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高丽时期与日本的医药交流及其特征——以“东亚医学”为例。

The exchange of medicine with Japan during the Koryo Dynasty era and its characteristics -A case of 'East Asian Medicine'.

机构信息

Associate Research Professor, Yonsei University, College of Medicine, Division of Medical History, Department of Medical Humanities and Social Sciences.

出版信息

Uisahak. 2023 Apr;32(1):241-277. doi: 10.13081/kjmh.2023.32.241.

Abstract

In this article, I reviewed the exchange of medicine between the Koryo Dynasty and Japan during the Koryo Dynasty. Compared to the exchange of medicine during the Three Kingdoms or the early Joseon Dynasty, medicine between Korea and Japan was loosely affected each other during the Koryo Dynasty. This characteristic of medical history with Japan during the Koryo Dynasty corresponded to the overall low density of exchanges between the two countries. In this paper, the exchange of medicine during the entire Koryo period was divided into 4 periods, and medical records in Korea and Japan were discussed in terms of medical personnel, medical knowledge, and pharmaceutical materials. During the Koryo Dynasty, Korea was interested in Japan's medical personnel and pharmaceutical materials, and Japan was interested in Korea's medical knowledge and pharmaceutical materials. When limited to the Koryo Dynasty, it is difficult to determine the superiority or inferiority of pharmaceutical materials, medical personnel, and medical knowledge between Korea and Japan. Without frequent contact to compare the level of medical care, each country only accepted the other country's medical care within the necessary range. This means that the exchange of medicine between Koryo and Japan did not flow only in one direction. In addition, I proposed to understand the pre-modern East Asian world, including Korea-Japan relations, by using the concept of political bodies instead of the concept of state. In other words, it is necessary to call the subject of action that independently judges and executes foreign relations while maintaining a high degree of autonomy in decision-making as 'political bodies', and utilizes this concept to interpret the pre-modern East Asian world complexly. The concept of political bodies is also useful for understanding the exchange of medicine among the three East Asian countries.

摘要

本文考察了高丽时期与日本之间的医药交流。与三国时期或朝鲜早期相比,高丽时期与日本之间的医药交流互动较为松散。高丽时期与日本之间医学交流史的这一特点与两国之间整体较低的交流密度相对应。本文将高丽时期的医药交流分为四个时期,以高丽和日本的医学记录为依据,探讨了医学人员、医学知识和药材等方面的交流。高丽时期,高丽对日本的医学人员和药材感兴趣,而日本则对高丽的医学知识和药材感兴趣。在高丽时期,限于两国之间的交流,很难确定高丽和日本在药材、医学人员和医学知识方面的优劣。没有频繁的接触来比较医疗水平,两国都只在必要的范围内接受对方的医疗。这意味着高丽与日本之间的医药交流并非是单向流动的。此外,本文提出通过使用政治体的概念而不是国家的概念来理解包括韩日关系在内的前现代东亚世界。换句话说,有必要将在决策中保持高度自主性的同时独立判断和执行对外关系的行动主体称为“政治体”,并利用这一概念来复杂地解释前现代东亚世界。政治体的概念对于理解东亚三国之间的医学交流也很有用。

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