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统一新罗时代的临床医学是如何发展的:医疗教育中心‘儒医院’的设立及其影响。

How Did the Clinical Medicine Progress during the Unified Silla Era: Installment of the Medical Education Center 'Uihak', and Its Effects.

机构信息

Associate Professor, College of Korean Medicine, Daejeon University; Research Fellow, The Institute for Medical Humanities, Inje University.

Corresponding Author : Research Institute of Science, Technology and Civilization; Department of Science Studies, Jeonbuk National University.

出版信息

Uisahak. 2023 Apr;32(1):203-239. doi: 10.13081/kjmh.2023.32.203.

Abstract

In this research, I aimed to recognize the historical meaning of installing the medical education center, 'Uihak', during the Silla dynasty. 'Uihak' was installed in 692, in the first year of King Hyoso 's rule. 'Uihak' was founded by using various Chinese medical classics as its textbooks for medical education, such as the Classic of Plain Questions. The wooden prescriptions excavated from Anapji, which is thought to have been created in the middle of the 8th century, and the Chinese medical book Prescriptions for Universal Benefit, which the envoy of Silla tried to acquire in 803, reflect the idea on medicine during that period in Silla. By this time, the field of medicine began to develop the idea to discern the locations and mechanism of disease patterns by centering on the viscera and bowels while making use of the herbal prescriptions based on various drugs. This means that clinical medicine founded upon the medical education achieved in 'Uihak' was being realized in the medical fields as well. According to the Chronicles of the Three States, for the illness of Queen Sunduk in 636, medicine, praying, and the method of esoteric Buddhism was tried out as a means of her cure. Comparatively, for the treatment of the first rank Chunggong in 822, the Kingdom's representative doctor with professional medical knowledge was sought out to fine a cure. The analyses of the human disease, diagnosis, treatment method, etc., given by the kingdom's representative doctor were identical to those recommended in the medical textbooks used in 'Uihak'. As such, we can posit that his academic background was 'Uihak' and the education given there. The Classic of Materia Medica, which was also used in 'Uihak', was a book professionally centered on the drug branch of medicine. The Classic of Materia Medica is a terminology referring to various books on drugs, including the Shennong's Classic of Materia Medica, the Variorum of the Classic of Materia Medica, the Newly Revised Materia Medica, etc. Thus, we cannot specify what the classic of Materia Medica actually taught, based on only its terminology. However, based on the wooden prescriptions excavated from Anapji, and from the terminology of drugs recorded in the drug trading document Purchase List for Silla goods preserved in Shosoin of Japan, we can hypothesize that in the middle of the 8th century, the Newly Revised Materia Medica was indeed being circulated. Based on these evidences, we can also hypothesize that Silla was part of the network of drug trading that encompassed the entire region of Asia. After unifying the Korean peninsula, the Kingdom of Silla actively adopted the medical educational system of Tang China. By using the obtained medical knowledge, Silla cured illnesses and used the medical knowledge on various drugs recorded in the Newly Revised Materia Medica to pursue trade with China, Japan, and other countries. Through the installation of 'Uihak', the same medicine has now begun to be officially used in East Asia, including Silla.

摘要

在这项研究中,我旨在探讨新罗时期设立医学教育中心“儒医院”的历史意义。“儒医院”于 692 年新罗孝昭王元年设立,其教材主要取自中国的多部医学经典,如《素问》。从新罗 803 年派遣使节试图获取的《广利方》和从安南佛寺遗址出土的木简处方来看,当时的新罗医学深受中国医学的影响。此时,医学领域开始形成一种以脏腑为中心、辨别病症位置和发病机理的理念,并利用基于各种药物的草药处方。这意味着以“儒医院”医学教育为基础的临床医学也在医学领域得到了实现。《三国史记》记载,636 年,为治疗真德女王的疾病,曾尝试过药物、祈祷和密教等方法。相比之下,822 年,为治疗一等功臣忠恭,朝廷派出了具有专业医学知识的代表医生来寻找治疗方法。这位王国代表医生所做的疾病分析、诊断和治疗方法等与“儒医院”所用的医学教材中所推荐的方法完全一致。因此,可以推断他的学术背景是“儒医院”及其所提供的教育。《本草经》也是“儒医院”的教材之一,该书专业性地专注于医学的药物分支。《本草经》是指各种药物书籍的术语,包括《神农本草经》、《本草纲目》、《新修本草》等。因此,仅从术语上无法确定《本草经》实际上教授了什么内容。然而,根据从安南佛寺遗址出土的木简处方和日本正仓院保存的《和药采购帐》中记录的药物术语,我们可以假设在 8 世纪中叶,《新修本草》确实在流传。基于这些证据,我们还可以假设新罗是涵盖整个亚洲地区的药物交易网络的一部分。统一朝鲜半岛后,新罗积极采用唐中国的医学教育体系。通过获得的医学知识,新罗治愈了疾病,并利用《新修本草》中记录的各种药物的医学知识与中国、日本和其他国家进行贸易。通过设立“儒医院”,相同的医学知识现在开始在包括新罗在内的东亚地区正式使用。

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