[Nin] Medical nin

Shinta

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You need not wait any more O__O'




Anyway, welcome to Med-sch-... Med-jutsu... I'm Shinta and I will hopefully be the only teacher you need for this.

In this training, any jutsu we cover as part of the specific lessons, you will be considered as being able to use as soon as we move onto the next lesson (unless I mention otherwise).

I'll be giving you a lot of info about things in these lessons and I'll either be asking you specific things or just leaving to you to ask questions/seek clarification about things. Ask me anything at any point in this training (and afterwards) about this field and I'll do my best to answer, or at least find you, the answers.

So before we start, are there any questions about Medjutsu? Also, why do you want to learn medjutsu?
 

Gutsy

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Well I do not really have any questions yet about medical jutsu. However, the reason for me wanting to learn it and have now gained it, is because, it will help me in combat for survival. But it will also mean I can help others. But generally yes, it is a tool that is used for good and bad. Though a secondary note, Med used to be super exclusive and all, and i have been very curious at times as to what it was and now that i get it, it makes me happy.
 

Shinta

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I think it was unnecessarily exclusive but... that's all in the past now!!




Iryō-nin (Medical Ninja)

A medical ninja is a ninja who has learned to make use of Ninjutsu and related skills to provide medical treatment to others. It also encompasses those that, using that knowledge, have enhanced their own combat abilities.

In Naruto Manga, fields like Kinjutsu, Fuuinjutsu and Poison techniques are deeply rooted into Medical Knowledge. Orochimaru is a fair example of how Medical Knowledge can be used to achieve greater power but he isn't the only one.

In Narutobase RPG, the medical ninja is capable of healing others and themselves, cure poisonings, enhance their sealing knowledge and skill or even develop their regenerative abilities. Medical Knowledge will also allow you to create your own poison, that can be paired with Poison Release; if you posses that ability or otherwise apply it to your weapons.

Medical Ninjutsu is not unlike regular ninjutsu where you use your chakra to achieve effects that you would not be able to otherwise. Most Medical Ninjutsu techniques, however, are deeply rooted into Yang Release and make perfect use of Physical Energy.




The following is the method to which a med-nin can deduce a patients ailments in order to heal them... or deduce your own ailments and heal them. Essentially allows you to meta-game the injuries after 'scanning' your target/self:

Shindan (Diagnosis)

A Medical Ninja needs to start somewhere and that somewhere is detecting the issue with your patient. Shindan or diagnosis is the first step in treatment; understanding the problem. With this skill you use your hands to carefully probe a patient for problems that you might not be able to see. Contact with the patient will initially be needed but with time becomes optional. Despite this, you'll always need a close proximity between your patient and your hands. This technique is preformed by approaching the patient and slowly running both hands over his or her body, using your chakra to examine the body and looking for signs of injury that may not be visible to the naked eye. It can detect any physical alteration to the body (internal or external wounds, lesions, tumours, fractures, diseases, etc) as well as its composition (glucose levels, iron levels, antibodies, etc ) and vital signs (blood pressure, heart rate, temperature, pain levels, breathing, oxygen saturation, etc).

A student of Medical Jutsu will require several minutes to assess all the details but a medical ninja will be able to do so in mere moments. To help less experienced ninjas or to aid in complex cases, direct contact is often used as well as chakra transmitting mediums such as water, wood, etc.

Mental injuries such as psychosis, depression, bipolar disorder, etc can be determined as well. In this case, however, scanning the patients head is necessary. By scanning the various hormones, chemicals as well the electrical currents that make up the inner working of the brain, the medical ninja can detect any imbalance and to what it might be due. He cannot read minds but he can understand if there is a disease or a Genjutsu present.

Additionally, all medical ninjas can use this skill to sense the patients chakra flow. Its by sensing the chakra flow that most of the times injuries and disease are noticed and diagnosed. Ninjas have their physical being greatly intertwined with their chakra, making so that an injury in one will result in changes to the other.

Finally, after gaining mastery over medical jutsu, a medical ninja becomes even able to examine dead bodies, determining cause and time of death.


Let me just explain how Shindan works a bit better, for everyone.

