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[Nin] Medical Ninjutsu - Imperfect

Ryóma

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You probably already know what Medical Ninjutsu is, so I won't ask you to explain it. u-u Instead, you can just read the lessons as I post them and ask any questions if you have. Get ready for a long-winded training session xD

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 himself, cure poisonings, enhance his sealing knowledge and skill, develop his regenerative abilities and even learn to use poison techniques in combat.

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.


This explains what a medical ninja is and is pretty simple.



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, tumors, 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.

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 enhacement 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.​
-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.​


Shindan is crucial to healing people. After all, you need to know what to fix before doing so. If you have a doujutsu or sensing method, this becomes easier.
 

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Ah, long winded. My favorite kind of winded... :sneaky:

Anyway the first segment, about what a Medical Ninja is, is pretty self-explanatory, so I don't have any questions there. I'd have to be pretty dense to buy Medical Ninjutsu, and expect it to let me rip open the Space-Time continuum, or control puppets.

Diagnosis on the other hand, did give me a lot to think about. It's not apparent at the moment of purchase, but now I can see how other skills can potentially be used to compliment Med. For example, I genuinely didn't think about Sound being anything more than primarily an Offensive field to have, even though things like ultrasounds exist, and I am aware that they exist, so it makes sense for it to help with Diagnoses on patients. Also nice to learn it can discern more than the physical, again, just me being limited by my existing cognitive bias about what Med is. A lot of it makes sense in hindsight, it's just so easy to fall into the trap that all Med is is the regeneration of Health Points... >__>

No questions there either, but it has given me a lot to think about.
 

Ryóma

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It's good to see you thinking about these things. u-u Also, sorry for the late reply. I usually never take this long, and you can expect much faster replies from now. u-u

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, thats 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 manmade diseases and poisons, allowing you to treat 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 that surrounds your chakra source, normally located in your abdomen. When you focus on it, you need to visualize 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.

(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.



Resistance is basically resisting against poisons and the like. The technique allows you to stop the progression of a poison, toxin or venom, but it will not cure it, and you will still feel the effects of it in lesser amounts than you would if you did not stop its progression.
 

Imperfect

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I'd literally be the world's biggest hypocrite if I complained for not getting a reply... So it's no problem, lol.

This is also a very straightforward part, as it makes sense that Med Nin would act to prevent anything affected their patient from affecting them. Slowing down, or stopping the progression of a Poison could come very handy in combat, especially against other Med users, and others such as Puppeteers, who have their own Poisons infused into their Puppets weapons and the like. No questions.
 

Ryóma

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Lol. Next part then.

Tekishutsu (Extraction)

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



This allows you to safely remove things from your patient such as a Kunai, shrapnel etc; without doing further harm to the patient. It's really more of an ability than a technique since it doesn't have a specific jutsu. Still, you can use it. It won't really help you in battle unless you really want to take some weapon out of your body, although it won't stop the bleeding.
 

Imperfect

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I guess this is a cool skill to have. So if a technique were to have some kind of detrimental effect from removing it, this skill would prevent it from happening, even if the injury itself isn't healed? If so, that's awesome. Had no idea something like this was within Med, which is ironic, because I made an entire CFS that had just those kind of effects, but it needed Med, lol. Might revive it now that there's a precedent, and I have what I need. Nice skill to have, and no questions beyond that first one.
 

Ryóma

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Yeah, you'd be able to remove the object without gaining further damage due to the skill and precision of a medical ninja in taking the object out. However, the initial damage would still be there, and you would need to heal yourself. You can probably already tell though, that this probably will not be useful in a fight as firstly, there is no technique for it, so it's more a concept, and secondly, the opponent isn't gonna say you gain more damage from taking something out. You'll just get the damage upfront. So this is probably more useful in an RP sense.

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:

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.

(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.




Homework:

Pick 3 medical tools and explain how they can be helpful to you as a medical ninja.



I wouldn't usually get you to do the homework part of the lessons, but this one is interesting, so have a go.
 

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Okay, so, I guess I'll pick the three that stand out the most. A lot of them are just standard tools and instruments for a Doctor, but in the case of the Bug Spray, Gas Mask and literal TARDIS tent, they all have tangible effects outside of RP-oriented treatment.

So, starting with the Bug Spray, 2 turns of full protection from Aburame bugs up to the third highest rank is no joke. Yeah, you could just as easily get by by using some offensive technique to destroy them, but this is something you get from a supplementary B-Rank technique that, if you're attempting to heal someone, you'll most likely have on your person at that point, so it not only costs no Chakra or Jutsu slot, it potentially frees you up to provide first aid to try and counteract whatever the bugs did to the patient. Of course, an enemy won't just stand and watch, but it does take away an Aburame's primary offensive option. It's very situational, as there aren't that many Aburame users, but it's a nice bonus.

Next is the gas mask, for virtually the same reason, of making you resistant to something potentially harmful for a set period. This time it's most kinds of poison, and it has the same stipulation of being a situational benefit, when the opponent your facing is actually using poisons that you breathe in and not just hurling Jutsu your way, but still, 5 turns of borderline immunity to airborne/ aerosolized poisons is no small feat. It's virtually the same thing between these last two, but still, I appreciate the temporary safeguards against those kinds of attacks.

For this last one, I just love the fact that someone else is as big a Doctor Who fan as I am, and made this a standard tool for every Med Nin. The ability to just summon a place where everything you need to perform surgery whenever you need, or can be a place to make antidotes and stuff it is pretty handy, but I personally prefer the fact that this technique lends itself to Roleplay based usages, as just being a literal home you can conjure up at the drop of a hat.

As an bonus, I am curious about the adrenaline. I can tell it's supposed to be used in instances when someone's heartbeat becomes slowed, you know, like when they're on the verge of death, but I wish it came with an offensive usages. Roiding out, and increasing Taijutsu damage would be awesome, for me anyway. :/
 

Ryóma

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Nice picks. Yeah the first 2 can be used even in battles, which is pretty cool. And the tent one is a pretty popular choice for good reason if I remember. xD Yeah about the adrenaline, unfortunately it can't be used offensively. Anyways, they're all pretty cool and handy things to have.

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?



This ability is used for coagulating blood. Best when there are large wounds in order to help the body's natural process of coagulating the blood. This does not have a technique for it, so it's just something you perform as RP.
 
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