Assistant Professor, Korean Department & Center for East Asian Studies, Sun Yat-sen University, China.
Uisahak. 2020 Apr;29(1):215-274. doi: 10.13081/kjmh.2020.29.215.
There is no doubt that the colonial period was a critical time for the establishment and expansion of modern Western medicine in Korea. However, did this act as a catalyst for the overall decline of traditional Korean medicine? While previous studies mainly focus on research based on the concept of Uisaeng (traditional Korean medicine doctor) and the medical policies implemented by the Japanese Government-General of Korea, this paper begins with the Korean herbal medicine industry, and comprehensively investigates the distribution and consumption of Korean herbal medicines during the colonial period from three perspectives: the policies for Korean medicine merchants implemented by the Japanese Government-General of Korea, changes in the Korean herbal medicine industry, and consumption of Korean herbal medicines in the Korean society. The colonial authorities' intention was to foster the advancement of Western medicine and phase out traditional Korean medicine. However, they merely imposed limitations on Uisaengs' operations-this policy loophole objectively left a window for Korean medicine merchants. Moreover, against the backdrop of the growing popularity of Western medicine and restrictions on the development of traditional Korean medicine by colonial authorities, the Korean herbal medicine industry, as one of the few "national industries" dominated by and serving Koreans, showed its tenacious vitality during that time. Korean medicine merchants responded to market changes with ease. They built different drugstores, such as traditional herbal stores mainly selling traditional Korean medicines, hybrid drugstores that simultaneously dealt with the manufacture and sale of patent medicines, and ginseng drugstores that specialized in the ginseng business. This classification promoted the commercialization of traditional Korean herbal medicine. Another crucial condition for the vitality of the Korean herbal medicine industry is Koreans' preference for traditional Korean medicine. It is an indisputable fact that Western medicine gradually became popular and was recognized by the common man during the colonial period; nonetheless, Eastern medicine and Western medicine were not playing a zero-sum game. Through comprehensive macro and micro analysis, this paper demonstrates that, during the colonial period, when old and new ideas interacted, most Koreans, including upper-class elites and intellectuals who were open-minded about emerging concepts and options and had ample opportunities to avail western medical treatment, preferred traditional Korean medicine. Using Korean herbal medicines for illnesses remained the primary choice, While Western medicine assumed the role of a supplement to traditional treatment. This paper argues that the first reason for this phenomenon is the inertia of tradition, and the second is that Western medicine was not necessarily more effective than Korean herbal medicine at that time. Specifically, it can be considered that, during the colonial period, the growing popularity of Western medicine failed to bring about a radical change in Koreans' regular medical interventions. Simultaneously, the Korean herbal medicine industry, one of the pillars offering medical support to the common man, adapted suitably while relying on the inertia of its own tradition. The industry's vitality and dynamism during the colonial period certainly underscore the need to amend the one-sided narrative of medical modernization vis-à-vis Western medicine.
毫无疑问,殖民时期是现代西方医学在韩国建立和发展的关键时期。然而,这是否是传统韩国医学整体衰落的催化剂呢?尽管之前的研究主要基于传统韩国医学医生概念和日本朝鲜总督府的医疗政策,但本文从韩国草药行业出发,从三个角度全面调查了殖民时期韩国草药的分布和消费:日本朝鲜总督府对韩国草药商人实施的政策、韩国草药行业的变化以及韩国社会对韩国草药的消费。殖民当局的意图是促进西医的进步并淘汰传统韩国医学。然而,他们只是对传统韩国医学医生的业务进行了限制——这种政策漏洞客观上为韩国草药商人留下了一个窗口。此外,在西医日益普及和殖民当局限制传统韩国医学发展的背景下,韩国草药行业作为少数几个由韩国人主导和服务的“民族产业”之一,在当时展现出了顽强的生命力。韩国草药商人轻松应对市场变化。他们建立了不同类型的药店,例如主要销售传统韩国医学的传统草药药店、同时经营专利药品制造和销售的混合药店以及专门从事人参业务的人参药店。这种分类促进了传统韩国草药的商业化。韩国草药行业活力的另一个关键条件是韩国人对传统韩国医学的偏好。不可否认的是,在殖民时期,西医逐渐普及并被普通人所认可;然而,东方医学和西方医学并不是零和博弈。通过全面的宏观和微观分析,本文表明,在新旧观念相互作用的殖民时期,大多数韩国人,包括开明的上层精英和知识分子,他们对新兴概念和选择有足够的机会接受西医治疗,更喜欢传统韩国医学。在患病时使用韩国草药仍然是首选,而西医则是传统治疗的补充。本文认为,出现这种现象的第一个原因是传统的惯性,第二个原因是当时西医不一定比韩国草药更有效。具体来说,可以认为,在殖民时期,西医的普及并没有给韩国人常规医疗干预带来根本性的变化。同时,韩国草药行业作为为普通人提供医疗支持的支柱之一,在依靠自身传统惯性的同时,也进行了适当的适应。该行业在殖民时期的活力和动力无疑凸显了需要修正西医主导的医疗现代化的片面叙述。