The idea behind it is that you will send your chakra through another body (your hands are the main focus here and its through its tenketsu that you'll release the chakra) and then will it to return to you with the information you need. That means that it doesn't matter whether you will touch the person or not or the location of your initial scan at all; the chakra will find the root of the problem and the manifestation of it. This is the information you require.

You can use chakra transmitting mediums, such as water, to improve you diagnosis and its effectiveness. The easier it is for your chakra to enter the body of the patient and return, the more information you'll be able to attain. Water has the innate ability to assist us in transmitting our chakra to better diagnose a patient. Some justu utilise water to assist in healing, stemming from RL cultures were healing is seen as a healing element and often associated with healing.

Now, to achieve this you need advanced chakra control and practice. Too much chakra and you risk harming the patient. Too little and you might not get enough information out of it.

What skills, KGs and abilities might help the medical ninja in this procedure?

Any advanced sensory enhancement helps the ninja acquire information in a more detailed manner, faster and without needing so much time. The main examples are:
-Sharingan: the ability to see your chakra flow and is characteristics as well as the ability to gain advanced visual perception in general helps to better identify the issues with the patient.​
-Byakugan: perhaps the most useful of all the abilities that can help a medical ninja, the Byakugan allows you to see inside the body, piercing through the flesh and looking at the core issue in detail. Additionally, because you can see the chakra circulatory system completely and in detail, you can gauge the extent of the damage and if it somehow has anything to do with his chakra flow.​
-Rinnegan: seems to have the same/similar perception to the Byakugan and Sharingan in that it can see chakra and chakra flow, but it doesn't grant you the ability to see the chakra network and tenketsu to the same detail as the Byakugan.​
-Chakra Sensing: As said above, most injuries and diseases affect the chakra flow. By being able to sense disturbances in the chakra flow of your patients you are able to better understand their nature and extents.​
-Enhanced Hearing: This can help you better evaluate biological functions such as breathing, heart function, intestinal function, blood circulation, blood pressure, etc.​
-Emotion Sensing: While we talk about injuries of the flesh, the medical ninja also needs to treat injuries of the mind, often associated with Genjutsu. To better do this, sensing the emotions of your targets might help greatly.​




So here is the open discussion part, voice your comments, questions, concerns or anything else you might want to say about these classes. I'll run pretty much every 'lesson' in this manner, unless I need something specific from you.
 

Gutsy

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Alright, so far so good. I get the understanding of what a Medical Student and a medical ninja can possibly do in meaning of how fast they can do it. The assessment of a person sounds rather simple really, in the way that how you can do it. I also understand the things that can help a medical ninja assess or cure someone. However, I was thinking, the Yamanaka Clan could possible have potential in being considerably good medical ninja, due to their mind control powers. Could they not use their inherent skills to assess someones mind medically. Also, the Inuzuka, id imagine with their incredible sense of smell similar to dogs, could smell if someone has some form of disease. I have seen dogs being able to smell if someone is in distress or is sick?. One of the less likely ones, but could you potentially use Aburame as medical ninja, through their bugs maybe being able to assist in detecting and curing disease or injures? example, closing wounds like bullet ants biting down on the wound to close it.

I came to think that Natural Energy and Sage Mode users could also be medical ninja. They can sense everything around them, similar to sensory maybe stronger. Though natural energy generally increase healing factorsof the user. Could you potentially use natural energy to assist in healing someone similar to how you use water, but with perhaps requiring someone to ensure the stabilization of natural energy if using it?

Emotion sensing? is there a specific ability or technique for that, or is it more something you come to work on understanding people.

That is currently the questions that I have, the rest I feel like i understand, else i will return to it at some point.
 

Shinta

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I think emotion sensing is something that only Naruto in one of his Bijuu Forms possesses, maybe even Karin's sensing too? Not sure, but it's definitely a character exclusive tech that you really don't have to worry about.

