• 제목/요약/키워드: Poverty line

검색결과 41건 처리시간 0.024초

한국인의 경제수준에 따른 성별.지역별 식사패턴 비교 -1998, 2001 국민건강영양조사 자료 분석- (Comparison of Dietary Patterns by Sex and Urbanization in Different Economic Status)

  • 최지현;문현경
    • 대한지역사회영양학회지
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    • 제13권3호
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    • pp.346-358
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    • 2008
  • The purpose of this study is to find differences in dietary patterns through menu analysis by economic status. The data was obtained from the 1998 and 2001 National Health and Nutrition Survey of Korea. The main variables were economic status, sex, and area by urbanization. The economic status was classified into low, middle, high, and top classes using a poverty line based on the 1998 and 2001 minimum standard cost of living. The areas were divided into metropolis, small city, and rural areas. The dishes of 3 meals were classified into 29 categories by cooking method. The most frequent pattern was "rice + soup + kimchi". The frequency of this Korean basic dietary pattern was the lowest in the top income class and metropolis areas, while the highest in the low income class and rural areas. The frequency of Korean recommended dietary pattern, that is, "rice + soup or stew + kimchi + side dish" was the highest in the top income class. The metropolis group preferred side dishes using meat and a cooking method that saved time, but the rural group preferred side dishes using vegetables and cooking methods that take a longer time. In comparison of dietary pattern between male and female by economic status, the higher economic status, the male's dietary patterns showed more side dishes than those of female. But the main side dish was kimchi in male low class. Consequently, the major dietary pattern in Korea is rice-style, though the western pattern is increasing in the top income class, especially in metropolis areas. Therefore, to make a better dietary pattern, we should develop and spread low-priced recipes of various side dishes and teach financial skills such as ability to make a food budget for lower income classes. Also, we should emphasize the importance of the balance between meat and vegetables and traditional diet and western diet for the top income class, especially in the metropolis areas.

동남아시아의 민주화 이후 '개발'과 '인권'의 갈등적 공존: 시민사회의 시각 (The Confrontational Co-existence of Development and Human Rights after Democratic Transition in Southeast Asia: A Civil Society Perspective)

  • 박은홍
    • 동남아시아연구
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    • 제19권2호
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    • pp.173-218
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    • 2009
  • Bring this analysis down to people-centered development perspective and looking through democratization in the Philippines, Thailand and Indonesia, we find similarities and differences among them related with the intensity of conflicts between development and human rights in the process of democratization in line with global transformation. Civil society in the Philippines criticized the developmental path in the Philippines which failed to implement land reform and eradication of poverty under the transition from 'patrimonial oligarchy' to democracy. In Thailand the coalition of military and the royalists had consolidated its power since Sarit military regime, which later paved the way 'hybrid oligarchy' era. Most Thai civil society organizations has regarded their developmental experience rather as 'maldevelopment' which disregarded economic and social rights. It has been especially believed by Thai localists that the stimulation of local markets and the building of autonomic community society will form the alternative economy without going against the conservative banner of nation, religion and king. Thaksin as a populist successfully took advantage of Thai localist ethos in favour of taking the seat of power. He projected himself as a modernizer focused on economic growth and cleaner politics. However Thaksin's procedural legitimacy was overthrown by counterattacking from military-royalist alliance, pretexting that Thaksin caused internal conflicts and lacked morality. Soeharto's New Order regime which can be called 'administrative oligarchy' had an antipathy towards notions of economic and social rights as well as civil and political rights. In spite of the fact that the fall of Soeharto opened the political space for democratic civil society organizations which had long struggled with development aggression and human rights abuses, there have been continuously a strong political and military reaction against human rights activists, NGOs and ethnic minorities such as Aceh and Papua. Nevertheless, Indonesian democracy is more promising than Philippine's and Thai democracy in terms of comparatively less pre-modern legacies.

Spatiotemporal Trends of Malaria in Relation to Economic Development and Cross-Border Movement along the China-Myanmar Border in Yunnan Province

