Philosophical background of Evidence-based medicine / 의사학

Through the whole history of medicine, there runs a long struggle between two principal tendencies-empiricism and rationalism. The empirical trend lays its emphasis on "experience" for the cure of the sick. The rationalistic trend lays its main emphasis on "mechanism" for the causes of diseases. The term "evidence-based medicine (EBM) ", defined as "the conscious, explicit and judicious use of the best current evidence in making decisions about the individual patients", was introduced about ten years ago. The proponents has been described EBM as a "paradigm shift" that will change medical practice in the years ahead. But there has been considerable debate about the value of EBM. The modern medicine, following philosophy of modern science such as the 'realism controlled by empiricism', has developed biomedical model. But the EBM wrapped with clinical epidemiology and statistics, represents response of empiricism to the rationalism (realism). The roots of EBM extend back at least as far as the Paris clinical school, and the work of Pierre Louis in Paris in the early 19th century. Is EBM a paradigm shift? To answer this question, We have to specify the alternative with which we are comparing EBM. The alternative to EBM is the basic science approach: studying the pathophysiolological mechanism of the body. But EBM is so clearly intertwined with and complementary to the basic science that it would make little sense to see EBM as a paradigm shift away from basic science. In a sense, evidence-based medicine shows only methodological contribution aimed at improving the gathering and sorting of the best information published by biomedical scientists and clinical epidemiologists for use in clinical practice. Although EBM and the traditional medicine embody different approaches, this does not mean that they are competitors. In fact, the two approach need each; neither can stand alone for the development of clinical practice.

Encounters of the Korean Body with Traditional and Modern Medical Systems / 의사학

The body has been an intense focus of attention since the 1990s both in academic and mundane discourse. In philosophy, literature critique, sociology and anthropology the body has been found to have various implications and auras around it. I try to explain the body as the subject of medicine rather philosophically, in terms of nature, culture and phenomena. And then I look into the Korean body of the late 19th century when western biomedicine was first introduced. The Korean body was encountering traditional and modern biomedical medicines in three different spaces i.e., corporal, social and moral. The corporal space was the space into which direct intervention such as surgery was performed. The body was also situated in the social space where imperative social measures such as sanitation and sterilization was imposed. The body also had the moral space, invasion into which evoked great moral upheaval. It was when the government ordered the public to cut the long and bound hair, which had long been the symbol of their identity. Reflecting upon the philosophical perspectives and examining concrete cases of the encounters of the body with the two medical systems, I argue that we should have new perspective that embodies the historical and phenomenological experience of the body.

A History of the Research Department of the Severance Union Medical College / 의사학

The Research Department of the Severance Union Medical College was founded on November 4th, 1914. Drs. R. G. Mills, J. D. VanBuskirk and A. I. Ludlow were the co-founders of the department. The department aimed at investigating the medical problems of Koreans which originated from the differences of diet, customs and habits. The main fields of the research were divided into three: traditional medicine, diet of the Koreans, and special diseases in Korea. As to the research of the traditional medicine, Mills conducted extensive investigations on the drugs mentioned in the pharmacopeia of the traditional medical texts. His work included the translation of the medical texts into English, which unfortunately was not published, and the collection of thousands traditional drugs and botanical specimens. To the second field, VanBuskirk contributed much. His research was mainly focused on investigating the characteristics of Korean diet, finding out its problems, and recommending more balanced diet. The third field was the research of the diseases specific in Korea. The diseases caused by various parasites were the main targets of the research. At first, the Research Department was a laboratory where research was actually being carried out. But, its nature has been changed as each department became the center of research activities. The Research Department became a research promoting center which provides research funds for each department or individual researchers. The founding of the Research Department in the Severance Union Medical College marks a turning point in the history of SUMC in the sense that academic activities began to become more important in the missionary institute.

