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[朝鲜正祖的医学理念]

[King Jung-jo's medical philosophy].

作者信息

Kim Sun Hyung, Kim Dal Rae

机构信息

Department of Sasang constitutional medicine East west neo medical center, Kyung Hee University, Seoul, Korea.

出版信息

Uisahak. 2009 Dec;18(2):117-31.

Abstract

King Jungjo who introduced the advent of cultural renaissance of Chosun Dynasty as little been known about his work in medicine. With a wide knowledge in medicine, he was the only one among the kings who wrote a book on medicine, called "SueMinMyoJeon". In this paper, his perspective on medicine will be looked into based on "The Annals of the Chosun Dynasty", "Seungjeongwon Ilgi", "Hong Je jun Se", "KukGoBoGam", "Ildkrok", "JeJungShinPyun", "SueMinMyoJeon" etc. King Jungo valued empiricism in the field of medicine. He deepened understandings in medicine while taking care of King Youngjo, the late king. And it led him to author "SueMinMyoJeon" himself, and further ordered the publications of "JeJungShinPyun" "MaGuaHeoiTong". These two books were conducted to include empirical cases of folklore remedy. King Jungjo's medical philosophy can be epitomized in filial piety and realization of people-serving politics, which are the essentials of Confucianism. His filial piety towards the late king, Youngjo and his mother is shown in his devotion when taking care of them. Especially the way he examined the differentiation of diseases and corresponding treatments is well described in "The Annals of the Chosun Dynasty". "JeJungShinPyun" was also published and it came handy for folk villagers in times of medical needs. Later this book influenced "BangYakHaepPyun" by Hwang Do Yeon. King Jungjo emphasized pragmatism in spreading medical knowledges, thus removing the theoretical contents that are related to Taoism, especially the ones on alchemy from "DongEuiBoGam", when publishing "SueMinMyoJeon". Even the excerpts from "SoMun" were taken out, if not practical. King Jungjo, however, discussed the importance of healthy regimen and mentioned himself practicing it from the book "IlDeukLok", which seems to be the only book that derailed from the pragmatistic track. King Jungjo put emphasis on consistency between diagnosis and treatment. In diagnosing, Meridian pulse was taken important as a means of finding the origin of disease, while deploring how doctors then neglected to study.

摘要

朝鲜王朝文化复兴的开创者正祖,其在医学方面的工作鲜为人知。他学识渊博,是历代国王中唯一著有医学书籍《寿民妙选》的人。本文将基于《朝鲜王朝实录》《承政院日记》《洪斋记闻》《国朝宝鉴》《日录》《济众新编》《寿民妙选》等资料,探究他的医学观点。正祖重视医学领域的经验主义。在侍奉先王英祖期间,他对医学的理解不断加深,这促使他亲自撰写了《寿民妙选》,还下令出版了《济众新编》《麻科会要》。这两本书收录了民间偏方的实证案例。正祖的医学理念可以概括为孝道和践行亲民政治,这是儒家思想的核心。他对先王英祖和母亲的孝道体现在悉心侍奉他们的过程中。特别是他诊断疾病和相应治疗方法的过程,在《朝鲜王朝实录》中有详细记载。《济众新编》也得以出版,在民间医疗需求时发挥了作用。后来这本书对黄度渊的《砭学合编》产生了影响。正祖在传播医学知识时强调实用主义,因此在出版《寿民妙选》时,删除了《东医宝鉴》中与道教相关的理论内容,尤其是炼金术方面的内容。甚至《素问》的摘录如果不实用也被删除。然而,正祖从《医得乐》一书中讨论了养生的重要性,并提到自己践行养生之道,这似乎是唯一偏离实用主义轨道的书籍。正祖强调诊断和治疗的一致性。在诊断时,重视经络脉象作为探寻疾病根源的手段,同时对当时医生忽视学习的现象表示遗憾。

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