Kigusuri Souzou (Medicine Creation) - Scaze, Howard & Moofy

Nathan

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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:
  1. Fever medication (to decrease body temperature and keep it at normal levels)
  2. Pain medication
  3. Anti-inflamatory medication
  4. Antibiotics
  5. Antidotes (these will be covered in a specific class but are medicine none the less and obey the same rules)
  6. Anxiety medication
  7. Sedatives
  8. Anti-psycotics (these, in narutoverse sense, will help deal with the after effects of Genjutsu, like mental stress and pain)
  9. 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)
  10. Regenerative pills (help to regenerate tissue or heal wounds)
  11. Vital Faillure Medicine (stuff like adrenaline to help with cardiac arrest or diuretics to make your kidneys function)
  12. 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)
  13. 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.

Any questions, thus far?
 

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*I quickly smear blood on the the previously given contract in the shape of several kanji.*

アルコール - a bottle of 96% ethanol for disinfection
水 - a bottle of sterilized water
モルタル - mortar and pestle, chemically clean
スプーン - spoon, sterile
パテ - putty knife, metal, sterile
*One after the other this summons the objects listed above as needed for medicine creation.*

*After completing the above task I extend my hands out in front of my body and quickly release aggressive chakra throughout them sterilizing both in preparation for what comes next.*

(Iryō Ninjutsu: Kirei Tomo) Medical Technique: I clean all of me
Type: Supplementary
Rank: C-Rank
Range: Short
Chakra Cost: 15
Damage Points: N/A
Description: The medical shinobi fills his palms with small amounts of extremely aggressive chakra and runs them over the areas of his body he wants to clean of any microorganisms, harmful substances, etc. The chakra will eliminate any inert harmful substance or microorganism present on that area. Normally this technique is done on the hands and lower arms just before having contact with a patient but can be applied to the whole body in specific situations (before performing surgery, if the enemy is highly contagious, etc). After being done, the chakra automatically turns back to his regular, non-harmful and calm one.
 
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The examples at the end concluded any questions I could have, and the above chart describing the different types was also helpful.

モルタル - mortar and pestle, chemically clean
スプーン - spoon, sterile
パテ - putty knife, metal, sterile
アルコール - a bottle of 96% ethanol for disinfection
水 - a bottle of sterilized water
Luffy opens his medical tool scroll and unravels out in front of him. He proceeds to grab a brush and dips it into ink as he continues by writing the Kanji for the aforementioned utensils. He then places each individual item directly above each kanji. With the release of chakra as well as the confrontation hand sign, Luffy activates the seals, sealing the contents inside of the scroll alongside the rest of his tools. He then closes his scroll back up, places it inside of his pouch and stands to face his teacher alongside his classmate.
 

Nathan

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I have none.

*I quickly smear blood on the the previously given contract in the shape of several kanji.*



*One after the other this summons the objects listed above as needed for medicine creation.*

*After completing the above task I extend my hands out in front of my body and quickly release aggressive chakra throughout them sterilizing both in preparation for what comes next.*

(Iryō Ninjutsu: Kirei Tomo) Medical Technique: I clean all of me
Type: Supplementary
Rank: C-Rank
Range: Short
Chakra Cost: 15
Damage Points: N/A
Description: The medical shinobi fills his palms with small amounts of extremely aggressive chakra and runs them over the areas of his body he wants to clean of any microorganisms, harmful substances, etc. The chakra will eliminate any inert harmful substance or microorganism present on that area. Normally this technique is done on the hands and lower arms just before having contact with a patient but can be applied to the whole body in specific situations (before performing surgery, if the enemy is highly contagious, etc). After being done, the chakra automatically turns back to his regular, non-harmful and calm one.
The examples at the end concluded any questions I could have, and the above chart describing the different types was also helpful.



Luffy opens his medical tool scroll and unravels out in front of him. He proceeds to grab a brush and dips it into ink as he continues by writing the Kanji for the aforementioned utensils. He then places each individual item directly above each kanji. With the release of chakra as well as the confrontation hand sign, Luffy activates the seals, sealing the contents inside of the scroll alongside the rest of his tools. He then closes his scroll back up, places it inside of his pouch and stands to face his teacher alongside his classmate.
Okay good, time for some practical.

Training:

Create a medicine for a patient with X disease/condition.

So, Moofy using this herbs list: this patient has a Fever, create a medicine to help aid him, or make him completely well.

And, as for you Howard your patient has come down with radiation poisoning, so deal with that.
 

