Jokey

[Shinta]

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.

~>NEW

( Iryō Suiton: Suika ) - Medical Water Style: Water Mosquito
Type: Supplementary
Rank: A
Range: Short
Chakra: 30
Damage: N/A ( -20 damage as the poison is removed )
Description: After using the Tiger seal, the user creates water mosquitoes, that can be used to nullify poison in a target's body. Designed specifically to suck out poison, the user is unable to use anything else while concentrating on the target. Despite being a healing jutsu, the several mosquitoes cause pain to the body as it heals it.

Note the damage cause by using the mosquitoes. No water source requires though it does require as much concentration/attention as the poison extraction technique. This does however nullify the poisoning much quicker though damage already caused will still have to be treated.​

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.

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Something kinda useful, in that you'll learn some jutsu! The jutsu list has changed a bit since this handbook was made, so I've edited in a jutsu that also falls under this category of treatment. You can also use these once you've replied/completed this lesson.

 

[Jokey]

Loud and clear sir! All understood. O^O

 

[Shinta]

Sorry for the delay, was kinda busy the past week or so xD

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I'm supposed to present to you the lesson on antidote creation, but there isn't anything I feel that is useful in it, unless you want to go over it? My reason is that antidote creation is mainly just removal of the poison and treating the symptoms/wounds, since no poison (custom or cannon) has an antidote or a list of something that can combat it.

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Anyway...

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.

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Probably one of the only Healing Jutsu you'll end up using in the RP. There are a few others, but this one trumps all of them when it comes to healing other people and even yourself.

Please note that some of these classes, particularly this one, won't refer to the Damage and Health System that will be in use for the WSE/Ninja Wolrd. I think in due time, I'll go through these medical classes and write something up in relation to the WSE-Health System.

If you have any questions about how any of these things might relate to the Health System, please don't hesitate to ask at any stage in our training.

 

[Jokey]

Pretty clear to me. I’ll just wait for you until you cook something up when the WSE-Health system gets implemented.

 

[Shinta]

Now back to some less practical things, but maybe something you'd like to know in terms of knowledge? I don't think I've ever referenced something from this particular class but... then again, this wasn't the style of med-school I had to grind through xD

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 is from 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 D-rank lightning 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.