  • Zhao, Xiaotao;Thanapongtharm, Weerapong;Lawawirojwong, Siam;Wei, Chun;Tang, Yerong;Zhou, Yaowu;Sun, Xiaodong;Sattabongkot, Jestumon;Kaewkungwal, Jaranit
    • Parasites, Hosts and Diseases
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    • 제58권3호
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    • pp.267-278
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    • 2020
  • The heterogeneity and complexity of malaria involves political and natural environments, socioeconomic development, cross-border movement, and vector biology; factors that cannot be changed in a short time. This study aimed to assess the impact of economic growth and cross-border movement, toward elimination of malaria in Yunnan Province during its pre-elimination phase. Malaria data during 2011-2016 were extracted from 18 counties of Yunnan and from 7 villages, 11 displaced person camps of the Kachin Special Region II of Myanmar. Data of per-capita gross domestic product (GDP) were obtained from Yunnan Bureau of Statistics. Data were analyzed and mapped to determine spatiotemporal heterogeneity at county and village levels. There were a total 2,117 malaria cases with 85.2% imported cases; most imported cases came from Myanmar (78.5%). Along the demarcation line, malaria incidence rates in villages/camps in Myanmar were significantly higher than those of the neighboring villages in China. The spatial and temporal trends suggested that increasing per-capita GDP may have an indirect effect on the reduction of malaria cases when observed at macro level; however, malaria persists owing to complex, multi-faceted factors including poverty at individual level and cross-border movement of the workforce. In moving toward malaria elimination, despite economic growth, cooperative efforts with neighboring countries are critical to interrupt local transmission and prevent reintroduction of malaria via imported cases. Cross-border workers should be educated in preventive measures through effective behavior change communication, and investment is needed in active surveillance systems and novel diagnostic and treatment services during the elimination phase.

Score Based Risk Assessment of Lung Cancer and its Evaluation for Bangladeshi People

  • Mukti, Roushney Fatima;Samadder, Pratul Dipta;Emran, Abdullah Al;Ahmed, Farzana;Imran, Iqbal Bin;Malaker, Anyanna;Yeasmin, Sabina
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7021-7027
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    • 2014
  • Background: The problem of cancer, especially lung cancer, is very acute in Bangladesh. The present study was conducted to evaluate the risk of lung cancer among Bangladeshi people based on hereditary, socio-economic and demographic factors. Materials and Methods: This study was carried out in 208 people (patients-104, controls-104) from January 2012 to September 2013 using a structured questionnaire containing details of lung cancer risk factors including smoking, secondhand smoke, tobacco leaf intake, age, gender, family history, chronic lung diseases, radiotherapy in the chest area, diet, obesity, physical activity, alcohol consumption, occupation, education, and income. Descriptive statistics and testing of hypotheses were used for the analysis using SPSS software (version 20). Results: According to this study, lung cancer was more prevalent in males than females. Smoking was the highest risk factor (OR=9.707; RR=3.924; sensitivity=0.8872 and P<0.0001) followed by previous lung disease (asthma, tuberculosis etc.) (OR=7.095; RR=1.508; sensitivity=0.316 and P<0.0001)) for male patients. Highly cooked food (OR=2.485; RR=1.126; sensitivity=0.418 and P=0.004)) and also genetic inheritance (OR=1.93; RR=1.335; sensitivity=0.163 and P=0.138) demonstrated significant correlation with lung cancer as risk factors after these two and alcohol consumption was not prevalent. On the other hand, for female patients, tobacco leaf intake represented the highest risk (OR=2.00; RR=1.429; sensitivity= 0.667 and P=0.5603) while genetic inheritance and highly cooked food also correlate with lung cancer but not so significantly. Socioeconomic status and education level also play important roles in causing lung cancer. Some 78.5% male and 83.3% of female cancer patients were rural residents, while 58.2% lived at the margin or below the poverty line. Most male (39.8%) and female (50.0%) patients had completed only primary level education, and 27.6% male and 33.3% female patients were illiterate. Smoking was found to be more prevalent among the less educated persons. Conclusions: The results obtained in this study indicate the importance of creating awareness about lung cancer risk factors among Bangladeshi people and making appropriate access to health services for the illiterate, poor, rural people.

대구시 대중교통서비스의 접근성에 대한 환경적 형평성 분석 (Environmental Equity Analysis of the Accessibility to Public Transportation Services in Daegu City)