Howard

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[video=youtube;qDcFryDXQ7U]https://www.youtube.com/watch?v=qDcFryDXQ7U[/video]

(Utsusemi no Jutsu) - Empty Cicada Shell Technique
Rank: D
Type:Supplementary
Range:Short-Long
Chakra Cost: 10
Damage Points:N/A
Description: Forming the needed hand seal Ram, a shinobi can project his voice to a different area to hide their location and the number of allies at their side. It is an excellent complement to stealth tactics.
Howard put on some music to help with his thinking process after waiting momentarily he situated the mortar, the pestle and a few of the other objects cracking his neck and knuckles. Howard then began by finding the dried seaweed and gingerly placing it into the mortar holding a corner of it with his left hand to keep it steady. He took the pestle in his right hand and forcefully crushed the seaweed with circular motions until it became a dark rough paste. He continued to do this several times with various pieces of dried seaweed not explaining why he was doing it, just doing it. He seemed lost in his own thought process while doing this bobbing his head to the music.
Next he pulled out a strand of blue flowers taking the stem between his finger and thumb before sliding it up the stamen of the flower removing all of the small blue petals shuffling them into the mortar with the crushed dried seaweed before crushing them into the paste. He began to repeat this process a few times until it was enough to be useful. Finally he adds a base of filgrastim a bone marrow stimulant and Diethylenetriamine pentaacetic acid, Pentetic acid or DTPA for short. He then added this entire sloppy paste to a glass bottle full of sterilized water. He passed it off to his proctor shaking it well; enough to make it drinkable. As he passed it over he heated the entire bottle with katon chakra making for a very bitter almost acidic tasting greenish-blue tea.

Hot stuff coming through. An explanation. There's some good old iodine in the dried seaweed I crushed into a paste, the iodine stops any radioactive substances from binding to the thyroid allowing them to pass safely through the urine. In short, the thyroid naturally becomes a "destination" for iodine in the body. If you have internal contamination with radioactive iodine, radioiodine, your thyroid will absorb radioiodine just as it would other forms of iodine. Treatment with moderately sized amounts of iodine will prevent absorption of radioiodine as it won't be able to bind to the thyroid. The radioiodine is eventually cleared from the body in urine over the next few hours and into the next few days unable to remain in the body.

Howard paused halting his explanation before continuing.

Next the blue flowers, the Siberian Iris or Iris Sibirica, they contained Prussian Blue, which is a dye. This type of dye binds to particles of radioactive elements known as cesium and thallium. The radioactive particles are then excreted in feces. This treatment speeds up the elimination of the radioactive particles and reduces the amount of radiation the cells may absorb. Scientifically speaking Prussian blue traps radioactive elements in the intestines and keeps them from being re-absorbed by the body. The radioactive materials then move through the intestines and are passed/excreted in bowel movements. Because Prussian blue reduces the time that radioactive elements stay in the body, it helps limit the amount of time the body is exposed to radiation.

Again after that ingredient was explained he paused and waited for any criticism before continuing.

The Pentetic acid, or DTPA for short is a substance that binds to metals and therefor radioactive metals. DTPA binds to particles of the radioactive elements plutonium, americium and curium pulling them and the ambient radiation from the body as it passes through the body. The radioactive particles pass out of the body in urine, thereby reducing the amount of radiation absorbed. Finally the filgrastim this is basically a growth factor, it'll help the weakened bones and allow them to survive and return to normal. Bone marrow, and bones in general are usually hit hardest by the effects of radiation so much so that the effects may be felt years later. I can't stop the damage that's already occurred, but I can reduce the chances of further damage and force the bones to help themselves.

Howard spoke again opening up with a comedic tone but immediately getting serious.

I might suggest a spoonful of sugar otherwise it'll be hard to get it down. I'd also suggest taking multiple doses throughout an extended period of time. A few days to a week, radiation poisoning itself can have long lasting after effects as I mentioned already including weak bones and even cancer. The tea will lessen those chances while scrubbing the radiation already in the system from the body. It's like my mom always said, medicine isn't supposed to taste good waaaait like most of the Ninja World I'm pretty sure I'm an orphan.

Eh you know what I can do better.


As he said the last sentence the track shifted to another one he sterilized his hands and re-situated the mortar and pestle cleaning them with both the technique and a bottle of 96% ethanol for disinfection. Howard then grabbed several aloe vera plants, an avocado and some honey.
Into the pestle he tossed the aloe vera grinding it down into a thick green paste before pulling out the sterilized spoon and taking a nice spoonful of avocado and placing it into the pestle.
With small circular motions he mixed these two ingredients together before drizzling in a bit of honey and repeating the process he used the sterile spoon to scrape all of this into a small sterile jar/glass for holding tossing it up to his proctor.

