• 대한한의학원전학회지
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• 제9권
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• pp.555-652
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• 1996

Up to the present the scholastic achievements in the history of the medical system have been rather scare despite its importance in the Korean History. Hence, this dissertation attempts to examine the significance of the institute in the Korean History, covering the period from the ancient times through the early Chosun-Dynasty. In the ancient times, the medical practice relied primarily upon human instincts and experiences at the same time, shaman's incantations were widely believed to cure diseases, the workings of evil spirits supposedly. For the period from the Old Chosun through Samhan(巫堂), Chinese refugees brought a long medical knowledge and skills of the continent. New Chinese medicine, traditional practices and incantations were generally used at this time. Medicine and the medical system were arranged by the period of the Three Countries(三國時代). No definite record concerning Koguryo remains now. As for Paekje, however, history shows that they set up the system under the Chinese influence, assigning medical posts such as Euibaksa(medical doctor), Chaeyaksa(pharmacist), and Jukeumsa(medicine man) within Yakbu(department of medicine). Scientifically advanced, they sent experts to Japan, giving a tremendous influence on the development of the science on ancient Japan. After the unification of the three countries, Shilla had their own system after the model of Dang(唐). This system of the Unified Shilla was continued down to Koryo and became the backbone of the future ones. In the ancient time religion and medicine were closely related. The curative function of the shaman was absolute. Buddhism played a notable part in medical practice, too, producing numerous medical monks. The medical system of Koryo followed the model of Dang with some borrowings from Song(宋). Sangyakkuk(尙藥局) was to deal exclusively with the diseases of the monarch whereas Taeeuigam(太醫監) was the central office to handle the national medical administration and the qualification test and education for doctors. In addition, Dongsodaebiwon(東西大悲院), Jewibo(濟危寶), and Hyeminkuk(惠民局) were public hospitals for the people, and a few aristocrats practiced medicine privately. In 987, the 6th year of Songjong(成宗), local medical operations were installed for curing the sick and educating medical students. Later Hyonjong(顯宗), established Yakjom(clinics, 藥店) throughout the country and officials were sent there to see patients. Foreign experts, mainly from Song, were invited frequently to deliver their advanced technology, and contributed to the great progress of the science in Korea. Medical officials were equipped with better land and salary than others, enjoying appropriate social respect. Koryo exchanged doctors, medicine and books mainly with Song, but also had substantial interrelations with Yuan(元), Ming(明), Kitan(契丹), Yojin(女眞), and Japan. Among them, however, Song was most influential to the development of medicine in Koryo. During Koryo Dynasty Buddhism, the national religion at the time, exercised bigger effect on medicine than in any other period. By conducting national ceremonies and public rituals to cure diseases, Taoism also affected the way people regarded illness. Curative shamanism was still in practice as well. These religious practices, however, were now engaged only when medication was already in use or when medicine could not held not help any more. The advanced medical system of Koryo were handed down to Chosun and served the basis for further progress. Hence, then played well the role to connect the ancient medicine and the modern one. The early Chosun followed and systemized the scientific and technical achievement in medicine during the Koryo Dynasty, and furthermore, founded the basis of the future developments. Especially the 70 years approximately from the reign of Sejong(世宗) to that of Songjong(成宗) withnessed a termendous progress in the field with the reestablishment of the medical system. The functions of the three medical institute Naeeuiwon(內醫院), Joneuigam(典醫監), Hyeminkuk(惠民局) were expanded. The second, particualy, not only systemized all the medical practices of the whole nation, but also grew and distributed domestic medicaments which had been continually developed since the late Koryo period. In addition, Hyeminso(惠民局, Hwarinwon(活人院)) and Jesaenwon(濟生院)(later merged to the first) played certain parts in the curing illness. Despite the active medical education in the capital and the country, the results were not substantial, for the aristocracy avoided the profession due to the social prejudice against technicians including medical docotors. During the early Chosun-Dynasty, the science was divided into Chimgueui (acupuncturist), Naryogeui(specialist in scrofula) and Chijongeui (specialist in boil). For the textbooks, those for the qualification exam were used, including several written by the natives. With the introduction on Neoconfucianism(性理學) which reinforced sexual segregation, female doctors appeared for the female patients who refused to be seen by male doctors. This system first appeared in 1406, the sixth year of Taejong(太宗), but finally set up during the reign of Sejong. As slaves to the offices, the lowest class, female doctors drew no respect. However, this is still significant in the aspect of women's participation in society. They were precedents of midwives. Medical officials were selected through the civil exam and a special test. Those who passed exams were given temporary jobs and took permanent posts later. At that time the test score, the work experience and the performance record of the prospective doctor were all taken into consideration, for it was a specialized office. Most doctors were given posts that changed every six months, and therefore had fewer chances for a goverment office than the aristocracy. At the beginning the social status of those in medicine was not that low, but with the prejudice gradully rising among the aristocracy, it became generally agreed to belong to the upper-middle technician class. Dealing with life, however, they received social respect and courtesy from the public. Sometimes they collected wealth with their skills. They kept improving techniques and finally came to take an important share in modernization process during the late Chosun-Dynasty.