  • 김아연;전병운
    • 한국지리정보학회지
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    • 제15권1호
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    • pp.76-86
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    • 2012
  • 본 연구는 대구시를 사례로 대중교통서비스에 대한 접근성의 차이에 따른 환경적 형평성을 분석하였다. 2005년을 기준으로 한 인구 및 주택 센서스 자료와 버스정류장 및 지하철역의 위치자료를 이용하여 GIS 데이터베이스를 구축하였다. 커버리지 방법을 이용하여 대중교통서비스권을 설정하고, 맨 휘트니 U 검정을 사용하여 서비스권 내 외부의 사회경제적 특성을 비교하고 이에 대한 통계적 유의성을 검증하였다. 시 외곽에 위치한 동구, 수성구, 달서구, 북구는 다른 구들과 비교해 상대적으로 접근성이 떨어지는 것으로 밝혀졌으며, 반면에 중구, 서구, 남구는 상대적으로 접근성이 좋은 것으로 분석되었다. 대구시 전체에서 남성 및 여성비율과 미성년자비율에 대해서는 환경적 불형평성이 나타나지 않았지만, 고령자비율과 기초생활수급자비율에 대해서는 환경적 불형평성이 나타났다. 이러한 환경적 불형평성의 가장 주된 원인은 저소득계층이 접근성이 좋은 대로변 주거지역의 비싼 임대료나 지가를 지불할 수 없으므로 대중교통시설에서 멀리 떨어진 노후화된 불량주거지역에 거주하고 이들 중에는 고령자들이 많이 포함되어 있기 때문이다. 또한, 지역주민의 사회경제적 특성을 고려한 버스정류장과 지하철역의 설치 관련 법률이나 규정 등이 마련되어 있지 않으며, 대중교통서비스 시설의 분포에 대해 체계적인 관리가 이루어지지 않고 있기 때문이다. 본 연구는 지역주민의 사회경제적 분포특성을 고려하여 버스정류장과 지하철역을 설치하고 버스 및 지하철의 노선을 선정하는 것과 같은 대중교통정책을 수립하는데 시사점을 제시할 수 있을 것이다.

지역특성이 취약집단 건강에 미치는 영향 분석 (Impact of Area Characteristics on the Health of Vulnerable Populations in Seoul)

  • 김윤희;조영태
    • 한국인구학
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    • 제31권1호
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    • pp.1-26
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    • 2008
  • 본 연구는 주거지역 특성이 그 지역 구성원의 건강수준에 미치는 영향이 일반 집단보다는 취약집단에서 더 크게 나타날 것으로 보았다. 이를 규명하기 위해 서울시민을 대상으로 한 2005년 서울시 보건지표조사 자료를 이용하였으며, 행정구역상의 '구'를 지역효과를 나타내는 기본단위로 설정하였다. 개인의 건강수준은 주관적 건강인식(Self Rated Health)과 정신건강으로 측정하였으며 지역특성을 설명하는 변수로 서울시 25개 '구' 각각의 사회 경제적 수준, 사회적 자본 및 문화 자본, 물리적 환경, 인구학적 특성 등을 활용하였다. 구성효과를 통제하기 위해 성, 연령, 결혼상태, 교육수준, 직업, 소득 등의 개인특성변수를 포함한 다수준 분석을 실시하였다. 취약집단으로 저소득층, 노인, 40세 이상으로 배우자가 없으면서 무직인 중 노년층 세 개의 집단을 선정하여 각각을 분석하였다. 분석결과 우울 경험을 이용하여 측정한 정신 건강의 경우 지역 간 차이가 세 취약집단 모두에서 일반 인구집단보다 더 크게 나타났다. 지역변수들과 개인변수들을 모두 고려한 다수준 모형에서 지역주민의 행복지수, 물질결핍지수, 빈곤선 이하 가구 비율, 행복 지수, 거리 안전에 대한 인식 수준 등의 지역변수들이 개인특성변수의 효과를 통제한 후에도 취약집단의 정신건강 차이를 설명하는 변수로 확인되었다. 이런 지역특성의 맥락효과는 주관적 건강에서보다 정신건강에서 더 크게 나타났다. 특히 취약집단 중 노인집단의 경우 지역 간 분산의 차이가 상대적으로 컸을 뿐 아니라 분석에 포함된 다양한 지역특성변수들이 통계적으로 의미 있게 나타나 다른 취약집단에 비해 지역의 상황에 더 크게 영향을 받은 것으로 판단된다.

고령자 폐결핵에 대한 임상적 관찰 (Clinical Characteristics of Elderly Patients with Pulmonary Tuberculosis)