A skin cream for the rough, cracked, red and itchy skin. I'm sure I don't have to explain the effects but I will for simplicity sake. The aloe vera will cool and moisturize the skin making the pain associated with radiation poisoning more bearable. Have the patient apply it to any rough, cracked, itchy or rashy patches on their skin daily until the tea scrubs all the radiation from their system, but wait there's more.

Howard sterilized all of his work utensils before grabbing some Horehound he paused briefly laughed to himself and spoke.

Horehound.

He placed it into the pestle and began crushing it like he had done several times before with various other ingredients. It already seemed second nature to him as he pulled on various things he knew allowing for several medications to be produced relatively quickly.
Galangal was the next ingredient he reached for and threw into the current pestle load grinding it up. Valerian was next, after this ingredient he stopped performing the same process as above putting it into a sterile bottle of water and preparing it as a tea.

The mixture of herbs that I put into this tea are as follows horehound for stomach pain, galagan for vomiting and to stop any potential cancer cells from growing, and the Valerian is for the headaches associated with radiation poisoning. The Valerian will also work as a muscle relaxant making it easier for the patient to get some much needed sleep. Have him take this tea every other day for a week as the pain subsides, with the first tea being taken every day for that same week.

The cream can be used as they see fit, to help with the skin trauma.


After this one Howard sent all of his tools back to the scroll seemingly satisfied with the medication he prescribed.

Howard then ate the rest of the avocado standing back up with a mouthful. He went on to speak with said mouthful.

So, xXxChief, Chief, Headmaster, Chief, ChiefxXx; how'd I do?

He didn't actually speak or say the xXx's but they were somehow inferred.

Type: Supplementary
Rank: C-Rank
Range: Short
Chakra Cost: 15
Damage Points: N/A
Description: The medical shinobi fills his palms with small amounts of extremely aggressive chakra and runs them over the areas of his body he wants to clean of any microorganisms, harmful substances, etc. The chakra will eliminate any inert harmful substance or microorganism present on that area. Normally this technique is done on the hands and lower arms just before having contact with a patient but can be applied to the whole body in specific situations (before performing surgery, if the enemy is highly contagious, etc). After being done, the chakra automatically turns back to his regular, non-harmful and calm one.

Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20
Damage Points: N/A
Description: The medical shinobi fills his palms with moderate amounts of semi-aggressive chakra and runs them over any areas of the patient’s body he wants to clean of any microorganisms, controlling the chakra flow constantly so it doesn't becomes too lethal. The area affected is 4 times the area of the users hands. After being done, his chakra automatically turns back to his regular, non-harmful and calm one.

 
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ᴍᴏᴏғʏ

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Okay good, time for some practical.

Training:

Create a medicine for a patient with X disease/condition.

So, Moofy using this herbs list: this patient has a Fever, create a medicine to help aid him, or make him completely well.

And, as for you Howard your patient has come down with radiation poisoning, so deal with that.

With a smile on his face Luffy approached his designated patient as he was excited to treat someone for the first time. Sweat was dripping from the man's forehead and his clothes were completely soaked in sweat. Just by visually inspecting his patient Luffy deduced that the man's body temperature had increased which in turn caused it to naturally expel sweat from its pores in order to reduce the heat within. There was absolutely no information on the reason as to why the patient was suffering from this condition. Before he went any further, he channeled chakra throughout his core as he thought back on the warm feeling he once did when he raised his resistance. Luffy's aim was to turn his chakra passively aggressive towards pathogens and most natural toxins and infectious diseases before treating his patient so that he wouldn't accidentally be affected by it as well. He was still a student and thus, he had to will it and focus on the power of his resistance which would be enough to treat this one patient. Not being experienced enough as a simple medical student, Luffy still couldn't trust his own visual judgements so he knew it was time to perform a full diagnosis. Before doing so, he channeled chakra throughout his palms and gave it a more aggressive nature in order to clean of and kill microorganisms and harmful substances throughout his arms and hands.

(Iryō Ninjutsu: Kirei Tomo) Medical Technique: I clean all of me
Type: Supplementary
Rank: C-Rank
Range: Short
Chakra Cost: 15
Damage Points: N/A
Description: The medical shinobi fills his palms with small amounts of extremely aggressive chakra and runs them over the areas of his body he wants to clean of any microorganisms, harmful substances, etc. The chakra will eliminate any inert harmful substance or microorganism present on that area. Normally this technique is done on the hands and lower arms just before having contact with a patient but can be applied to the whole body in specific situations (before performing surgery, if the enemy is highly contagious, etc). After being done, the chakra automatically turns back to his regular, non-harmful and calm one.