King Injo's Disease and Burnt Needle Therapy / 의사학

This paper investigates an interrelationship between burnt needle therapy and King Injo's disease. From 1633 (Year 11 in King Injo's reign) to May 5, 16. (Year 27 King in Injo's reign), right before his death, King Injo was treated with burnt needles by Yi Hyeongik, an acupuncturist when the king had health problems. This study arises from two questions: why was King Injo often treated with burnt needles? and what effect did burnt needles have? Burnt needle therapy is a combined form of acupuncture and moxibustion. Yi Hyeongik was famous for eradicating pathogenic factors. He was appointed as a doctor in the Royal Hospital. The medical definition for pathogenic factors is that they are disease-causing factors. Understanding the pathogenic factor for King Injo's disease could make it possible to find the interrelationship between burnt needles and the king's disease. In the Joseon era, the prevalent belief about diseases was that diseases could be caused by homeopathic magic. Some people thought homeopathic magic caused King Injo's disease. The actual reasons for King Injo's disease were the participation in the excessive rites of Queen Mother Inmok's funeral and the constant oppression from the Ching Dynasty after disgraceful defeat in the war. When King Injo started to be sick, homeopathic magic cases were found in the royal palace. The king's incurable disease was believed to have happened as a result of homeopathic magic. King Injo's suspicion toward Princess Jeongmyeong derived from her mother, Queen Mother Inmok. Moral justification for King Injo's coup was Gwanghaegun or Prince Gwanghae's immoral conduct toward Queen Mother Inmok. After he was installed, King Injo obeyed the Queen Mother and showed her every attention. Meanwhile, he treated Princess Jeongmyeong with respect, maximized the moral justification for the coup, and solidified the royal authority. However, constant rebellions and treasons threatened King Injo. The king suspected that Queen Mother Inmok and Princess Jeongmyeong were involved in homeopathic magic cases because both figures could affect major rebellions and treasons. Homeopathic magic is a kind of ideological belief and psychological suspicion. Accordingly, burnt needle therapy could have an actual effect on treating the diseases of the body. It could have a psychological effect in treating pathogenic factors as well. As burnt needles were often used for the king's disease, remarkable development of acupuncture and moxibustion during the King Injos era was a characteristic in the history of medical science in the Joseon Dynasty.

The Ginseng Growing District, Taxation and Trade in Ancient Korea / 의사학

The very first record of ginseng in the Korean peninsula dates back to early 6th century A.D., with its concentration in Chinese sources. Regardless of the fact that the Korean ginseng was introduced to China before the birth of Christ, there is no writing about it for 500 years. This is because the Chinese substituted Korean ginseng for the Chinese one, which was cultivated around the Shangdang Area. The ginseng, however, is greatly influenced by natural environment and its native area being Manchuria and the Korean peninsula. It is believed that ginseng range from the northern mountains of Pyongando and Hamkyongdo provinces to the southern Taebaek and Sobaek mountains in Korea. Especially the area of Madasan (Baekdusan?) mountain was well-known for ginseng-growing district. The ginseng taxation of the Three Kingdoms period seems to have gone through certain changes along the development stages of the ancient state. The first taxation stage is estimated to be in the form of a tribute. Afterwards, as the governing power of central government was gradually strengthened in the subjugated places, there was a major replacement from tributary form to actual goods levy. The actual areas of such tributary collection is unknown, but the [Sejongshilok Chiriji] (geographical records of Sejong chronicles) of the early Choson era indicates 113 prefectures and counties as those which submit ginseng to the central government. These administrations provide permissible clues to the historic background of ginseng-taxed regions of the Three Kingdoms. The ginseng trade also is estimated to have flourished in ancient Korea through the Han commanderies of China. However, the writings of Korean ginseng trade is non-existent until 6th century A .D., Such phenomenon can be attributed to few reasons. First, the Chinese took little interest in Korean ginseng as they believed they had their own native ginseng in China. Second, same ignorance resulted from its inflowing but new feature. Third, active communication became impossible as the Goguryo-China relations deteriorated overall after the closing of the commanderies. Nevertheless, ginseng eventually was properly introduced into China as the relations between two regions improved after the 5th century A .D., which led the Chinese to realize the difference between Chinese and Korean ginseng. So it is estimated that such causes generated the real beginning of ginseng records in the 6th century. Based on the remaining texts, it can be inferred that trade in the Three Kingdoms era usually was conducted in each kingdom were all different, which was reflected in their respective contact with China. Such characteristics must have directly influenced their ginseng trade with China as well. For example, Shilla was only able to perform major ginseng commerce with China from the 7th century. There are various records of ginseng trade in Unified Shilla period, owing mostly to the previous tributary trade. Additionally, there is a case in which a certain individual presented Korean ginseng to a Chinese, as well as a case of Shilla ginseng trade in Japan. Aforementioned examples clearly illustrate that the fundamental structure of ginseng trade in East Asia was completed during the Unified Shilla period.

