Kigusuri Souzou (Medicine Creation) - Scaze & Pekoms

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:
  • 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 X disease/condition, Scaze your patient has Malaria, and your patient, Pekoms has an upper respiratory infection.
 

Pekoms

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Following the patient diagnosis, Koumei proceeded to rummage through his bag for the list of herbs he'd jotted down earlier. "Hmm.." was all he uttered as he scrutinized the paper. After a few minutes of keen evaluation, he decided on two active ingredients to be mixed with boiled water and served as a remedial tea or sorts. First, he gathers several flowers and roots taken from a cluster of Echinacea plants cultivated nearby. His basic understanding of the genus was that the gathered plant segments would gradually alleviate the bulk of symptoms associated with his patient's diagnosis. Second, he procures similar components derived from Chamomile plants after a brief visit to the local tea shop. While the former constituent had the functional capacity to ameliorate common symptoms and deter the given infection from propagating, inclusion of the latter constituent was intended to act as a notable anti-inflammatory agent.

Once the active ingredients were collected, Koumei's next step was to prepare everything else for his assignment.


Type: Supplementary
Rank: B-Rank
Range: N/A
Chakra: 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.

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 a laboratory with everything needed to create medicines.
A bottle of sterilized water (x2)
モルタルMortar and pestle, chemically clean

"Alrighty, I should now have everything I need to finish this assignment." Koumei picked up the two bottles of water, then poured the sterilized liquid into a pot with fire below meant to boil it. During the time it took for the water to boil, he took to grinding down the Echinacea plant segments in the summoned mortar with the pestle. Once the water finished boiling, he added Chamomile leaves that infused the hot water for three minutes prior to their removal. Finally, he took the pot and poured its content of essentially Chomomile tea into the mortar now filled with refined Echinacea plant segments, quite reminiscent of a powder. After stirring the contents of the mortar for a few minutes, some of the liquid was poured into a cup and taken to the patient. "This particular concoction should ease your symptoms, and gradually aid against the upper respiratory infection. Please, drink it and later I'll bring more. If you like tea, this shouldn't be much of a bother."​
 
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System001

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(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 shinobi bites his thumb and draws his Medical Kanji on the Medical scroll underneath the symbol of the tool he desires to summon.
Note: This can only be used by Medical Shinobi.

水 - a bottle of sterilised water x2
温度計 - mercury thermometer, for axillary or rectal use
モルタル - mortar and pestle, chemically clean x2
スプーン - spoon, sterile
研究所 - a small hut. 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 laboratory with everything needed to create antidotes and medicines.

Knowing that Malaria is caused by parasites within the body, and that herbal remedies likely would not reach the task of completely flushing the body of parasites to cure it, I would instead focus on treating the symptoms of Malaria; fever, sweating, nausea, headache, anaemia, diarrhoea and vomiting.

The first herb that I would draw for is Artemisia Annua, or sweet wormwood, which should prove effective for treating the fever, and is also know to have anti-malarial properties due to a unique compound that it possesses called Artemisinin which is highly effective at treating Malaria. I would crush the plant into pieces to release its aromas and steep the herb in a small bowl of cold water - not boiling it so as to preserve the active ingredients within the plant, and only barely covering it with water so as to create a strong tea.

In the case of Astragalus, which I would utilise for its cold-treating, diarrhoea curing and immunostimulant and anti-malarial properties, I would take a slightly different approach. This time placing the core of the root within a pot of sterilised water that I would then heat gently over a fire so as to extract its beneficial qualities - as astragalus is often prepared as a tea for maximum benefit. However, knowing that medicinal herbal teas are often not prepared with boiling water, but rather warm water (so as to prevent the deterioration of beneficial compounds, while at the same time extracting them) I would be careful to manage the fire effectively, utilising a thermometer to keep the temperature below 70 degrees celsius.
Knowing that Valerian - which I would utilise for its ability to cure headaches, relax patients, soothe the bowls and also helps improve quality of sleep is also often prepared as a tea, I would take the liberty of preparing the root and also placing it within the warmed pot of Astragalus.
While waiting for both bowls to steep, I would crush a few cloves of garlic together with honey in a pestle, grinding it down into a paste. The garlic due to it being a known anti-prozac and also being effective at fighting colds, and the honey to counteract the bitter taste of Valerian root and garlic. I would place the paste into a cup, strain the anna tea into the cup and mix it in, and do the same before the Astragalus tea and Valerian tea. After serving, I would immediately serve the tea to my patient.
 
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