss of only 1 pint of blood the donor may suffer from dizziness and fatigue.

The Technique:

(Iryō Ninjutsu: Chishio Tensou no Jutsu) Medical Technique: Blood transfusion Technique
Type: Supplementary
Rank: A-Rank
Range: Short
Chakra Cost: 30 (per turn)
Damage Points: N/A
Description: Once the Medical Ninja has a donor (a willing one or not), he or she makes two small cuts, one on the patient, and one on the donor, placing them side by side so it is easy to put those cuts about 30 cms apart. Then the Nin forms a chakra orb which then transfuses the blood from the donor to the patient. The technique requires high levels of chakra control and can even change the blood type of the donor to match that of the patient.
Note: It transfers 400ml of blood per turn



Homework:

The homework for the class is to write a small description and explanation of blood loss and its effects on humans, namely in narutoverse context. You'll be graded in how you can join real life logic with narutoverse logic.
 

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There are not many differences in what occurs during blood loss in the narutoverse and the real world. If any, is that some resilient characters in the narutoverse can withstand substantial injuries that would instantly kill someone, and thus the damage and blood tolerance might be a bit different. In general though, speaking about the average human in both context, both suffer the same sort of symptoms.

Initially, bleeding could cause headache, fatigue, nausea, profuse sweating, and dizziness, and these are the mild symptoms usually seen. If the wound/s have not been treated, then the symptoms become much severe, such as cold or clammy skin, pale skin, rapid shallow breathing, rapid heart rate (trying to oxygenate areas), little or no urine output, confusion, weakness, weak pulse, blue lips and fingernails, lightheadedness, loss of consciousness and ultimately, if not treated at all and if too severe, death.
 

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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).

.



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'




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.
 

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-Which part of the body initiates the increased tempreature, and how does it happen (On the cellular level)?
emperature is ultimately regulated in the hypothalamus. A trigger of the fever, called a pyrogen, causes a release of prostaglandin E2 (PGE2). PGE2 then in turn acts on the hypothalamus, which generates a systemic response back to the rest of the body, causing heat-creating effects to match a new temperature level.

-Why do we get fevers?
Could be caused by a lot of different conditions such as:
1. Infectious disease: influenza, primary HIV infection, malaria, Ebola
2. Various skin inflammations: boils, abscess
3. Immunological diseases: lupus erythematosus, sarcoidosis, inflammatory bowel diseases, Kawasaki disease
4. Tissue destruction, which can occur in hemolysis or surgery
5. Reaction to incompatible blood products
6. Cancers, most commonly kidney cancer and leukemia and lymphomas
7. Metabolic disorders: gout, porphyria
I8. nherited metabolic disorder: Fabry disease

-Why do we feel chills after getting a fever?
Chills are caused by rapid muscle contraction and relaxation. They are the body's way of producing heat when it feels cold. Chills often predict the coming of a fever or an increase in the body's core temperature.

-Difference of a Bacterial and Viral induced fever?
Bacterial means that the fever can be treated with antibiotics, but viral cannot be treated with these. This is based on their biological structure.

-Difference between 'Hypothermia' and 'Hyperthermia'

Hypothermia: Occurs due to the body being exposed to extreme low temperatures.
Hyperthermia: Occurs due to the body being expose to extreme high temperatures.
 

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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.

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.



Training:

Create a medicine for a patient with Skin ulcers
 
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