Early Greek Medicine and Plato's Cosmology / 의사학

The purpose of this paper is to show the influence of Early greek medicine on Plato's Cosmology. Alcmaeon holds that health depends on proportion (equality; isonomia) or proportioned mixture of opposing factors. This notion dominated nearly all greek medicine, and also influenced Plato's cosmology greatly. Generally early greek doctors believed that man consisted of opposing factors, though these are designated differently. Alcmaeon takes powers - hot and dry, cold and hot, vitter, sweet and the rest as those factors. On the other hand, Philistion of Locri adopts the four element theory of Empedocles. He conceives that human body as a mixture of the four elements, and health consists in proportion of these opposing four element, basically as Alcmaeon. This notion is accepted by Plato. Only Plato differs from Philistion in that he does't consider the four elements as the ultimate factors. In Timaeus Plato explains that the Demiourgos constructed the four elements through introducing 'proportion' into the primitive materials (the oppositives) by means of shapes and mumbers. And Plato thinks that the cosmic body and soul was constructed basically in the same way as the four elements. This is true of the human body and soul. Also Plato explicates diseases from standpoint of proportion or symmetry. Moreover according to Philebus, the good states (i.e. 'health', 'music', 'seasons' etc) in the cosmos arises out of the right mixture of the limit and the unlimited. In other word this mixture is proportioned mixture of the oppositives by aid of ratios. In short Plato believes that both the cosmos itself and the good states is proportioned mixture of the oppositives. Thus Plato' cosmology is fundamentally based upon Alcmaeon's or Philistion's concept of Health.

Hippocratic Legends / 의사학

This paper is concerned not with medical theories, but with "discourses" about a famous physician, and I have addressed the subject of Hippocratic Legends as related to the Hippocratic Tradition. In this research, I pay attention to the Asclepiad guild of Cos, especially its status and privilege among Greek physicians and its role in the development of Hippocratic Tradition. In examining this issues Pseudepigrapha which are parts of the Hippocratic collections, that is Corpus Hippocraticum, are the most important texts, though they have been neglected for various reasons. It will be useful to look at some epigraphical and historical informations in comparison with the Pseudepigrapha, especially with the Presbeutikos, from which Hippocratic legends originate. In the result, it will be manifest that the Presbeutikos is a species of propaganda for the Coan Asclepiads and Pseudepigrapha's introduction into the Corpus, in the absence of biographical and historical information about Hippocrates, had much to do with the characterization of early Greek medical tradition, that became common in antiquity. In the conceptual dimension, we can and must distinguish between the idealization of Hippocrates as "the father of medicine", and the idealization of him as a respectable physician. But in reality, or historically, the ancient Hippocratic Tradition is amalgamation of these two aspects.