• 한국가정과교육학회지
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• 제29권3호
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• pp.141-160
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• 2017

현재 전 세계는 정보화 세계화의 사회로 개방, 협력, 통합을 특징으로 하고 있으며, 이를 위한 창의적인 인재를 요구하고 있다. 국가의 경쟁력은 곧 창의적 인재 양성에 달려 있으며 개인적인 욕망과 성취를 위한 창의적 인재 양성이 아니라 나누고 배려하는 창의적 인재 양성을 통한 국가 경쟁력 향상으로 인류학적 가치를 요구하고 있다. 본 연구에서는 2015 개정 교육과정의 기저에 있는 문 이과 통합형 교육과정의 특징을 가정교과에 적용시켜 통합형 창의 인재를 육성하기 위한 교수-학습 과정안을 개발하는데 목적이 있다. 이를 위해서 우선, 1차에서 2015 개정 교육과정에서 제시된 의생활 영역의 내용 요소와 2009개정 교육과정이 적용된 기술 가정 교과서의 의생활 영역의 내용 요소를 추출한 후 전문가 집단이 내용선정 기준에 의해 5가지 주제를 추출하였다. 추출된 의생활 영역의 5가지 주제 중 '의복의 선택과 관리' 주제를 중심으로 주제 중심 통합형 가정과 의생활 교수-학습 과정안(이하 과정안)을 개발하였다. 과정안은 총 5차시 수업으로 [기초 탐구 - 내용 1 - 내용 2 - 심화탐구 - 적용]으로 구성하였다. 과정안은 교과 내 통합과 교과간 통합을 고려하였으며 통합형 수업의 진행 과정에서 배려와 나눔의 인성요소와 창의성, 문제 해결력 등을 향상시키고자 하였다. 세부적으로 실제 5차시 수업을 위해 개발한 교수-학습 과정안에 가정교과의 교과목표와 주제 중심 통합형 교육 목표를 분리하여 제시하였으며, 수업 진행단계에서 창의적 요소와 인성적인 교육 요소를 표면적으로 드러내어 수업에 적용하였다. 우리나라 교육은 새로운 교육과정이 수시로 개정 및 고시되고 있어 교사가 변화패러다임에 맞추어 수업을 실행하기가 어려웠다. 가정교과는 실제 생활과 밀접한 관련이 있어 통합형 주제로 수업을 하기에 적절한 교과이며 다른 교과에서 다루기에 한계가 있는 창의, 인성적 요소까지 학생들에게 통합적으로 교육할 수 있다는 점에서 교과의 교육적 의의를 가지고 있다. 본 연구의 주제 중심 통합형 가정과 의생활 교수-학습 과정안이 새롭게 도입되는 2015 개정 교육과정을 실시해야 하는 현장 교사들에게 도움이 되길 바라며, 나아가 이를 현장에 적용하여 학생들의 문제해결력 향상과 창의 융합형 인재양성에 얼마나 도움이 되는지에 대한 효과성을 검증하는 후속연구가 지속적으로 진행될 필요가 있다.