  • 김정태;엄혜숙;이향주;유남수;조동일
    • Tuberculosis and Respiratory Diseases
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    • 제49권4호
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    • pp.432-440
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    • 2000
  • 연구배경 : 최근 고령자 폐결핵은 우리 나라 및 선진국에서 전반적인 인구의 고령화, 여러 가지 만성 소모성 전신질환과의 동반된 질환, 그리고 노인들의 집단 생활 및 빈곤, 면역 저하 등으로 인하여 65세 이상의 노인 층의 결핵 유병률은 증가하는 추세이다. 이에 저자 등은 고령자 폐결핵에 있어서의 임상적인 특정을 관찰하였다. 방법 : 1993년 5월부터 1998년 5월까지 국립의료원 흉부 내과에 입원하였던 65세 이상의 활동성 폐결핵 환자를 대상으로 하였다. 이들 폐결핵 환자는 총 92예 이었으며 이들에서의 성별분포, 증상, 동반된 질환, 진단, 항 결핵제 및 그 부작용 등에 관하여 임상적인 관찰하였다. 결과 : 1) 고령자 폐결핵 92예 중 남자 62예 여자 30예 였으며 남 여 비는 2.1:1이었다. 2) 내원 시 주 증상은 기침(47.8%), 호흡곤란(40.2%), 객담(38.0%), 흉통(12.0%), 식욕부진(10.9%), 발열(9.8%)등의 순이었다. 3) 폐결핵의 과거력이 있는 환자는 38예(41.3%), 과거력이 없는 환자는 54예(58.7%)이었다. 4) 폐결핵과 동반된 질환으로는 만성 폐쇄성 폐 질환 25예 (27.2%), 폐렴 17예(18.5%), 당뇨병 13예(14.1%), 악성종양 10예(10.9%) 등의 순이었다. 5) 결핵피부 반응검사 상 양성인 환자는 43예(82.7%), 음성인 환자 9예(17.3%)이었다. 6) 항산균 객담 도말 검사에서 39예(42.4%), 결핵균 객담 배양검사 14예(15.2%), 객담 TB PCR 10예(10.9%), 기관지 세척액 항산균 도말 검사 2예(2.1%)등에서 각각 양성이었으며 흉부 엑스선 검사로만 진단된 환자는 23예(25.0%)이었다. 7) 단순 흉부 엑스선상 병변의 부위는 우상폐야 50예, 우하폐야 50예로 가장 많았고 좌하폐야가 26예로 가장 적었다. 8) 동반된 폐외 결핵으로는 기관지 결핵 8예(8.7%), 결핵성 흉막삼출 7예(7.6%), 속립성 결핵 5예(5.4%), 장 결핵 2예(2.2%), 신 결핵 1예(1.1%) 이였다. 9) 1차 약으로 치료한 경우가 85예(92.3%)이었고, 2차약으로 치료한 경우 7예(7.6%)이었으며, 항 결핵제의 부작용으로는 INH 3예(말초 다발 신경염, 과만증, 오심), RFP 2예(혈소판감소증, 과민증), EMB 2예(시력감소, S-Cr 증가), PZA 2예(관절염, 간독성)이었다. 결론 : 고령자에서의 폐결핵은 기침, 객담, 호흡곤란 등 그 경미한 증상에 비하여 병변이 심하며, 전형적인 젊은층 폐결핵 환자와 다른 임상 상을 보이고 기타 만성 소모성 전신 질환과도 잘 동반된다. 따라서 고령자 폐결핵은 쉽게 발견되지 않거나 오진될 수도 있다.

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말레이시아 북부(北部) 뜨렝가누 농촌개발(農村開發) 제(第)2단계사업(段階事業) 타당성(妥當性) 연구(硏究) (Feasibility Study of the Northern Terengganu Rural Development Project, Phase II, Malaysia)