A Study on the Origins of 'Korean Ginseng' / 의사학

Generally the originating area of ginseng is known to be in Shangdang, China. The originating time, which has been estimated according to textual and archeological outcomes, is known to be the first century B.C., during the Han dynasty era. This can be referred to as the 'Chinese origin theory of ginseng'. According to such hypothesis, the Chinese only discovered ginseng 'suddenly' during this time when it should have been self-generating for thousands of years before. However, Shangdang has been one of the historic centers of China since the ancient period and specially took prominence in terms of the beginning and development of Chinese pharmaceutics, which makes this theory largely dismissable. Moreover, there were six characters that expressed '[sim]' at the early stage and were used together with each other up to the days of Ming and Qing dynasty. Also this theory did not explain clearly about the formation of ginseng character. Hence it is fairly obvious that the 'Chinese origin theory of ginseng' do not answer appropriately to the fundamental questions of the origin of ginseng. In order to approach such mystery, perspectives need to be newly shifted to the 'outer origins' of Chinese ginseng. In this case 'outer' only points to Manchuria and Korea, since these areas are the only candidates regarding the natural circumstances of ginseng growth. So, it can be inferred that ginseng has first been identified with the locals of Manchuria and Korea, and then underwent influx to China to have been used as a medicinal stuff. Following such theory, the reason why ginseng suddenly appeared in Han China was that around this period, specially during the Han commandery epoch, it had just been introduced to China as a part of Korean culture. Also the reason there are many '[sim]' characters can be said that the sound of indigenous Korean 'sim' was considered in respect to selecting similarly-articulated words. Reaching such conclusion, the formating principle of '[sim]' can be no other than borrowing-sound character. To summarize our discussion, it is still unknown when was the actual origin of ginseng but it was far earlier than two thousand years ago as was previously accepted as the origin of this medicine plant. The originating place was not Shangdang of Shansi area of China as was commonly accepted, but Manchuria and Korea. Then ginseng must have been known and utilized by the locals of these areas. This is the 'Korean origin theory of ginseng' and simultaneously an indirect examination of the origin of 'Korean ginseng.'

Nutritional Therapy in Gastrointestinal Disease / 대한소화기학회지

Gastrointestinal tract is an organ for digestion, absorption and utilization of nutrients. Also it functions as an immunological organ in the human body. Patients with gastrointestinal disease are at increased risk for nutritional problem due to dietary restriction during the treatment or diagnostic examinations, anorexia or altered nutritional requirement. Clinically, it is important for gastroenterologists to be aware of the principles of nutritional therapy and the relationship between gastrointestinal diseases and the combined nutritional abnormalities. Removal of enteral feeding causes mucosal atrophy and leads to increased mucosal permeability to bacteria and endotoxin. The intestinal endotoxemia results from the translocation of bacteria and endotoxin to systemic circulation, may triggers off systemic inflammatory response syndrome. Therefore, it is crucial in critically ill patients to maintain the gastrointestinal mucosal integrity along with the intestinal flora that enables the host immunity to be maintained or enhanced. Immunonutrition is a therapeutic approach to enhance the gastrointestinal mucosal barrier with various specific nutrients. The intestinal endotoxemia and immunonutrition will also be reviewed briefly.

Herbal Preparation-induced Liver Injury / 대한소화기학회지

Recently the use of herbal preparations as remedies for various medical conditions, has been rapidly increasing in Korea. In our previous study, 38.9% of patients with chronic liver disease were found to use some sorts of herbal preparations. They believe herbal preparations are safe although the ingredients has never been rigorously substantiated. Toxicities of certain herbal preparations are caused by their contaminants and adulterated ingredients or concurrently used conventional drugs rather than specific components of the herbal preparations. Furthermore, in most instances, multiple herbal ingredients are used by the prescribers of oriental medicine. All of these conditions frequently impose diagnostic difficulties. There are myriads of plant-derived hepatotoxic substances which may or may not cause liver injury in individuals. The severity of liver injury depends largely on the toxicity of the substance, the amount of exposure and the individual's susceptibility. These toxic substances cause liver injury not only through the mechanism of intrinsic hepatotoxicity but also through the idiosyncrasy as in conventional drug-induced injury. Therefore, theoretically, it is possible to apply pre-existing CAMs (Causality Assessment Methods) to the assessment of causality in cases with diagnostic difficulties.