In essence, any ability that you feel you can apply to medjutsu and can logically pull off, can be used to help you in the diagnosis; of which that class deals with. I don't believe the chakra bugs of the Aburame would be suitable for suturing wounds but if you have another insect or contracted animal that could pull it off; sure, why not? xD

Also, don't constrain yourself to thinking "Who can be a medical ninja" as it is a universal skill. The point of this class it to highlight that certain abilities can make the diagnosis aspect easier or more effective for yourself.




Teikouryoku (Power of Resistance)

Before one can treat patients, one needs to protect himself. In real life, medical staff use gloves, masks, etc. But for a Medical Ninja in a battlefield, that's not practical. A Medical Ninja must always be aware of becoming a victim of whatever their patient is suffering from so he needs resistance to disease. With this skill you, as a Medical Ninja, increase your natural resistance to most natural diseases and toxins as well as most man made diseases and poisons, allowing you to threat an infected or poisoned patient with a higher safety. It has no effect on diseases or poisons already affecting you though. This skill, as all others, improves as you grow in power and affords greater resistance to a wider range of diseases and poisons and can become something that you don't even need to focus to achieve.

However, there are limits. This skill will essentially provide a boost to your natural resistance to disease, poison, toxins, acids, alkaline substances, etc but will only basically provide a "shield" of sorts around you. This shield can be overcome, like all others, by overpowering it. This essentially means that you cannot use this to defend from enemy offensive techniques in the midst of battle.

If you decide to and gain Poison Mastery, allowing you to make your own Custom Poison and mastery that branch of medical arts, this skill will allow you to become immune to regular none custom poisons and to your own poison.

How is it performed?

Now, to do this, you need to focus on your chakra at its core. This, when you look at the chakra circulatory system, is the central spiral network of chakra paths thats surrounds your chakra source, normally located in your abdomen. When you focus on it, you need to visualise a growing yellow and warm aura, spreading from your core, outwards towards your skin. Its this focus and this will that will make your chakra passively aggressive towards pathogens and most natural toxins and infectious diseases. This chakra is invisible to the naked eye and doesn't go beyond the users skin. However, doujutsu might see the aura growing and expanding from the medical ninjas core.

Its this a technique?

Teikouryoku is not a technique, has no chakra cost or is otherwise performed in any way remotely similar to a Jutsu. It is a passive skill, much like diagnosis, taught in the medschool, that gets stronger with time; the more you work with it, the better it will protect you against contagious diseases and poisons.

Are there different stages to its effectiveness?

Yes.

Medical Student: can maintain this skill active for a few minutes, enough to treat a single patient but needs effort and to will it to happen. Its impossible to keep active at all times.

Medical Ninja: the skill can be active for as long as he wishes and he doesn't need to dedicate any kind of mental command or focus for it to work.

Poison Master: Not only is the skill the same as the one for regular medical ninjas as it can protect the user from his own Custom Poisons and similar techniques (for example, toxic/poisonous/venomous elements) at all times.




This is just an explanation as to how you would be immune to your own poisons and then immune to cannon poison release, which is no longer a medical thing so I don't believe this lesson should be here any longer. Regardless, I'll make this lesson worthwhile by 'teaching' you the following jutsu, which you'll be able to use as soon as I move on to the next lesson.


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



If you get infected by a poison and, like genjutsu have reasonably deduced you are poisoned/infected, you can stop any further progression of the poison past the current effects you feel. It will cost you a lot of chakra over time, however you'll learn jutsu to remove poison. Fuuinjutsu provides a quicker way to remove poison, while Medjutsu has two cannon methods to remove it.
 

Gutsy

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alright so this lesson teaches me how to become more resistant as far as I understood, towards poisons, venom and even illusions or did i get that wrong. The technique itself consumes a considerable amount of chakra, something not everyone can spare, but besides that the technique is straight forward as is. Essentially what you taught me is that I will become more resistant towards natural diseases, poisons etc. however that I can be overcome by adversaries techniques as it is that, just a shield, preventing me to sucumb to the effects so easily. And you say that if i become a poison master, i become resistant towards all canon and my own custom poisons, that is quite impressive, or at least more resistant. I think that was what I got from this lesson, not sure if i missed something.
 

Shinta

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Basically, form a RP point: With lesson teaches you how to not get sick or infected from what you are treating your patients from.

