/CORE RULE
Medicine in Valeune combines observation, anatomy, surgery, medicines, nursing, sanitation, rehabilitation, community knowledge, and exact magical treatment.
Magic can save lives and reduce suffering.
It does not eliminate disease, disability, childbirth risk, infection, aging, pain, grief, or death.
Medical care varies by region, class, profession, institution, and access.
/MEDICAL PROFESSIONALS
@The Professional Class includes Physicians, Healers, Apothecaries, and other specialists involved in care.
Physicians study diagnosis, anatomy, injury, disease, surgery, and prognosis.
Healers may combine practical medicine, exact spells, ritual, rehabilitation, and local knowledge.
Apothecaries prepare and dispense medicines.
Midwives possess specialized knowledge of pregnancy, birth, postpartum recovery, and newborn care even when the title is not a separate full class.
/TRAINING
Medical training may occur through colleges, hospitals, courts, military service, temples, apprenticeships, family practice, faction clinics, or rural mentorship.
Formal education provides access to records, anatomy, tools, and recognition, while local practitioners may possess knowledge ignored by elite institutions. A license proves training, not perfect competence.
/DIAGNOSIS
Diagnosis uses patient history, observation, bodily signs, wounds, diet, environment, work, exposure, records, and exact magical examination where available.
Symptoms may have several causes.
A healer cannot identify every illness instantly by looking at the patient.
/CONSENT
Medical care requires informed consent whenever the patient can provide it.
A patient may refuse examination, surgery, magic, medicine, restraint, reproductive care, or memory-related treatment.
Emergency care may occur when the patient cannot respond and delay would threaten life.
No family member, employer, owner, officer, or patron automatically controls an adult patient’s body.
Consent obtained through threat or bondage is not meaningful.
/PRIVACY
Medical information belongs to the patient.
Physicians, Healers, Apothecaries, assistants, and institutions should protect privacy.
Exceptions may involve immediate public danger, lawful court order, contagious disease, or suspected Elder Beast transformation.
Even then, disclosure should be limited to what is necessary.
/HYGIENE AND SANITATION
Hygiene includes clean water, handwashing, bathing, laundry, clean bedding, food safety, ventilation, wound care, instrument cleaning, and isolation of contagious illness.
Valeune’s people are not universally filthy because the setting is premodern.
Communities use privies, drains, cesspits, collection, designated dumping areas, setting-appropriate sewers, and regulation.
Crowded districts, prisons, ships, camps, mines, and shelters require special attention.
Magic does not excuse placing waste beside drinking water.
/DISEASE AND CONTAGION
Disease may be infectious, environmental, nutritional, hereditary, occupational, or chronic.
Common dangers include contaminated water, respiratory illness, wound infection, parasites, food poisoning, childbirth complications, mining disease, smoke, and crowding.
Do not invent a magical plague whenever illness spreads.
Communities may use isolation, quarantine, cleaning, safe water, protective clothing, records, testimony, and public notices.
Quarantine can protect people and enable abuse.
Poor households may be unable to stop working, and officials may stigmatize a race or district unfairly.
/MEDICINES
Medicines may include herbs, minerals, salves, tinctures, powders, teas, poultices, anesthetic or pain-relieving preparations, and carefully compounded substances.
Dose matters.
Do not create universal healing potions that repair any injury instantly.
/APOTHECARIES
Apothecaries require clean storage, labels, scales, reliable suppliers, records, and knowledge of substitution.
Counterfeit medicine is dangerous.
A poor patient may receive weaker, older, or incomplete treatment because of cost.
An Apothecary may refuse a dangerous request or participate in poison, crime, or fraud according to character.
/SURGERY AND WOUNDS
Surgery may remove damaged tissue, set bones, treat internal injury where knowledge permits, perform amputation, assist difficult birth, or repair race-specific anatomy.
It requires tools, light, assistants, pain control, cleanliness, and aftercare.
Blood loss, shock, infection, disability, and slow recovery remain risks.
Cuts, burns, fractures, crushing, weapon injuries, and magical harm require specific treatment.
Stopping bleeding is not complete healing, and not every injury yields to one glowing hand.
/RACE-SPECIFIC CARE
Established genus anatomy affects medicine.
Wings may fracture, tear, lose feathers, or suffer joint injury.
Horns and antlers may crack or break.
Tails may suffer spinal or balance-related injury.
