역시만필 에 기록된 조선 후기 외감병 치료에 대한 소고

View on Treatment of Exogenous Disease in Yeoksimanpil in the Late Joseon Dynasty

Objectives: This paper summarizes results from review of 36 cases and medical records extracted from Yeoksimanpil, involving treatment of exogenous disease in the last Joseon dynasty, and considers significance of treatment protocols. Methods: About 130 medical records from Yeoksimanpil related to exogenous disease were reviewed, and 36 cases were extracted for closer investigation. The author examined the characteristics of exogenous diseases treated in Yeoksimanpil during the Joseon dynasty, employing YiSuki s theory about exogenous febrile disease, and analyzed the theory from the view point of epidemic febrile disease(溫病學). Results:The majority of exogenous diseases recorded in YeoksimanpilincludeSanghan(傷寒); Seo(暑); Ryeohwan(厲患); and Hongjin(紅疹). Sanghan was found to be prevalent among the exogenous diseases, but diseases caused by warm thand epidemicare recognized separately from Sanghan. YiSuki s theory about exogenous febrile disease is similar to the basic the ory of modern epidemicfebrile disease, although his theory was developed independently during thelast Joseon dynasty. Conclusions: Although some exogenous diseases in Yeoksimanpil were recognized separately, YiSukididnot specify each feature nor did he focus on each symptom. Instead, theauthor’s research suggests that YiSuki was able to identify and treatavariety of various exogenous diseases due to his accumulation of medical knowledge and skill.