조선후기 소아전염병 痘疹과 麻疹에 대한 인식 변화 : 4종 종합의서를 바탕으로

엄동명(Eom Dongmyung),이병욱(Lee Byungwook),금유정(Keum Yujeong),송시훈(Song shihoon),송지청(Song Jichung) 대한한의학원전학회 2022 대한한의학원전학회지 Vol.35 No.1

특정시기 특정질환에 대한 전문의서의 등장은 그 이전에 발발한 질환이 사회문제화되었다는 것을 전제한다. 본고에서는 『東醫寶鑑』, 『濟衆新編』, 『樂山堂新集醫方錦囊至寶』, 『醫宗損益』 등 4개의 의서를 중심으로 소아전염병인 痘瘡과 麻疹에 대한 인식의 변화를 살펴보았다. 麻疹이 대유행하기 전에 저술된 『東醫寶鑑』에는 麻疹에 대한 서술이 간략하다. 조선에 麻疹이 대유행했던 시기를 거쳤음에도 『濟衆新編』에는 麻疹에 대한 인식이 부족하다. 19세기초 출간된 『樂山堂新集醫方錦囊至寶』에는 개인의 경험을 담아 痘瘡과 麻疹 치료에 대한 서술이 풍부하다. 또한 『醫宗損益』에서도 痘瘡과 麻疹 치료에 다양한 방법을 제시하고 있다. 이는 이미 紅疫의 대유행시기가 지난 시점에서 개인이 저술한 의서들이 시대를 거듭하고 질병의 罹患 경험과 治療 경험이 많아지면서 그 이전 미진했던 紅疹에 대한 의학적 성과를 드러낸 것으로 紅疹이 그만큼 소아과 질환에 있어서 중요한 질환 중 하나로 바뀌어 있었다는 점과 이에 대한 인식에 변화가 있었다는 것을 알 수 있다. Objectives : The publication of a specialized medical text on a specific disease at a specific time means that the disease which had broken out previously has become a problem throughout society. In this paper, changes in perception of the pediatric infectious diseases Douchuang(痘瘡, smallpox) and Mazhen(麻疹) were examined in the medical texts, the Donguibogam, Jejungsinpyeon, Yaksandang Sinjip Uibang Geumnangjibo, and the Uijongboik. Methods : Entries on Mazhen are brief within the Donguibogam which was published before its pandemic, while in the Jejungsinpyeon, which was published after Joseon had experienced the pandemic, understanding of the disease is rather insufficient. In the text Yaksandang Sinjip Uibang Geumnangjibo, which was published in the early 19th century, there is an abundance of personal accounts on the treatment of Douchuang and Mazhen. In the Uijongboik, various treatment methods of Douchuang and Mazhen could be found. Results & Conclusions : These findings could be interpreted as reflecting a development in medical knowledge of Hongzhen(紅疹) after years of experience dealing with the disease, which had been insufficient in the past as could be found in private medical texts written after the great Hongyi(紅疫, measles) pandemic had already passed. In that time Hongzhen(紅疹) had become one of the most important pediatric diseases, and peoples’ perspectives had also changed accordingly.

한의학 및 한의학교육에 대한 한의대생들의 인식 조사

주성준,엄동명,송지청,Joo, Sungjun,Eom, Dongmyung,Song, Jichung 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.3

Objectives : There is a correlation between student's satisfaction of education and their occupation satisfaction. Therefore, Korean medical school students' satisfaction toward their education is important for their medical ability in Traditional Korean Medicine(TKM). The purpose of this study is to investigate TKM school students' satisfaction of education and their perceptions of TKM level. Methods : The questionnaire used in this study is consisted of questions about students' satisfaction and their perception toward issues about TKM. 168 cases were collected, and I analyzed 164 cases. Results : 43.9% of students think that the ratio of western medical courses to TKM courses in TKM school's curriculum is 'Proper'. 54.3% of students do not satisfy their curriculum. But, 51.2% of students would recommend high school students for entrance to TKM school. 77.9% of students think 'TKM doctor should use modern medical device'. 92.7% and 61.9% of students think 'Needed' toward 'Cooperation of western medicine and Korean medicine', and 'Medical unification' each. There are correlations ; (1)'recognition toward ratio of curriculum', (2)'satisfaction of curriculum', (3)'degree of recommendation to enter the TKM School', (4)'relation between TKM and Traditional Chinese Medicine(TCM) or Complementary and Alternative Medicine(CAM)'. Conclusions : Student's satisfaction of education is not quite high than satisfaction of TKM study itself. Most of respondents agreed usage of medical devices. The more they thought that they had curriculum for western medicine, the lesser they thought that medical unification was ont needed. Further studies are needed to assess satisfactions of students for their education with more accuracy results.