  • 임재환
    • 농업과학연구
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    • 제19권2호
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    • pp.201-237
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    • 1992
  • 본(本) 연구(硏究)는 1992년(年) 2월(月)부터 동년(同年) 8월(月)까지 한국(韓國)의 농어촌진흥공사(農漁村振興公社)(RDC)와 말레시아의 KTA기술용역단간(技術用役團間)의 기술제휴하(技術提携下)에 아세아개발은행(亞細亞開發銀行)의 기술협력기금(技術協力基金)에 의(依)한 말레지아북부(北部) Terengganu 농촌개발제(農村開發第)2단계사업(段階事業)의 타당성조사연구(妥當性調査硏究) 결과(結果) 중 말레시아정부(政府)의 경제정책방향(經濟政策方向), 농업개발(農業開發) 및 사업(事業)의 경제적(經濟的) 재무적(財務的) 타당성(妥當性)만을 발췌(拔萃)하여 본(本) 논문(論文)에 수록(收錄)하였다. 본(本) 농촌개발사업지구(農村開發事業地區)는 말레시아의 북동(北東)쪽에 위치(位置)하고 있는 Terengganu State의 Setiu-Besut양(兩) Distict가 포함(包含)되는데 경제적(經濟的)으로 가장 낙후(落後)된 지역(地域)으로 매년(每年) 행사(行事)처럼 찾아오는 홍수(洪水)때문에 농경지(農耕地)를 집약적(集約的)으로 경작(耕作)하지 못함으로써 지역농민(地域農民)들은 빈곤(貧困)에서 벗어나지 못하고 있고 침수기간중(浸水期間中)에는 지역(地域)의 경제활동(經濟活動)은 물론(勿論) 교통(交通)마저 불통(不通)되고 농촌하부구조(農村下部構造)의 손실(損失)은 물론(勿論) 사회경제적(社會經濟的)인 손실(損失)이 크며 Setiu River의 하구(河口)가 침전(沈澱)되어 어선(漁船)의 출입(出入)이 점점(漸漸) 곤란(困難)해지므로써 어민(漁民)들의 생계(生計)에도 위협(威脅)을 주는 지역(地域)이다. 따라서 본(本) 타당성(妥當性) 조사연구(調査硏究)의 근본적(根本的)인 목적(目的)은 농촌(農村)의 빈곤(貧困)을 타파(打破)하기 위하여 (1) 홍수(洪水)를 방지(防止)하고, 배수(排水) 및 관개개선(灌漑改善)을 하며, 하구(河口)를 개발(開發)하여 어민(漁民)들의 생산활동(生産活動)을 돕고 지역주민(地域住民) 및 농민(農民)들의 경제활동(經濟活動) 및 농업생산성(農業生産性)을 제고(提高)시키며 (2) 환경보호(環境保護) 및 관리(管理)를 통(通)하여 지역주민(地域住民)에게 쾌적(快適)한 농촌생활환경(農村生活環境)을 제공(提供)하고 생태계(生態系)의 변화(變化)를 방지(防止)하며 (3) 다각적(多角的)인 영농활동(榮農活動)을 통(通)하여 지역농민(地域農民)의 소득(所得)을 극대화(極大化) 할 수 있는 개발(開發)의 기본구상(基本構想)과 이에 대한 기술적(技術的) 경제적(經濟的) 타당성(妥當性)을 구명(究明)하는 것이다. 본(本) 사업지역(事業地域)의 총면적(總面積)은 9,500ha이며 이는 4,680ha의 기설지구(旣設地區)의 개보수관개사업(改補修灌漑事業)과 500ha의 과수단지(果樹團地), 200ha의 채소단지(菜蔬團地), 500ha의 옥수수단지(團地), 250ha의 엽연초생산단지(葉煙草生産團地), 2,760ha의 오일팜 및 고무나무단지에 소, 염소 및 양(洋)을 사육(飼育)하는 종합적(綜合的)인 농촌개발(農村開發)로서 농가(農家)의 농업소득제고(農業所得提高)에 큰 기여(寄與)를 하게 되며 Setiu강(江)의 유역(流域) 4,090ha에 대한 홍수경감대책(洪水輕減對策)으로 지역주민(地域住民)의 생활안정(生活安定) 및 교통(交通), 관광(觀光), 사회경제적(社會經濟的) 생산활동(生産活動)을 촉진(促進)하는 사업(事業)을 하게된다. 본(本) 사업(事業)의 공사기간(工事期間)은 1993년(年)부터 5개년간(個年間)이며 총사업비(總事業費)는 외화(外貨) 2천만불(千萬弗)을 포함(包含)하여 5천(千) 5백만불(百萬弗)로 추정(推定)되었다. 년간사업수익(年間事業收益)은 사업(事業)의 완전운영기간(完全運營期間)인 2003년(年)을 기준(基準)으로 할 때 15,541백만불(百萬弗)로 추정(推定)되었으며 사업(事業)의 내구기간(耐久期間)은 30년(年)으로서 2023년(年)까지 생산(生産)이 계속(繼續)될 것이다. 본(本) 사업(事業)의 전체재무수익율(全體財務收益率)은 22.49%이며 경제적(經濟的) 수익률(收益率)은 19.30%로 경제적(經濟的)인 타당성(妥當性)이 매우 높음을 알 수 있다. 모든 사업(事業)이 계획(計劃)대로 성공적(成功的)으로 추진(推進)될 경우 사업지역내(事業地域)의 몽리농가(蒙利農家) 4,000호(戶)가 큰 혜택(惠澤)을 보게되고 농촌(農村)의 빈곤수준(貧困水準)(Poverty Line)은 현재(現在)의 36%에서 18%수준(水準)으로 경감(輕減)될 것이 기대(期待)되고 있다.

