• 인삼문화
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• 제5권
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• pp.21-31
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• 2023

우리나라의 특산품인 고려인삼은 삼국시대 이래 가장 중요한 수출품 중 하나였다. 그러나 고려 시대까지 우리 역사에서 인삼에 관한 기록은 그리 많지 않다. 본 고에서는 고려 시대의 인삼에 관한 국제 수교 및 교역 기록과 당시 출판된 것으로 알려진 의약서에 대하여 정리하였다. 고려시대에는 주변 국가인 발해, 송, 왜, 후진, 원나라와 외교적 예물로 또는 교역품으로 인삼이 활발하게 거래되었다. 주로 고려에서 주변 국가로 인삼이 수출되었지만 발해와 거란으로부터는 인삼을 외교적 예물로 받기도 하였다. 아라비아 상인은 고려의 대표적 국제무역항이었던 벽란항에 와서 인삼을 교역하였다. 몽골 침입 이후 원나라의 인삼 요구량이 지나치게 많아서 큰 사회적 문제가 되기도 하였다. 고려시대에는 『제중입효방』, 『어의촬요방』, 『향약고방』, 『삼화자향약방』, 『향약혜민경험방』, 『향약구급방』, 『비예백요방』 등 여러 의약서가 출판되었다. 『향약구급방』은 조선시대에 중간된 것이 전해지고 있으나 나머지 책들의 원본은 현재 전해지지 않고 있다. 최근 후대의 여러 의약서에 인용된 것들을 연구하여 그 일부가 복원되기도 하였다. 궁중에서 사용되었던 의약서에는 인삼을 포함한 처방의 비중이 높았던 반면 주로 평민을 위한 『향약구급방』에는 인삼 처방이 한 건도 수재(收載) 되지 않았다. 이는 당시 인삼이 매우 귀하고 고가이어서 평민이 접하기는 어려웠기 때문으로 생각된다.

• 대한한의학원전학회지
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• 제5권
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• pp.252-305
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• 1992

The Korean Medicine in the middle period of the Chosun Dynasty, with its clear independence, has made an excellent display of originality and superiority in the world medicine. By pinpointing its merits, classifying its lineal descent, and examining its relation with present Korean Medicine we can draw the following conclusions. First, the study on the history of Korean Medicine should, in terms of time, grasp the generational stream and, in terms of space, examine the relation with medicines of neighbouring countries, with both an inner and outer way of observing. Secondly, it is but a manifestation of the colonial view of history to classify the 460 years from Tae-jo(太祖) to Cheol-jong(哲宗) as Mordern Period of Korean Medicine. Therefore, the 250-year period between the mid-16th century of Myung-jong(明宗) to the late-18th century of later Jeong-jo(正祖), which saw a pivotal development of the national medicine as a practical medicine based on experiences, should be established as the period of Korean Medicine in the mid-Chosun dynasty. It is required from both nationalistic view of history and history as a positive science. Thirdly, Korean Medicine in the mid-Chosun period was developed with an emphasis on an independent development and creative succession of the national medicine, which was succeeded to the late-Chosun period. Fourthly, medical thought in the mid-Chosun period was much influenced by, and based on the practicality of, Shil-hak(or practical science : 實學) as was the current of the times. Fifthly, though medicine in the mid-Chosun period was generally developed, the recipes for the measles, epidemic and smallpox were especially developed owing to rage of epidemics, and the development of the acupunture as a military medicine was the most c lear because of the two major wars against the Japanese and Chinese, respectively in 1592 and 1636. Sixthly, Whang doh-yeon(黃道淵)'s Bangyak-happyeon(方藥合編), Lee je-mah(李濟馬)'s Tongui-susebawon(東醫壽世保元) and Lee kyu-jun(李奎晙)'s Uigam-jungma(醫鑑重磨) are representative medical books, in the late-Chosun period, which creatively succeeded national medicine. Seventhly, the lineage of national medicine flows from Hyangyak-jipseongbang(鄕樂集成方) Uibangryuchui(醫方類聚) Gugeupbang(救急方) to Uirimchualyo(醫林撮要) Tonguibogam(東醫寶鑑) Uimunbogam(醫門寶鑑) Jejung-sinpyeon(濟衆新編) and to Bangyak-happyeon(方藥合編) Tongui-susebawon(東醫壽世保元) Uigam-jungma(醫鑑重磨). These books are representative medical books in the early middle and late Chosun period respectively. On the basis of the above facts, it is clear that the orthodoxy of national medicine is in the direction of a creative succession and that is the best way to keep the spirit of Korean medicine today.