『침구자생경(鍼灸資生經)』과 『십사경발휘(十四經發揮)』의 수혈배열 비교연구

정상선,엄동명,Jung, SangSun,Eom, Dongmyung 한국의사학회 2019 한국의사학회지 Vol.32 No.1

There has been much recent interest and research into meridian theory. Two main types of meridian theory generally identified: the forward heart meridian system and the circulative meridian system. Little attention has been paid to how these types of alignments operate in the Zhenjiuzishengjing (鍼灸資生經) and the Shisijingfahui (十四經發揮). This paper reviews the meridian systems of these two texts and compares them to the meridian and collateral theory found in the Huangdineijing (黃帝內經). It compares the meridian point systems of the various texts and their alignment by location and meridian to shows how the meridian-based method used in the Zhenjiuzishengjing is similar to the forward heart meridian system found in the "Benshu" (本輸) section of the Neijing while the method used in the Shisijingfahui is close to circulative meridian system found in the "Jingmai" (經脈) section of the Neijing.

대한한의학방제학회지(大韓韓醫學方劑學會誌) 처방(處方) 로마자명 표기에 대한 고찰

송지청,심현아,엄동명,Song, Jichung,Sim, Hyuna,Eom, Dongmyung 대한한의학방제학회 2013 大韓韓醫學方劑學會誌 Vol.21 No.2

Objectives : Term standardization is the most important for knowledge information in every study. There are several tries to make terminology standards in Korean Traditional Medicine(KTM). We, authors took a review on romanized prescription nomenclature of main titles in Herbal Formula Science to criticize the ways of romanized prescription nomenclature. Methods : We extract romanized prescription name from Vol. 11, No. 1 to latest Issue Vol. 21, No. 1, Herbal Formula Science. Results : The Korean Academy of Oriental Medicine Prescription has guideline for romanized prescription nomenclature. However, only 6 out of 147 romanized prescription name are confirmed with guideline. In addition, 58 out of 142 names are italicized without guideline. Also there are several ways of marking for prescription names. Conclusions : For making knowledge information and easy searching for terms, we need normative regulations for romanized prescription nomenclature by the Society of Korean Medicine level.

생물학과 의학 온톨로지 비교 분석

유정연(Yu Jeongyoun),엄동명(Eom Dongmyung),이규철(Lee Kyuchul) 한국한의학연구원 2006 한국한의학연구원논문집 Vol.12 No.2

Bioinformatics and medical informatics have moved to make its knowledge more systematically and computationally using ontology. These ontologies help querying and analyzing data and used to develop application in biomedical. However, no research about ontology of oriental medical exists. Thus, to maximize the power of transitional knowledge, it is necessary to construct the ontology for oriental medical. This paper compares the ontologies of bio and medical by an objective point of view to guide the construction of oriental medical ontologies.

鍼灸資生經 과 十四經發揮 의 수혈배열 비교연구

정상선(Jung SangSun),엄동명(Eom Dongmyung) 한국의사학회 2019 한국의사학회지 Vol.32 No.1

Therehasbeenmuchrecentinterestandresearchintomeridiantheory.Twomaintypesofmeridiantheorygenerallyidentified:the forwardheartmeridiansystem andthecirculativemeridiansystem.Littleattentionhasbeenpaidtohow thesetypesofalignments operateintheZhenjiuzishengjing(鍼灸資生經)andtheShisijingfahui(十四經發揮).Thispaperreviewsthemeridiansystemsofthese twotextsandcomparesthem tothemeridianandcollateraltheoryfoundintheHuangdineijing(黃帝內經).Itcomparesthemeridian pointsystemsofthevarioustextsandtheiralignmentbylocationandmeridiantoshowshow themeridian-basedmethodusedinthe Zhenjiuzishengjingissimilartotheforwardheartmeridiansystem foundinthe“Benshu”(本輸)sectionoftheNeijingwhilethemethod usedintheShisijingfahuiisclosetocirculativemeridiansystem foundinthe“Jingmai”(經脈)sectionoftheNeijing.

논문(論文) : 조선(朝鮮) 세종대(世宗代) 의원(醫員) 연구- 『조선왕조실록(朝鮮王朝實錄)』을 중심으로-

송지청 ( Jichung Song ),엄동명 ( Dongmyung Eom ) 대한한의학원전학회(구 대한원전의사학회) 2015 대한한의학원전학회지 Vol.28 No.3

Objectives : The Annals of the Joseon Dynasty has plenty of articles as primary historical records. The Korean medical historiy researches have also been driven from The Annals of the Joseon Dynasty. About public services in Joseon dynasty related to medicine, We rarely know persons in public services, titles, levels and so on. Methods : I focused on The Annals of the Joseon Dynasty to research the titles of person in public services in early Joseon dynasty. I found 33 persons related to medicine and reorganized 21 persons who had titles. Results : I got 10 titles of public medical services and more than 15 titles of public non-medical services, which were received according to their medical services and 6 grades. Conclusions : I concluded that there were much more titles of public medical services than what we had already known and several titles and grades of public non-medical services, which were received according to their medical services.