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'도죽장, 부채, 거문고'를 통해 본 서경덕의 선비적 풍모와 기철학적 특징 (Exploring the characteristics of Seo Kyung-duk's a man of virtue and Ki(氣) philosophy through 'the dojookjang[bamboo cane], the buchae[fan], and the k?mungo[Korean lute])

  • 황광욱
    • 한국철학논집
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    • 제59호
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    • pp.261-286
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    • 2018
  • 동양적 전통에서는 다양한 문체로 사물과 대화할 수 있지만 특히 시(詩), 명(銘), 부(賦)가 그런 경향이 두드러진다. 말은 입이 하는 것이 아니라 마음, 영혼이 하는 것이다. 따라서 어떤 사물과 함께 있는지가 그 사람을 규정하는 겉이라면, 사물과 어떤 대화를 했는지는 그 사람의 속이다. 겉과 속은 분명 다르지만, 그렇다고 속없이 겉이 없고, 겉이 없이 속도 없다. 그래서 그 사람이 어떤 사물과 함께 했는지를 알면 그의 겉을 상상할 수 있고, 사물과 어떤 대화를 했는지를 알면 속에 들어가 볼 수 있다. 빈한한 삶을 살았던 서경덕이지만 사물 없이 살 수는 없기에 그의 사물이 전무하지는 않다. 서경덕은 여러 사물 가운데 도죽장, 부채, 거문고에 대해 특별하게 기록해 두었다. 부채를 든 서경덕, 도죽장을 짚은 서경덕, 거문고를 품고 있는 서경덕. 우리가 상상해볼 수 있는 그림들이다. 도죽장에 투영된 서경덕은 백성의 곤궁과 험한 세상을 구제해야 한다는 현실 참여적 모습을 보이고 있다. 부채에 비춰지는 서경덕은 백성의 어려움을 씻어줘야 하는 현실적 선비의 모습과 함께 존재의 근원을 탐구하는 철학자이다. 거문고에서 찾을 수 있는 서경덕은 현상과 근원, 체와 용, 형이상과 형이하, 유형과 무형을 일기(一氣)로 파악하는 기철학자이다. 도죽장, 부채, 거문고를 통해 본 서경덕은 세상의 아픔을 걱정하고 좋은 세상을 이루어야 한다는 현실감을 지닌 선비이고, 존재의 근원을 파고드는 철학자이며, 기(氣)의 논리로 요순의 통치가 이루어질 수 있음을 확신하는 이상가이기도 한다.

일본 '고증파(考證派)' 의학에 관한 연구 (A Study on The 'Kao Zheng Pai'(考證派) of The Traditional Medicine of Japan)