After having disinfected himself, Luffy channeled his chakra throughout his palms and began slowly running them across the patient's body, starting from the head and ending by the feet. Luffy was scanning the entire body in order to find the source of the fever, if it was a physical trauma or perhaps a poison or a toxin that caused it. Within a few minutes as he was not fully experienced in the nature of diagnosis, Luffy received back information of severed tissue behind the patient's right shoulder. Luffy was standing on the opposite side of the patient so he had been unable to see the affected area directly. He walked on over to the other side of the bed as he stopped his diagnosis and began channeling chakra in an aggressive and cleansing manner once again. He cupped his hands together above the wounded area, completely disinfecting it. Luffy had already previously confirmed that the patient had received a clean cut and that there was nothing lodged inside the wound that was still bleeding. He proceeded to rip apart the man's sleeve to open up the wounded area.

(Iryō Ninjutsu: Kirei Itto) Medical Technique: I clean all of him
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20
Damage Points: N/A
Description: The medical shinobi fills his palms with moderate amounts of semi-aggressive chakra and runs them over any areas of the patient’s body he wants to clean of any microorganisms, controlling the chakra flow constantly so it doesn't becomes too lethal. The area affected is 4 times the area of the users hands. After being done, his chakra automatically turns back to his regular, non-harmful and calm one.

Seeing that the man was still bleeding, Luffy knew he had to do something about it. He had switched back up the nature of his chakra into a more calm and warmer feeling one as he transferred it into the man's wound, channeling it inside it. He utilized his chakra to naturally speed up the patient's coagulation progress in order to aid the proteins inside the man's blood to thicken his blood around the traumatized area. After twenty minutes of channeling his chakra into the wound, Luffy had finally succeeded in stopping the bleeding. After performing the diagnosis it was now obvious to Luffy what the reason for the fever was and thus he needed to take action. He walked on over to the corner of the room and brought a wheel-cart with him, placing it next to the bedside. Moments later he bit his left thumb, thereafter unraveling a scroll with his opposite hand directly on the cart's surface. He finalized it by placing his bloody hand on the scroll, summoning a variety of things; Bandages, a bottle of sterilized water, mortar and pestle, chemically clean, spoon, sterile & putty knife, metal, sterile. Luffy unraveled the roll of bandages and wrapped them around the wounded area to create some slightly pressure as well reduce the exposure to the air and contaminants around the area.

(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.

During his diagnosis Luffy had concluded that the man's body temperature was higher than normal and that he would need time to create an appropriate medicine. With that thought in mind he knew that the best course of action would be to ease the temperature of the patients body in order to buy himself more time to craft the medicine. Luffy kneeled down by the cart and picked up a pot filled with moist soil. He place it by the night-stand beside the patient. Moments later Luffy placed his dominant right hand directly on the man's chest area as he channeled chakra throughout it and placed his opposite palm directly on the soil inside of the pot. He then willed his chakra and utilized it as a vacuum to slowly absorb some of the heat being produced by the patient's body and willing it into his own body, cycling it through and causing it to exit through his left palm into the soil. Having calculated only needing one usage of the technique to ease the temperature, Luffy continued doing so for roughly twenty minutes, reducing it ever so slightly.

(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

Finalizing the process of easing the patient's body temperature, Luffy walked on over to the large cabinet with clear-glass doors. A huge sign was displayed above it specifying "Medical Herbs". Luffy's index finger wandered up and down the cabinet as he read the labels of each individual herb as he searched for a specific one. After a few minutes of searching Luffy had finally found the yellow rooted Bloodwort plant. He proceeded to open the cabinet and grab the full yarrow plant. After having lowered the temperature of the patient Luffy concluded he did not need to make more medication than than usually recommended, so he would cut the leaves off of the plant accordingly with his putty knife. Placing the plant on the cart, Luffy dissected it and obtained numerous yarrow leafs that he then placed inside his mortar. With his left hand he grabbed the bottle of distilled water and poured ever so slightly as he used his pastel to crush the leaves, making a syrup consistency which then would turn into a more liquidy one with the aid of the water. After fully crushing the leaves, Luffy transferred the contents onto a glass of water, thereafter filling the rest with distilled water to use it as the solvent medium in which it would be ingested. Luffy proceeded by placing his left palm directly underneath the man's neck, aiding him so that his head may be risen as he grabbed the medicine inside of the glass with his opposite hand, drawing it closer to the patient's mouth to be drank. After having been fully ingested, Luffy rested the man's head back on his pillow and cleaned up, thereafter putting everything away. He then smiled as he looked towards his patient.

You're all set! Your temperature should ease back to normal in about a day. Considering I eased it previously, it should take less than 24 hours for sure. The rest is out of my hands as I can't physically heal your wound, that will have to be done by the medical shinobi. I hope you feel better!

Said Luffy as he walked towards the exit were his teacher was standing watching.
 
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