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[高丽王朝时期的医疗体系及其特点]

[The medical system and its characteristics during the Koryo Dynasty period].

作者信息

Lee K L, Shin D H

机构信息

Don eun Medical Museum, Yonsei University College of Medicine.

出版信息

Uisahak. 2001 Dec;10(2):153-80.

Abstract

This article explores the medical system of the Koryo Dynasty period and its social characteristics. First, the structure of medical system and roles of medical institutions during the Koryo Dynasty period will be summarized. Then, the characteristics of the medical system will be identified through exploring the principles of its formation in a view of social recognition of medical care and a view of public policy. During the Koryo Dynasty period, medical experts were trained in national education institutions from the early days of Dynasty. After trained, they were appointed to the posts at government service with their medical profession. In the meantime, they sought ways to ascend their social position. Physicians of Oriental medicine were appointed to the posts at each local government and troops to take charge of medical treatments of the common people. Also, the state tried to assume the reins of medical system by actively taking part in circulation (collection and distribution) of herb. Taeuigam and Sangyakguk represent central medical institutions of the Koryo, taking charge of medical service for the aristocracy and the bureaucracy. The Common people were treated at DongSeoDaeBiWOn, JeWuiBo, HyeMinGuk, and YakJum in SeoKyung. However, activities of these institutions became less active around the days of military officials regime, as officers became negligent and financial base went broken. The roles of medical institutions of the Koryo government were not restricted to the treatment of diseases. Policies for the common people were constituted by two main policies, the policy for encouraging agriculture and the policy for giving relief to people. Medical institutions, with other social systems, had a social responsibility to support the governing system of the Koryo and maintain the stability of the society. In this aspect, medical institutions such as DongSeoDaeBiWon and JeWuiBo, and relief institutions such as UiChang, were all related and connected organically, and they were results of, and bases of the relief policy. However, medical system for the common people was made up first for practical needs and then improved successively. Allocation of medical experts and execution of relief work were carried out by each local government, except the case of serious disaster, which central government took part in. As the Koryo Dynasty went into its latter period, temporary institutions and one - time benefits replaced permanent institutions. These four characteristics described above were systemic characteristics of medical system during the Koryo Dynasty period.

摘要

本文探讨高丽王朝时期的医疗体系及其社会特征。首先,将概述高丽王朝时期医疗体系的结构和医疗机构的作用。然后,将从医疗保健的社会认知和公共政策的角度,通过探究其形成原则来确定医疗体系的特征。在高丽王朝时期,从王朝早期开始就在国家教育机构中培养医学专家。培训结束后,他们凭借医学专业被任命到政府部门任职。与此同时,他们寻求提升自己社会地位的途径。东方医学的医生被任命到各地政府和军队任职,负责为百姓治病。此外,国家还通过积极参与草药的流通(采集和分发)来掌控医疗体系。太医监和尚药局代表了高丽的中央医疗机构,负责为贵族和官僚提供医疗服务。百姓则在西京的东医大病院、济危宝、惠民局和药局接受治疗。然而,在武官政权时期,随着官员疏忽和财政基础崩溃,这些机构的活动变得不那么活跃。高丽政府医疗机构的作用并不局限于疾病治疗。针对百姓的政策主要由两项政策构成,即鼓励农业的政策和救济百姓的政策。医疗机构与其他社会体系一道,负有支持高丽统治体系和维护社会稳定的社会责任。在这方面,东医大病院和济危宝等医疗机构以及义仓等救济机构都是有机相关且相互联系的,它们既是救济政策的结果,也是其基础。然而,百姓医疗体系首先是出于实际需求建立起来的,随后不断完善。除了严重灾害由中央政府参与外,医疗专家的调配和救济工作的执行均由各地政府负责。随着高丽王朝进入后期,临时机构和一次性福利取代了常设机构。上述这四个特征是高丽王朝时期医疗体系的系统性特征。

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