  • 박현국;김기욱
    • 대한한의학원전학회지
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    • 제20권4호
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    • pp.211-250
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    • 2007
  • 1. The 'Kao Zheng Pai(考證派) comes from the 'Zhe Zhong Pai' and is a school that is influenced by the confucianism of the Qing dynasty. In Japan Inoue Kinga(井上金娥), Yoshida Koton(吉田篁墩) became central members, and the rise of the methodology of historical research(考證學) influenced the members of the 'Zhe Zhong Pai', and the trend of historical research changed from confucianism to medicine, making a school of medicine based on the study of texts and proving that the classics were right. 2. Based on the function of 'Nei Qu Li '(內驅力) the 'Kao Zheng Pai', in the spirit of 'use confucianism as the base', researched letters, meanings and historical origins. Because they were influenced by the methodology of historical research(考證學) of the Qing era, they valued the evidential research of classic texts, and there was even one branch that did only historical research, the 'Rue Xue Kao Zheng Pai'(儒學考證派). Also, the 'Yi Xue Kao Zheng Pai'(醫學考證派) appeared by the influence of Yoshida Kouton and Kariya Ekisai(狩谷掖齋). 3. In the 'Kao Zheng Pai(考證派)'s theories and views the 'Yi Xue Kao Zheng Pai' did not look at medical scriptures like the "Huang Di Nei Jing"("黃帝內經") and did not do research on 'medical' related areas like acupuncture, the meridian and medicinal herbs. Since they were doctors that used medicine, they naturally were based on 'formulas'(方劑) and since their thoughts were based on the historical ideologies, they valued the "Shang Han Ja Bing Lun" which was revered as the 'ancestor of all formulas'(衆方之祖). 4. The lives of the important doctors of the 'Kao Zheng Pai' Meguro Dotaku(目黑道琢) Yamada Seichin(山田正珍), Yamada Kyoko(山田業廣), Mori Ritsi(森立之) Kitamura Naohara(喜多村直寬) are as follows. 1) Meguro Dotaku(目黑道琢 1739${\sim}$1798) was born of lowly descent but, using his intelligence and knowledge, became a professor as a Shi Jing Yi(市井醫) and as a professor for 34 years at Ji Shou Guan mastered the "Huang Di Nei Jing" after giving over 300 lectures. Since his pupil, Isawara Ken taught the Lan Men Wu Zhe(蘭門五哲) and Shibue Chusai, Mori Ritsi(森立之), Okanishi Gentei(岡西玄亭), Kiyokawa Gendoh(淸川玄道) and Yamada Kyoko(山田業廣), Meguro Dotaku is considered the founder of the 'Yi Xue Kao Zheng Pai'. 2) The family of Yamada Seichin(山田正珍 1749${\sim}$1787) had been medical officials in the Makufu(幕府) and the many books that his ancestors had left were the base of his art. Seichin learned from Shan Ben Bei Shan(山本北山), a 'Zhe Zhong Pai' scholar, and put his efforts into learning, teaching and researching the "Shang Han Lun"("傷寒論"). Living in a time between 'Gu Fang Pai'(古方派) member Nakanishi Goretada(中西惟忠) and 'Kao Zheng Pai' member Taki Motohiro(多紀元簡), he wrote 11 books, 2 of which express his thoughts and research clearly, the "Shang Han Lun Ji Cheng"("傷寒論集成") and "Shang Han Kao"("傷寒考"). His comparison of the 'six meridians'(3 yin, 3 yang) between the "Shang Han Lun" and the "Su Wen Re Lun"("素問 熱論) and his acknowledgement of the need and rationality of the concept of Yin-Yang and Deficient-Replete distinguishes him from the other 'Gu Fang Pai'. Also, his dissertation of the need for the concept doesn't use the theories of latter schools but uses the theory of the "Shang Han Lun" itself. He even researched the historical parts, such as terms like 'Shen Nong Chang Bai Cao'(神農嘗百草) and 'Cheng Qi Tang'(承氣湯) 3) The ancestor of Yamada Kyoko(山田業廣) was a court physician, and learned confucianism from Kao Zheng Pai 's Ashikawa Genan(朝川善庵) and medicine from Isawa Ranken and Taki Motokata(多紀元堅), and the secret to smallpox from Ikeda Keisui(池田京水). He later became a lecturer at the Edo Yi Xue Guan(醫學館) and was invited as the director to the Ji Zhong(濟衆) hospital. He also became the first owner of the Wen Zhi She(溫知社), whose main purpose was the revival of kampo, and launched the monthly magazine Wen Zi Yi Tan(溫知醫談). He also diagnosed and prescribed for the prince Ming Gong(明宮). His works include the "Jing Fang Bian"("經方辨"), "Shang Han Lun Si Ci"("傷寒論釋司"), "Huang Zhao Zhu Jia Zhi Yan Ji Yao"("皇朝諸家治驗集要") and "Shang Han Ja Bing Lun Lei Juan"("傷寒雜病論類纂"). of these, the "Jing Fang Bian"("經方辨") states that the Shi Gao(石膏) used in the "Shang Han Lun" had three meanings-Fa Biao(發表), Qing Re(淸熱), Zi Yin(滋陰)-which were from 'symptoms', and first deducted the effects and then told of the reason. Another book, the "Jiu Zhe Tang Du Shu Ji"("九折堂讀書記") researched and translated the difficult parts of the "Shang Han Lun", "Jin Qui Yao Lue", "Qian Jin Fang"("千金方"), and "Wai Tai Mi Yao"("外臺秘要"). He usually analyzed the 'symptoms' of diseases but the composition, measurement, processing and application of medicine were all in the spectrum of 'analystic research' and 'researching analysis'. 