Hippocrates and the Nineteenth-century French medicine / 의사학

Hippocrates, the father of medicine, has been represented in many ways throughout the history of medicine. His influence on later medicine took different forms from one epoch to another. Hippocrates' medical doctrine was quite influential until Renaissance period, and with the arrival of modern medicine, the method or the spirit of Hippocrates had been valued more highly than his medical doctrine. Nineteenth century French medicine shows us how the influence of Hippocrates is still vivid even in the nineteenth century. Hippocrates, as the author of the Ai Wate Places became the founder of environmental medicine with the flourishing of meteorological medicine. And in the hands of medical ideologues he also became an proclaimer of the ideology that stressed the correspondence between men, society and nature. Laennec represented Hippocrates as the true pioneer in Clinical Medicine to which he himself made a great contribution. These various images of Hippocrates show us the universal nature of his medicine.

A Study on the true nature of 'Chinese Jinseng' / 의사학

Studies Generally, it is believed that the ancient 'Chinese jinseng' did exist due to the fact that it is clearly recorded in the Chinese historical and medicine-related sources. Although it is hard to deny that such 'ginseng' did exist in ancient China, the re-examination of its true nature is also necessary. In other words, certain refutation can be made against the claim that ancient 'Chinese jinseng' was in fact 'Panax ginseng C. A. Mey', since the Chinese jinseng accounts do not tell that it is such. For example, when looking into its shape based on descriptions, the 'Chinese jinseng' has black seed hairy stem, and violet flower, 'Panax ginseng C. A. Mey', on the other hand, has opal seed, no-hair stem, and light-green flower. In terms of cultivation centre, most of mainland China is unsuitable for jinseng production with the exception of the Shangdang area of Shanxi province, which solely had the reputation of being the production centre of ancient 'Chinese jinseng'. However, when looking into the Chinese sources for jinseng-producing areas they show that Hepei and Liaoning province and Jiangnan (south of the Yangtze river) areas also have had some jinseng-related history. Regardless of such instance, these regions did not cultivate 'Panax ginseng C. A. Mey'. As shown above, ancient 'Chinese jinseng' was far from being identical, in respect to its shape or production areas, to 'Panax ginseng C. A. Mey'. Hence, this study came to the conclusion that there is indeed very high skepticism about whether the true nature of 'jinseng' in ancient China was in fact 'Panax ginseng C. A. Mey'. On the contrary, there is higher possibility that the ancient 'Chinese jinseng' is totally different plant from 'Panax ginseng C. A. Mey', which is actually Codonopsis pilosula. When examining the shape and production areas of Codonopsis pilosula, it is closely matched with many parts of ancient 'Chinese jinseng' texts. In short, it is presumed that the 'Chinese jinseng' did indeed exist in ancient China but it was Codonopsis pilosula instead of 'Panax ginseng C. A. Mey'.

Traditional Medicine under Japanese Rule after 1930s / 의사학

Japan, which occupied Korean from 1910 through the end of World War II, transformed traditional medicine. Japanese colonialists propagandized the "benefits of modern civilization such as western medicine" and rejected the advantages of traditional medicine. This bias against Korean traditional medicine mirrored the government's rejection of its own traditional medicine. So, Korean traditional medicine was marginalized in the national health care system traditional doctors were excluded from public institutions and references to traditional medicine were purged from school textbooks and newspapers. The wars that Japan waged between 1931 and 1944 effected a favorable change toward traditional medicines, however. The wars created a severe shortage of drugs and medical personnel. Thus the colonial government was eager for Koreans to cultivate and gather herbal drugs it also built a large research institute for herbalism at the Keijo Imperial University in 1938. The colonial government made pharmacopoeia for traditional herbal drugs including plant and animal drugs from 1937 to 1942, independently from Japan. Under these conditions the prestige of traditional medicine was greatly improved. Influential newspapers and magazines covered the traditional medicine, and public lectures on traditional medicine drew large audiences. The wartime government abandoned its opposition to traditional medicine and appointed a traditional practitioner to the staff of the public hospital in 1934. Moreover, the government allowed the association of the traditional medical doctors in Seoul to train three hundred more practitioners between 1937 and 1942. Japanese colonial policy toward traditional medicine reflected the contradiction between modernizing ideology and the reality of poor colonial medical care. Japanese propaganda promised that the colonial regime would provide more advanced medicine to Korea, but the promise was an empty one. In this situation, traditional medical doctors and herbalists once again shouldered the main responsibility for the health of the Korean people.

