1.Possibility in Unification of Oriental and Western Medicine Education by Combination of Educational Curricula.
Jay Sik KIM ; Doo Hee KIM ; Won Kil LEE ; Jang Soo SUH ; Kyung Eun SONG ; Byung Jo KANG ; Eun Hui PARK ; Jae Kap CHOI
Korean Journal of Medical History 1999;8(2):269-277
The authors attempted a pdssibility of unifcation in the educational curricula of both Oriental and Western medical schools for the unification of two medicines . Historically the two medicines were originated from the most primitive state like intinctive method and we can say two medicines were entirely same. However after abrupt and current development of science in 19 century by discovery of microscope and bacteria as well as cells changed medicine into recent unbelievable current medicine from old ancient style medicine like Chinese Medicine which was just the remnant old medicine. The unification of educational curricular is thought to be possible to combine each other by technical adjustment from mutual understanding and cooperations for the most high quality of people's lives. There were good equality to partial corrrespondances between two educational curricular around 90 % at two pre- and schools from the study to analyse. The combined medicine is thought to be more efficient to the diagnosis and treatment of patients because of the effectiveness of Oriental medicine in a certain disease conditions like chronic illness by acupuncture as a alternative medicine or herbs.
*Curriculum
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Education, Medical/*history
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English Abstract
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History of Medicine, 19th Cent.
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History of Medicine, 20th Cent.
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Korea
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Medicine, Oriental Traditional/*history
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Western World/*history
2.The Introduction of the Western Psychiatry into Korea (1): from the mid seventeenth century to 1911, the time of Japanese forced annexation of Korea.
Korean Journal of Medical History 1999;8(2):233-268
The object of this study is to investigate the routes of the introduction of the western psychiatric knowledges and practices in Korea. The historical documents including newspapers and governmental bullettins as well as articles and books on the history of the Korean medicine were examined and the results are as follows: The western knowledge about the brain anatomy and physiology was introduced from China by the enlightened Confucian and Taoistic scholars of Korea in the mid seventeenth century through the Chinese translations of the western science and medicine. Due to the lack of support for the scholars and even persecution by the ruling power to those who had great interests in the western thoughts including sciences, the western medical knowledges could not be actualized in practice. Thus, the active practices of western medicine were started in the late 19th century in Korea through the two routes ; one, via Japanese military physicians and the other one, via the western missionary physicians. The psychiatry was lectured by Japanese psychiatrist in 1910 at the medical school of Tai-Han Ui-won, the Korean governmental clinic and in 1913 at the Severance medical school by the Australian psychiatrist, McLaren. As the independent department with the psychiatric ward, the first Dept. of Psychiatry was established in 1913 at the colonial governmental clinic, Chosun Chondokbu-Uiwon, the former Tai-Han Ui-won. Medicine as well as psychiatry was introduced into Korea under the political atmosphere of onesided admiration for the western science. The attempts to combine the western medicine with the traditional Korean medicine could not be tolerated by both missionary physicians and the colonial regime.
Colonialism/*history
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English Abstract
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History of Medicine, 17th Cent.
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History of Medicine, 18th Cent.
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History of Medicine, 19th Cent.
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History of Medicine, 20th Cent.
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Japan
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Korea
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Missions and Missionaries/*history
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Psychiatry/*history
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Western World/*history
3.Development of Integrated Traditional Chinese and Western Medicine and change of medical policy in China.