Antennae may be damaged sensory organs.
Scales, fur, fins, webbing, and aquatic adaptations require appropriate examination.
The face remains fully human.
Do not import animal veterinary medicine as a substitute for treating people.
/MAGICAL HEALING
Magical treatment requires an exact spell.
The spell’s range, level, cost, target, and limits remain binding.
Magic may stabilize, reduce pain, support repair, preserve life, or assist recovery.
It does not automatically regrow limbs, remove scars, restore memory perfectly, reverse aging, cure every disease, or resurrect the dead.
A healer may combine magic with surgery and ordinary care.
/CHILDBIRTH
Pregnancy and birth are broadly human-like unless an exact race page establishes a variation.
Do not import eggs, litters, spawning, heats, ruts, or animal gestation.
Birth may occur at home, in a clinic, palace, village, ship, camp, or emergency shelter.
Midwives, Physicians, Healers, family, and assistants may participate.
A pregnant person retains agency and correct pronouns.
/PRENATAL, BIRTH AND POSTPARTUM CARE
Prenatal care includes nutrition, rest, examination, illness treatment, birth planning, and support for disability or race-specific anatomy.
Class affects access.
Royal attention may protect health while becoming political surveillance.
Birth complications include bleeding, obstructed labor, infection, premature birth, exhaustion, and pregnancy loss.
Magic may reduce risk without eliminating it.
Do not use childbirth death or miscarriage casually for shock.
Postpartum recovery requires rest, food, hygiene, pain care, infection monitoring, feeding support, sleep, and emotional care.
Depression, anxiety, trauma, and grief are health concerns, not weakness or magical corruption.
Newborns require warmth, feeding, cleanliness, sleep, protection, and observation.
They do not immediately possess adult flight, strength, swimming, magic, or instincts.
/REPRODUCTIVE CARE
Care may address fertility, contraception-like practices where established, pregnancy, loss, transition, sexual health, and reproductive injury.
Medical privacy and consent remain essential.
No ruler, spouse, faction, or family owns another person’s fertility.
Blood magic cannot be used for forced reproductive control without serious abuse and legal consequence.
/DISABILITY AND REHABILITATION
Care continues after survival.
Rehabilitation may involve movement practice, adapted tools, prosthetics, braces, pain care, communication support, and changes to work or housing.
Disabled people do not disappear from society after injury.
The goal is not always cure. It may be safety, independence, comfort, and meaningful participation.
/MENTAL AND EMOTIONAL CARE
Valeune may understand grief, trauma, fear, despair, confusion, and emotional distress through medicine, faith, community, rest, conversation, ritual, and exact magic where established.
Do not treat every mental health crisis as possession, Hollow influence, moral weakness, or inevitable violence.
Care should preserve dignity and agency.
/CARE WORK
Nursing, feeding, bathing, cleaning, lifting, watching, comforting, documenting, and preparing medicine are labor.
Family members, servants, apprentices, professional caregivers, and community networks perform it.
Caregivers need rest, training, and support.
Do not make a loving spouse capable of providing endless expert care alone.
/INSTITUTIONS AND ACCESS
Cities, military institutions, factions, temples, and royal households may support hospitals or clinics requiring beds, water, kitchens, laundry, medicine, staff, records, sanitation, and funding.
@Freedman’s Hall may provide recovery support connected to @The Broken Yoke where exact place canon permits.
Remote communities rely more heavily on local practitioners and travel.
The wealthy receive specialists, imported medicine, custom prosthetics, and time to recover.
Poor people may delay care, lose wages, rely on charity, or accept dangerous treatment.
Medical debt can cause dispossession.
/DEATH
Medical uncertainty near the moment of death is not routine resurrection.
Healers cannot return someone who is established as dead unless explicit creator-approved canon provides an extraordinary exception.
The dead leave legal, familial, emotional, and material consequences.
/GENERATION RULES
Identify the condition.
Use plausible diagnosis.
Preserve consent and privacy.
Use exact spells only.
Include sanitation and aftercare.
Keep childbirth human-like.
Allow permanent disability.
Do not cure everything.
Do not make healers omniscient.
Keep care labor and class access visible.
/FINAL RULE
Medicine in Valeune is extraordinary because skilled people can preserve life in a dangerous world.
It remains meaningful because bodies are vulnerable, knowledge is limited, care requires labor, and not every loss can be repaired.