A Study of Treatise on Medicine by King Sejo / 의사학

This paper explores historical backgrounds and contents of Treatise on Medicine written by King Sejo (r.1455-1468) including his views on traditional medicine and pharmacy in the early Chosen period. The Treatise declared by King Sejo in 1463 has been considered as an important and unique manual of medicine because it was the exclusive example written by the king of Chosen. It was the King Sejo's era when the medical milieu in both social and medical aspects was highly encouraged thanks to the previous achievements by King Sejong the Great (r.1418-1450). King Sejo, in particular, who was much interested in practical learning called 'Miscellaneous Studies' emphasized on court medicine. His writing can be understood in such historical frame. Another reason why he wrote the Treatise can be said that he felt necessary for establishing the medical ethic codes for inefficient court medicine-officials. In personal background, he tried to find available remedies since he had been suffered from some chronic diseases. The contents of the Treatise can be broadly fallen to the clinical and ethical aspects, In the former one, the Treatise focuses on treatment without hesitation through the sharp and exact diagnosis by medical doctors. In the latter one, eight categories of medical doctors are discussed according to their moral degrees, sim'eui, sik'eui, yak'eui, hon'eui, kwang'eui, mang'eui, sa'eui, and sal'eui. Finally, musim'ji-eui was supplemented. Among them, sal'eui, medicine-official laking both medical ability and ethical attitude, was classified as the lowest degree, sim'eui, medicine-official sincerely making his all efforts for patients, was thought to be a paragon of medical morality. In conclusion, the Treatise on Medicine by King Sejo played an important role as a manual for the principle of medical practice and for the instruction to enhance ethical attitude among medicine-officials.

Suppressive Effects of Antioxidant DA-9601 on Hepatic Fibrosis in Rats / 대한간학회지

BACKGROUND/AIMS: Oxidative stress is one of the important underlying mechanisms of hepatic fibrosis. DA-9601, the ethanol extracts of Artemisia asiatica, has been reported to possess strong antioxidative and cytoprotective actions. We tried to evaluate whether antioxidant can ameliorate dimethylnitrosamine (DMN)-induced hepatic fibrosis. METHODS: Rat hepatic fibrosis was induced by intraperitoneal administrations of 10 mg DMN six times. Additionally, rats of one group were started daily with DA-9601 30 mg/kg containing diets and another group was fed a pellet diet containing DA-9601 100 mg/kg. The immunohistochemical studies for collagen, alpha-smooth muscle actin (alpha-SMA), and fibronectin, the measurements of hepatic malondialdehyde (MDA) and collagens, and the changes of liver function profiles were performed. Hepatic stellate cells (HSC) were isolated and in vitro effects of DA-9601 on HSC activations were measured. RESULTS: DA-9601 significantly attenuated the loss of body weights (p<0.05), the reduction of liver wet weights (p<0.05), and the elevation of liver enzymes provoked by DMN administrations. DMN injections caused the severe fibrosis of portal tract, hepatic inflammation, and significant oxidative damages, but DA-9601 treatment significantly reduced the mean scores of hepatic fibrosis, the amounts of hepatic collagens, and hepatic MDA levels. The prominent decreases in the expressions of collagens type I and III, alpha-SMA, and fibronectin or hepatic inflammations were observed in DA-9601-treated groups dose-dependently and similar efficacy was also proven in in vitro HSC experiment. CONCLUSIONS: DA-9601 effectively protected rat liver tissues against the DMN-induced hepatic fibrosis. Antioxidant could be considered as a supplementary therapeutic for alleviating the hepatic fibrosis.