Korean Journal of Medical History 1999;8(2):207-232
"Sect of Integration of Chinese and Western Medicine" came into the world four hundred years ago when Traditonal Chinese Medicine(TCM) contacted Western Medicine(WM) at the begining of 17th century. It collected historical experiences showing that the cooperation of TCM and WM is more efficient for the cure and prevention of disease than each of them separately. Now the recognition that the cooperation of eastern and western medicine is more efficient to cure disease is spreading widely. This study will help Korean eastern and western medicine to find their directions. First, the concept of "sect of Integration of Chinese and Western Medicine" which was established between the beginning of 17th century and the middle of 20th century, and Integration of Traditional Chinese and Western Medicine(ITCWM) which was formed after the middle of 20th century will be discussed. The relationship of "sect of Integration of Chinese and Western Medicine" and ITCWM and political consideration for the establishment of ITCWM will also be discussed. Finally, the current status of ITCWM in China will be discussed. New trends of thought appeared in Chinese medicine, owing to the cultural background of modern China, the development of WM, and the academic backgound of the intellectual class. "sect of Integration of Chinese and Western Medicine" and ITCWM are different in historical and social background. However, purpose, foundation of thoughts and logical idea are fundamentally same. It can be said that "sect of Integration of Chinese and Western Medicine" provided academic mood to open the way for ITCWM and ITCWM is a succession of "sect of Integration of Chinese and Western Medicine". The concept of ITCWM has many ways of explanation. However, it can be said to build up the foundation of new medical area including Chinese special way of medical treatment and new methods of modern medicine, succeeding a legacy of TCM. ITCWM began before the establishment of People's Republic of China. Mao Ze-dong(1893-1976), a powerful politician, and Li Ding-ming(1881-1947) who had many experiences and insight for TCM and WM played important roles at this stage. The period from the New China to the Great Proletarian Cultural Revolution(1966-1975) is the term for the establishment of the shape of ITCWM. "The effort of research and development on TCM-WM integration" was adapted as one of hygienic policies for curing of epidemic disease and succession and development of the heritage of TCM to establish new medical area. TCM class for western medical doctors was opened and mass media was used to spread out ITCWM throughout China. During the period of the Great Proletarian Cultural Revolution, ITCWM has to be stepped back and stagnant. Only the TCM class of western medical doctors and some clinical applications were barely keep moving on and alive. From the period of the Great Proletarian Cultural Revolution to the end of 1980's, there are the movement of re-preparation of ITCWM, education of successors, and the establishment of the Institute of ITCWM. Hospitals began to establish department of ITCWM. Furthermore, it was clearly indicated in the constitutional law that "we not only have to develop modern medicine but also traditional medicine". The equality of TCM and WM was legally established in this time. From the 1990's, "equality of TCM and WM" was adapted as one of the hygienic policies, and department of ITCWM was opened in traditional chinese medical school and western medical school. ITCWM has been settled down as a new academic field through education, training, research, academic activity, and publishing text books. In conclusion, the motive of the development of ITCWM was the policy such as "the effort of research and development on TCM-WM integration" and "equality of TCM and WM" aimed at the development of Chinese medical area. It is no doubted helpful to organize systems and policy-making for the cooperation of eastern and western medicine in Korea.
China
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English Abstract
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History of Medicine, 17th Cent.
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History of Medicine, 18th Cent.
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History of Medicine, 19th Cent.
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History of Medicine, 20th Cent.
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Medicine, Traditional/*history
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Philosophy/*history
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Western World/*history
4.Classified Collection of Medical Prescriptions.
Korean Journal of Medical History 1999;8(2):187-206
In this study, the career and official ranks of the authors of the Sejong text(1443-1445), Sejo text(1451-1464), and Seongjong text(1475-1477) of {Classified Collection of Medical Prescriptions} were investigated. In the completion of Sejong text, Kim Rye-mong(1406-1469), Ryu Seong-won(?-1456), and Min Bo-hua(?) collected and arranged all medical books inside and outside of Choseon; Kim Moon(?-1448), Shin Seok-jo(1407-1459), Lee Ye(1419-1480), Kim Soo-on(1410-1481), Jeon Soon-eui(?), Choi Yun(?), and Kim Yu-ji(?-1469) took part in the edition; Lee Yong(1418-1453), Lee Sa-cheol(1405-1456), Lee Sa-soon(?-1455), and Rho Joong-rye(?-1452) participated in the editorial supervision. Ryang Seong-ji(1415-1482), Son So(1433-1484), Ryu Yo(?), Han Chi-ryang(?), An Geuk-sang(?), Han Kye-mi(1421-1471), Choi Young-rin(?) took part in the completion of Sejo text. Han Kye-heui(1423-1482), Rym Won-joon(1423-1500), Kueon Chan(1430-1487), Ryu Seo(?), and Baek Soo-heui(?) participated in the completion of Seongjong text. All 96 persons participated in the completion of draft text, revision text, and first-publication text of {Classified Collection of Medical Prescriptions}. 14 persons (14.58 %) participated in the completion of draft text. 77 persons (80.21%) participated in revision text, and 5 persons (5.21%) participated in first-publication text. Even though {Classified Collection of Medical Prescriptions} is a medical book, civil officials participated in its completion together with medical officials. The scholars of Jiphyeonjeon(The Jade Hall of Scholars) who led the academy at those days and famous medical officials were ordered to complete it by Sejong(1419-1450), Sejo(1455-1468), and Seongjong(1470-1494) who showed special interest in thier own heath and the health of common people.
Books/*history
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English Abstract
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History of Medicine, 15th Cent.
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Korea
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*Medicine
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Prescriptions, Drug/*history
5.Historical Origins of the Tuskegee Experiment: The Dilemma of Public Health in the United States.