The Poison Resistance only works against poisons and toxins, none of this allows you to become resistant to illusions, sorry >__<

You need to buy and learn Poison Release in order to be immune to the Canon poison release techs... I'll in fact post you some things from the Poison Ninjutsu thread:

  • Only Medical Ninja can create custom poisons, counting as a Medical CJ.
  • Poison Users are immune to Poison Release as well as liquid poisons.
  • Poison Ninjutsu will always create the poison substance defined in the technique. When someone creates a Poison Ninjutsu technique, he or she will create a technique that uses chakra to create a substance that is only used in that technique and has specific effects.
  • Basic poison cannot poison weapons, tools, anything. It's simply bound by the technique. Basic Puppeteer poison can be applied to puppet weapons only. Mednin, however, can apply custom poisons to weapons and other usages
 

Gutsy

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its a very nice detail to apply poisons to your weapons and other things. Though obviously med nin can make their own i figured that, and as far as i know you can make 5 Medical CJ :D I actually did plan on getting poison at some point to accompany medical ninjutsu, however I have other plans in store and poison has to wait. But yes I get this short thing about poison and such.
 

Shinta

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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.

List of summoning items:
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.​





So yeah, there's some things you can summon, for healing and stuff. Pick out two that seem interesting to you and tell me about it's uses for both healing RP and/or battle usage.
 

Gutsy

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first one would be Adrenaline to me, as it is used medically to fight off cardiac arrest and events where the victim or patient is well more or less dying I would imagine, and thus you would inject adrenaline into their body or bloodstream to drastically increase their heartrate to help them wake up and or stay alive. As for the more combat based version of it, i would imagine it could be used to increase your heartrate but also the injection of adrenaline could this be used in the fashion of releasing from an illusion due to the pain of the needle as well as the effect of the adrenaline on said body. Furthermore, someone whom have been induced with adrenaline which is produced in certain circumstances such as accidents and horrible events, people seem to get stronger and more focus at times, trying to escape or move things. ?

a set of everything you need to draw someones blood (Sterile syringe, vacuum system and a test tube.)
This one on the other hand seems interesting in a weird way to me. It is more for freeform combat and such you know. But mainly id imagine if you used these tools, you could cause someone to loose blood quite rapidly, when inserting syringe with the vacuum system and the test tube, letting it flow out? though obviously for medical purposes it can be used to draw out blood for testing and analysis, to detect any anomalys or issues within their body, detecting disease or infection and such. Could possibly be used to also figure out their bloodtype and other things to make a transfusion.
 

Shinta

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Neither of those tools will have any effect in combat; the adrenaline is purely a RP based aspect unless you want to make a custom that requires an adrenaline injection...

Test tubes are used to store a small sample of things for testing, not for draining a person of blood xD Please, please, please don't use that summoning scroll in order to use in a fight. I will come into the NW, find your bio and do unspeakable medical experiments on your bio if I catch wind of "the ninja that fights by drawing out small samples of his opponents blood via basic tools" xD




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?




Just another skill that you can use passively, without chakra cost or a jutsu. The explanation in the spoiler makes mention of a Homework that I'm not going to make you do. It was just something to get you to read up on the actual coagulation process in the real-world, which you can still do if you'd like.

It is a minor skill but has some merit to be worth mentioning in the current Meta. It's not going to allow you to stop the bleeding from a severed artery, but if you have a wound on your arm that won't stop bleeding, it will allow you to stem that passively.

As a former student put it, "you won't have to cauterise the wound with a heated kunai any more" xD
 

Gutsy

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the adrenaline thing could be interesting, possibly. As for the ninja tool thing, well >_> could be fun doing it just to get you to come after me XD

Anyways as for this way of stopping something from bleeding it is simple and easy, really with this you can quickly wound yourself and then stop the bleeding to release from illusions, you can well stop most wounds except if they are too severe like an artery. And as you say it is passive basically as it does not count as a move or anything. Besides this, it is a simple ability that is generally nice to possess. I feel shit for writing such short replies right now, but to be honest not much to ask about really.
 
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