Medicine and Orientalism in the Late Nineteenth Century Korea / 의사학

The paper investigates medical missionaries that exerted a significant role in establishing Western medicine in the late nineteenth century Chosun, in relation to orientalism, an academically popularized concept introduced by Edward Said. Historical analysis is focused on several important medical missionaries such as Horace N. Allen, William B. Scranton, John W. Heron, C.C. Vinton, and Oliver R. Avison to explain how their activism as medical missionary contributed to the formation of medical orientalism in which Western medicine was 'taught, studied, administered, and judged' in that period. In addition, I explore into how medical orientalism was in service of Japanese imperialism by showing that medical missionaries had to be under imperial surveillance by Japanese colonizers. 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.

The History of Korean Traditional Medicine / 의사학

Records of ethnic medicine in the Kokuryo, Baekjae and Shilla dynasties can be found in foreign literature, and evidence that a medicine unique to Korean was being developed in the Koryo dynasty can be found in Korean historical records. With the founding of Chosun, Hyang-yak medicine was established, and a medicine purely and uniquely Korean took root. The Chosun dynasty saw the development of a new form of medicine called Dong-Ui medicine, and an independent system emphasizing practicality was established as the new tradition of Korean medicine. Korean medicine continued in the Chosun dynasty without significant changes from the Koryo dynasty. However, tides of enlightenment brought Western medicine onto the shores of the Korean peninsula. Western medicine began to gain the recognition and trust of part of the royal court. Nonetheless, ordinary people still preferred Dong-Ui, Korean medicine, and they did not have a full understanding of Western medicine. As Chosun began to adopt enlightenment policies in the footsteps of Japan through the Kabo (1894) Revolution, Japan drove the Ching rulers out of the Korean peninsula and openly started interfering in Chosun's internal affairs. After repelling Russia, Japan's intervention in the Korean peninsula became even more aggressive, taking over Chosun's politics, diplomacy and military. Its encroachment on Chosun's sovereignty was at times even more cruel than during Japan's Meiji period.

Possibility in Unification of Oriental and Western Medicine Education by Combination of Educational Curricula / 의사학

The authors attempted a pdssibility of unifcation in the educational curricula of both Oriental and Western medical schools for the unification of two medicines . Historically the two medicines were originated from the most primitive state like intinctive method and we can say two medicines were entirely same. However after abrupt and current development of science in 19 century by discovery of microscope and bacteria as well as cells changed medicine into recent unbelievable current medicine from old ancient style medicine like Chinese Medicine which was just the remnant old medicine. The unification of educational curricular is thought to be possible to combine each other by technical adjustment from mutual understanding and cooperations for the most high quality of people's lives. There were good equality to partial corrrespondances between two educational curricular around 90 % at two pre- and schools from the study to analyse. The combined medicine is thought to be more efficient to the diagnosis and treatment of patients because of the effectiveness of Oriental medicine in a certain disease conditions like chronic illness by acupuncture as a alternative medicine or herbs.

The Introduction of the Western Psychiatry into Korea (1): from the mid seventeenth century to 1911, the time of Japanese forced annexation of Korea / 의사학