한방병원에 관한 의료법 개정 : 제한한방병원의 설립과 운영

금유정(KEUM Yujeong),엄동명(EOM Dongmyung),송지청(SONG Jichung) 대한한의학원전학회 2022 대한한의학원전학회지 Vol.35 No.1

Objectives : 한방병원에 관한 의료법의 개정 내용을 최초의 한방병원인 제한한방병원의 설립과 운영을 통해 살펴보고자 한다. Methods : 1951년 국민의료법 제정 이래 의료기관 종별에 한방병원이 등장하는 1973년까지의 의료법 개정을 살펴보고, 의료법 개정 내용을 중심으로 제한한방병원의 설립과 운영에 대해 살펴보았다. Results & conclusion : 의료법에 ‘한방병원’이 등장하는 것은 1973년 2월 16일 의료법이 전면 개정되면서부터이다. 한방병원에 관한 법 규정이 제정된 이후, 의료법(법률 제2533호)에 따라 1973년 11월 24일 우리나라 최초의 한방병원이 설립되는데, 이것이 바로 현재 대구한의대학교 부속 한방병원의 전신인 ‘제한한방병원’이다. 제한한방병원이 의료법에 근거하여 한방병원으로 등록된 것은 1973년 11월이지만, 병원이 본격적으로 진료를 시작한 것은 1970년 12월이다. 제한한방병원은 의료법의 병원설립 기준에 따라 설립되었으나, 같은 의료법의 다른 조항에 의거하여 한방병원에서 부속 한의원으로 의료기관 종별을 변경하게 된다. 1960년대에서 1970년대는 국가 경제가 성장하면서 의학과 병원 또한 급속하게 발전하는 시기였다. 따라서 의료법의 개정이 현실의 상황을 미처 따라오지 못하였던 것으로 보인다. 하지만, 사회적으로 환자의 이동권 혹은 한방의료가 담당하던 질병의 관리 차원에서 입원시설을 갖춘 한방 의료기관이 필요했다. 이에 이미 그 역할을 수행하고 있었던 제한한방병원이 의료법 개정에 있어 참고 사례가 되었을 가능성도 생각해 볼 수 있다. Objectives : To look at the medical law reformation of Korean Medicine hospitals through the establishment and management of the Jaehan Oriental Medicine Hospital, which was the first Korean Medicine Hospital in South Korea. Methods : Revisions of the medical law since the establishment of the National Medical Act in 1951 up until 1973 when the ‘Korean Medicine hospital’ first entered the medical institution category were examined. Based on the revised contents, the establishment and management of the Jaehan hospital were examined. Results & Conclusions : The first mentioning of Korean Medicine hospital in the medical law took place on Feb 16, 1973 when the medical law was completely revised. After law regulations on Korean Medicine hospitals were established, the fist Korean Medicine hospital was founded on Nov. 24th, 1973 according to act 2533 of the medical law. This is the Jaehan Oriental Medicine Hospital, which is the predecessor of what we now know as the Daegu Korean Medicine University Hospital. Although the Jaehan hospital was registered as a legitimate Korean Medicine hospital in November of 1973, it had already started medical practice in December of 1970. While it was established according to the standards of medical law, it changed its institution category from Korean Medicine hospital to affiliated Korean Medicine clinic based on another clause within the same law. The decade from 1960 to 1970 was a time when national economy was developing, and the field of medicine and medical institutions were also booming. As such, revisions in the medical law seems to not have been able to keep up with what was happening in reality. To meet the patients right to move or to manage diseases which Korean Medicine was taking responsibility for, a medical institution with inpatient capacity was required. Therefore it is possible that the Jaehan hospital which had already been providing such a role could have been a sample case for reference in the medical law revision process.