4) The ancestors of Mori Rits(森立之 1807${\sim}$ 1885) were warriors but he became a doctor by the will of his mother, and he learned from Shibue Chosai(澁江抽齋) and Isawaran Ken and later became a pupil of Shou Gu Yi Zhai, a historical research scholar. He then became a lecturer of medical herbs at the Yi Xue Guan, and later participated in the proofreading of "Yi Xin Fang"("醫心方") and with Chosai compiled the "Jing Ji Fang Gu Zhi"("神農本草經"). He visited the Chinese scholar Yang Shou Jing(楊守敬) in 1881 and exchanged books and ideas. Of his works, there are the collections(輯複本) of "Shen Nong Ben Cao Jing"(神農本草經) and "You Xiang Yi Hwa"("遊相醫話") and the records, notes, poems, and diaries such as "Zhi Yuan Man Lu"("枳園漫錄") and "Zhi Yuan Sui Bi"("枳園隨筆") that were not published. His thoughts were that in restoring the "Shen Nong Ben Cao Jing", "the herb to the doctor is like the "Shuo Wen Jie Zi"("說文解字") to the scholar", and he tried to restore the ancient herbal text using knowledge of medicine and investigation(考據). Also with Chosai he compiled the "Jing Ji Fang Gu Zhi"("經籍訪古志") using knowledge of ancient text. Ritzi left works on pure investigation, paid much attention to social problems, and through 12 years of poverty treated all people and animals in all branches of medicine, so he is called a 'half confucianist half doctor'(半儒半醫). 5) Kitamurana Ohira(喜多村直寬 1804${\sim}$1876) learned scriptures and ancient texts from confucian scholar Asaka Gonsai, and learned medicine from his father Huai Yaun(槐園). He became a teacher in the Yi Xue Guan in his middle ages, and to repay his country, he printed 266 volumes of "Yi Fang Lei Ju("醫方類聚") and 1000 volumes of "Tai Ping Yu Lan"("太平禦覽") and devoted it to his country to be spread. His works are about 40 volumes including "Jin Qui Yao Lue Shu Yi" and "Lao Yi Zhi Yan" but most of them are researches on the "Shang Han Za Bing Lun". In his "Shang Han Lun Shu Yi"("傷寒論疏義") he shows the concept of the six meridians through the Yin-Yang, Superficial or internal, cold or hot, deficient or replete state of diseases, but did not match the names with the six meridians of the meridian theory, and this has something in common with the research based on the confucianism of Song(宋儒). In clinical treatment he was positive toward old and new methods and also the experience of civilians, but was negative toward western medicine. 6) The ancestor of the Taki family Tanbano Yasuyori(丹波康賴 912-955) became a Yi Bo Shi(醫博士) by his medical skills and compiled the "Yi Xin Fang"("醫心方"). His first son Tanbano Shigeaki(丹波重明) inherited the Shi Yao Yuan(施藥院) and the third son Tanbano Masatada(丹波雅忠) inherited the Dian You Tou(典藥頭). Masatada's descendents succeeded him for 25 generations until the family name was changed to Jin Bao(金保) and five generations later it was changed again to Duo Ji(多紀). The research scholar Taki Motohiro was in the third generation after the last name was changed to Taki, and his family kept an important part in the line of medical officers in Japan. Taki Motohiro(多紀元簡 1755-1810) was a teacher in the Yi Xue Guan where his father was residing, and became the physician for the general Jia Qi(家齊). He had a short temper and was not good at getting on in the world, and went against the will of the king and was banished from Ao Yi Shi(奧醫師). His most famous works, the "Shang Han Lun Ji Yi" and "Jin Qui Yao Lue Ji Yi" are the work of 20 years of collecting the theories of many schools and discussing, and is one of the most famous books on the "Shang Han Lun" in Japan. "Yi Sheng" is a collection of essays on research. Also there are the "Su Wen Shi"("素問識"), "Ling Shu Shi"("靈樞識"), and the "Guan lu Fang Yao Bu"("觀聚方要補"). Taki Motohiro(多紀元簡)'s position was succeeded by his third son Yuan Yin(元胤 1789-1827), and his works include works of research such as "Nan Jing Shu Jeng"("難經疏證"), "Ti Ya"("體雅"), "Yao Ya"("藥雅"), "Ji Ya"("疾雅"), "Ming Yi Gong An"("名醫公案"), and "Yi Ji Kao"("醫籍考"). The "Yi Ji Kao" is 80 volumes in length and lists about 3000 books on medicine in China before the Qing Dao Guang(道光), and under each title are the origin, number of volumes, state of existence, and, if possible, the preface, Ba Yu(跋語) and biography of the author. The younger sibling of Yuan Yin(元胤 1789-1827), Yuan Jian(元堅 1795-1857) expounded ancient writings at the Yi Xue Guan only after he reached middle age, was chosen for the Ao Yi Shi(奧醫師) and later became a Fa Yan(法眼), Fa Yin(法印) and Yu Chi(樂匙). He left about 15 texts, including "Su Wen Shao Shi"("素間紹識"), "Yi Xin Fang"("醫心方"), published in school, "Za Bing Guang Yao"("雜病廣要"), "Shang Han Guang Yao"(傷寒廣要), and "Zhen Fu Yao Jue"("該腹要訣"). On the Taki family's founding and working of the Yi Xue Guan Yasuka Doumei(失數道明) said they were "the people who took the initiative in Edo era kampo medicine" and evaluated their deeds in the fields of 'research of ancient text', 'the founding of Ji Shou Guan and medical education', 'publication business', 'writing of medical text'. 5. The doctors of the 'Kao Zheng Pai ' based their operations on the Edo Yi Xue Guan, and made groups with people with similar ideas to them, making a relationship 'net'. For example the three families of Duo Ji(多紀), Tang Chuan(湯川) and Xi Duo Cun(喜多村) married and adopted with and from each other and made prefaces and epitaphs for each other. Thus, the Taki family, the state science of the Makufu, the tendency of thinking, one's own interests and glory, one's own knowledge, the need of the society all played a role in the development of kampo medicine in the 18th and 19th century.

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