The object of this study is to investigate the routes of the introduction of the western psychiatric knowledges and practices in Korea. The historical documents including newspapers and governmental bullettins as well as articles and books on the history of the Korean medicine were examined and the results are as follows: The western knowledge about the brain anatomy and physiology was introduced from China by the enlightened Confucian and Taoistic scholars of Korea in the mid seventeenth century through the Chinese translations of the western science and medicine. Due to the lack of support for the scholars and even persecution by the ruling power to those who had great interests in the western thoughts including sciences, the western medical knowledges could not be actualized in practice. Thus, the active practices of western medicine were started in the late 19th century in Korea through the two routes ; one, via Japanese military physicians and the other one, via the western missionary physicians. The psychiatry was lectured by Japanese psychiatrist in 1910 at the medical school of Tai-Han Ui-won, the Korean governmental clinic and in 1913 at the Severance medical school by the Australian psychiatrist, McLaren. As the independent department with the psychiatric ward, the first Dept. of Psychiatry was established in 1913 at the colonial governmental clinic, Chosun Chondokbu-Uiwon, the former Tai-Han Ui-won. Medicine as well as psychiatry was introduced into Korea under the political atmosphere of onesided admiration for the western science. The attempts to combine the western medicine with the traditional Korean medicine could not be tolerated by both missionary physicians and the colonial regime.

Development of Integrated Traditional Chinese and Western Medicine and change of medical policy in China / 의사학

"Sect of Integration of Chinese and Western Medicine" came into the world four hundred years ago when Traditonal Chinese Medicine(TCM) contacted Western Medicine(WM) at the begining of 17th century. It collected historical experiences showing that the cooperation of TCM and WM is more efficient for the cure and prevention of disease than each of them separately. Now the recognition that the cooperation of eastern and western medicine is more efficient to cure disease is spreading widely. This study will help Korean eastern and western medicine to find their directions. First, the concept of "sect of Integration of Chinese and Western Medicine" which was established between the beginning of 17th century and the middle of 20th century, and Integration of Traditional Chinese and Western Medicine(ITCWM) which was formed after the middle of 20th century will be discussed. The relationship of "sect of Integration of Chinese and Western Medicine" and ITCWM and political consideration for the establishment of ITCWM will also be discussed. Finally, the current status of ITCWM in China will be discussed. New trends of thought appeared in Chinese medicine, owing to the cultural background of modern China, the development of WM, and the academic backgound of the intellectual class. "sect of Integration of Chinese and Western Medicine" and ITCWM are different in historical and social background. However, purpose, foundation of thoughts and logical idea are fundamentally same. It can be said that "sect of Integration of Chinese and Western Medicine" provided academic mood to open the way for ITCWM and ITCWM is a succession of "sect of Integration of Chinese and Western Medicine". The concept of ITCWM has many ways of explanation. However, it can be said to build up the foundation of new medical area including Chinese special way of medical treatment and new methods of modern medicine, succeeding a legacy of TCM. ITCWM began before the establishment of People's Republic of China. Mao Ze-dong(1893-1976), a powerful politician, and Li Ding-ming(1881-1947) who had many experiences and insight for TCM and WM played important roles at this stage. The period from the New China to the Great Proletarian Cultural Revolution(1966-1975) is the term for the establishment of the shape of ITCWM. "The effort of research and development on TCM-WM integration" was adapted as one of hygienic policies for curing of epidemic disease and succession and development of the heritage of TCM to establish new medical area. TCM class for western medical doctors was opened and mass media was used to spread out ITCWM throughout China. During the period of the Great Proletarian Cultural Revolution, ITCWM has to be stepped back and stagnant. Only the TCM class of western medical doctors and some clinical applications were barely keep moving on and alive. From the period of the Great Proletarian Cultural Revolution to the end of 1980's, there are the movement of re-preparation of ITCWM, education of successors, and the establishment of the Institute of ITCWM. Hospitals began to establish department of ITCWM. Furthermore, it was clearly indicated in the constitutional law that "we not only have to develop modern medicine but also traditional medicine". The equality of TCM and WM was legally established in this time. From the 1990's, "equality of TCM and WM" was adapted as one of the hygienic policies, and department of ITCWM was opened in traditional chinese medical school and western medical school. ITCWM has been settled down as a new academic field through education, training, research, academic activity, and publishing text books. In conclusion, the motive of the development of ITCWM was the policy such as "the effort of research and development on TCM-WM integration" and "equality of TCM and WM" aimed at the development of Chinese medical area. It is no doubted helpful to organize systems and policy-making for the cooperation of eastern and western medicine in Korea.