『樂山堂新集醫方錦囊至寶』의 편제에 대한 연구

금유정(Keum Yujeong),엄동명(Eom Dongmyung),송지청(Song Jichung) 대한한의학원전학회 2020 대한한의학원전학회지 Vol.33 No.3

목 적 : 『樂山堂新集醫方錦囊至寶』(이하 『樂山堂』이라 함)의 전반적인 모습에 대해 살펴보고자 한다. 방 법 : 『樂山堂』의 목록, 本文 구성, 인용표기에 대해 살펴보고, 이를 『東醫寶鑑』(이하 『寶鑑』이라 함)과 『濟衆新編』의 편제와 비교·고찰하였다. 결 과 : 本文의 구성을 통해 卞光源이 『樂山堂』을 저술하면서 『寶鑑』과 『濟衆』을 참고하였음을 알 수 있다. 하지만 『樂山堂』은 『寶鑑』의 번잡함을 줄이면서 『濟衆』보다는 충실하고자 했고, 새롭게 篇을 구성하고 내용을 추가하는 등 독특한 편제를 가지고 있다. 또한, 인용표기를 통해 『樂山堂』이 『寶鑑』과 『濟衆』을 2차인용하고 있다고 추정할 수 있다. 하지만 두 서적 외에도 『證治準繩』을 인용하고, ‘新增’ ‘自述’ ‘樂山’ 등의 인용표기를 통해 새로운 지식을 담아내고자 노력했다. 결 론 : 편제와 인용표기의 비교·고찰 결과 『樂山堂』의 독특한 편제를 가장 분명하게 나타내는 것은 小兒篇이다. 이를 통해 저자 卞光源이 『樂山堂』을 통해 소아질환을 전문적으로 다루고자 했음을 알 수 있다. Objectives : This paper aims to examine the overall form of the 『Yosandangsinjipeuibangkeumnangjibo』 (『Yosandang』). Methods : The table of contents, organization of the body, citations in the 『Yosandang』 were examined, then compared to the organization of 『Donguibogam』 (『Bogam』) and 『Jejungsinpyeon』 (『Jejung』). Results & Conclusions : Based on the organization of the body, it could be determined that Byun Gwangwon referenced 『Bogam』 and 『Jejung』. However, it was found that 『Yosandang』 strived to be more faithful to the 『Bogam』 than the 『Jejung』 while it also tried to minimize the complicatedness of 『Bogam』. Its organization was unique in that it created new chapters and added contents. Also, through examination of the citations, it could be assumed that those in the 『Yosandang』 were secondary citations of the 『Bogam』 and 『Jejung』. Despite these features, it also cited the 『Zhengzhizhunsheng』 and showed efforts to include new knowledge with citation labels such as ‘新增[newly added]’ ‘自述[original writing]’ and ‘Yosan(樂山)’. Discussion : The findings of the comparison and examination process of the organization and citations of the book revealed that the uniqueness of the organization of 『Yosandang』 is most obvious in the pediatrics chapter. This indicates that the author s intention was to deal with pediatric diseases professionally.

본초 및 용량 용어를 이용한 방제구성 자동추출방법에 대한 연구 : 『의종손익』을 중심으로

금유정(Keum Yujeong),이병욱(Lee Byungwook),엄동명(Eom Dongmyung),송지청(Song Jichung) 대한한의학원전학회 2020 대한한의학원전학회지 Vol.33 No.4

Objective : 본 연구에서는 고의서의 원문으로부터 방제 구성을 자동적으로 추출하는 방법을 제시하고자 한다. Methods : 본 연구는 Microsoft社의 Window 10 환경에서 Microsoft Office 365의 Access를 사용하여 진행하였다. 방제구성 자동추출 대상 원문은 종합의서인 『醫宗損益』이다. ‘본초용어’와 ‘용량용어’ 데이터 셋을 이용하여 본초와 용량을 추출하고, 최종적으로 문자열의 위치 값을 이용해 방제 구성을 자동으로 추출하였다. Results : 본 연구를 진행할 때 PC환경은 Intel Core i7-1065G7 CPU 1.30GHz를 사용하였으며, RAM은 8GB를 사용하였고, Window 10 64비트 운영 체제를 사용하였다. 6,115개 문장에서 19,277개 본초-용량 구성을 추출하였다. Conclusion : 본 연구 결과로 데이터화 되어있는 한의서의 경우 인적·물적 자원의 지원 없이도 방제 지식을 추출할 수 있게 되었고, 나아가 고의서 지식의 임상 활용 유용성을 제시하였다. Objectives : This research aims to suggest a automatic data extract method for herbal formula combinations from medical classics‘ texts. Methods : This research was carried out by using Access of Microsoft Office 365 in Windows 10 of Microsoft. The subject text for extraction was 『Euijongsonik』. Using data sets of herb and dosage terminology, herbal medicinals and their dosages were extracted. Afterwards, using the position value of the character string, the formula combinations were automatically extracted. Results :The PC environment of this research was Intel Core i7-1065G7 CPU 1.30GHz, with 8GB of RAM and a Windows 10 64bit operation system. Out of 6,115 verses, 19,277 herb-dosage combinations were extracted. Conclusions : In this research, it was demonstrated that in the case of classical texts that are available as data, knowledge on herbal medicine could be extracted without human or material resources. This suggests an applicability of classical text knowledge to clinical practice.