『醫學統宗』 ｢不知『易』不足以言太醫｣의 분석

An Analysis of the Local Medical Examination Paper from the Ming Period on ‘He who does not know Yi(易) cannot speak of medicine’ in the Yixuetongzong(醫学統宗)

목적: 明代 地方醫學考試 연구를 위한 기초 자료를 제공하고자 何柬의 試卷 중 하나인 『醫學統宗』「不知『易』不足以言太醫」를 분석하였다. 방법: 그 원문을 校勘, 字句解, 국역하고 그 내용을 醫易學說의 관점에서 분석하였다. 결과: 그는 이 試卷에서 四象·八象·六十四卦와 臟腑·九竅·五體의 배합, 脈의 근원, ‘脈을 ‘血之府’라고 부르는 이유, ‘天眞委和之氣’가 상징하는 것, 十二官의 의의 등을 스스로 묻고 답하였다. 그는 또한 醫易同源 관점을 지지하여 醫와 易이 두 가지가 아니므로 인체생리를 『易』의 이치로 설명할 수 있음을 주장하였는데, 그 주장은 그가 醫易學說을 넓은 범주로 인식하였음을 보여준다. 결론: 이 試卷으로부터 醫易學說 분야에서 趙獻可 보다 앞선 그의 독창성을 발견하였다.

Objectives : To provide foundation for research on local medical examination of the Ming period, the contents on ‘He who does not know Yi(易) cannot speak of medicine’ in the Yixuetongzong(醫學統宗) written by He Jian was analyzed. Methods : Proofreading of the original texts, followed by interpretation of words and phrase and translation into Korean were done. The resulting contents were then analyzed from the perspective of the theory of Medical Yi(Yi-Yi). Results : In this medical exam paper for physicians, He answers himself on topics such as the Four Symbols[四象], Eight Symbols[八象], the Sixty-four hexagrams[Liushisigua], the combinations of the Organs and Bowels[Zangfu], Nine Orifices[Jiuqiao], and Five Body Parts[Wuti], the origin of the pulse, the reasoning behind calling the pulse ‘the station for blood[xuezhifu]’, what the ‘Tianzhen Weihezhi Qi’ stands for and the meaning of the Twelve Organs[shierguan]. He also supports the perspective of the ‘Medicine and Yi having the same roots[Yi-yi tongyuan]’, arguing that due to this, the body’s physiology could be explained through the theories of Yi[易]. This shows that He understood the Yi-yi theory as a larger category. Conclusions :He’s medical exam paper reflects his uniqueness in the field of the Yi-yi theory that precedes that of Zhao Xianke.