Korean Journal of Medical History 2017;26(3):545-578
The Tuskegee Study of Untreated Syphilis in the Negro Male was an observational study on African-American males in Tuskegee, Alabama between 1932 and 1972. The U. S. Public Health Service ran this study on more than 300 people without notifying the participants about their disease nor treating them even after the introduction of penicillin. The study included recording the progress of disease and performing an autopsy on the deaths. This paper explores historical backgrounds enabled this infamous study, and discusses three driving forces behind the Tuskegee Study. First, it is important to understand that the Public Health Service was established in the U. S. Surgeon General's office and was operated as a military organization. Amidst the development of an imperial agenda of the U.S. in the late 19th and early 20th centuries, the PHS was responsible for protecting hygiene and the superiority of “the American race” against infectious foreign elements from the borders. The U.S. Army's experience of medical experiments in colonies and abroad was imported back to the country and formed a crucial part of the attitude and philosophy on public health. Secondly, the growing influence of eugenics and racial pathology at the time reinforced discriminative views on minorities. Progressivism was realized in the form of domestic reform and imperial pursuit at the same time. Major medical journals argued that blacks were inclined to have certain defects, especially sexually transmitted diseases like syphilis, because of their prodigal behavior and lack of hygiene. This kind of racial ideas were shared by the PHS officials who were in charge of the Tuskegee Study. Lastly, the PHS officials believed in continuing the experiment regardless of various social changes. They considered that black participants were not only poor but also ignorant of and even unwilling to undergo the treatment. When the exposure of the experiment led to the Senate investigation in 1973, the participating doctors of the PHS maintained that their study offered valuable contribution to the medical research. This paper argues that the combination of the efficiency of military medicine, progressive and imperial racial ideology, and discrimination on African-Americans resulted in the Tuskegee Syphilis Experiment.
African Continental Ancestry Group
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Alabama
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Autopsy
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Discrimination (Psychology)
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Eugenics
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Humans
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Hydrogen-Ion Concentration
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Hygiene
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Male
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Military Medicine
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Military Personnel
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Observational Study
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Pathology
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Penicillins
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Philosophy
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Public Health*
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Sexually Transmitted Diseases
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Social Change
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Syphilis
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United States Public Health Service
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United States*
6.The Medicinal Usage and Restriction of Ginseng in Britain and America, 1660–1900.
Korean Journal of Medical History 2017;26(3):503-544
This article demonstrates the medicinal usage of ginseng in the West from 1660 to 1914. Asian[Korea] ginseng was first introduced into England in the early 17th century, and North American ginseng was found in the early 18th century. Starting from the late 17th century doctors prescribed ginseng to cure many different kinds of ailments and disease such as: fatigue general lethargy, fever, torpidity, trembling in the joints, nervous disorder, laughing and crying hysteria, scurvy, spermatic vessel infection, jaundice, leprosy, dry gripes and constipation, strangury, yellow fever, dysentery, infertility and addictions of alcohol, opium and tobacco, etc. In the mid-18th century Materia Medica began to specify medicinal properties of ginseng and the patent medicines containing ginseng were widely circulated. However, starting in the late 18th century the medicinal properties of ginseng began to be disparaged and major pharmacopoeias removed ginseng from their contents. The reform of the pharmacopoeia, influenced by Linnaeus in botany and Lavoisier in chemistry, introduced nomenclature that emphasized identifying ingredients and active constituents. Western medicine at this period, however, failed to identify and to extract the active constituents of ginseng. Apart from the technical underdevelopment of the period, the medical discourses reveal that the so-called chemical experiment of ginseng were conducted with unqualified materials and without proper differentiation of various species of ginseng.
Americas*
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Botany
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Chemistry
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Constipation
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Crying
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Dispensatories
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Dysentery
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England
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Fatigue
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Fever
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Hysteria
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Infertility
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Jaundice
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Joints
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Leprosy
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Lethargy
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Materia Medica
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Nonprescription Drugs
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Opium
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Panax*
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Scurvy
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Tobacco
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Yellow Fever
7.Selection and Management of Medical Official during the Yuan Dynasty.
Korean Journal of Medical History 2017;26(3):455-502
Although the healthcare system of the Yuan Dynasty followed that of the Song Dynasty, there are certain differences between these two dynasties in terms of practices. Including appointing ‘Yihus’ in ‘Zhusehuji’ and setting up ‘Guanyitijusi’ to oversee Yihus, the Yuan Dynasty developed an effective management system for their physicians and, soon after the coronation of Khubilai, built ‘Yixue (Medical school)’ all over its territories in order to establish an organized and substantial medical training system. Moreover, the Yuan Dynasty not only revived the civil service examination system system between 1314 and 1320 as well as the medical examination system, but also increased the quota for qualification to twice that of Confucian examination in Song. These changes resulted in producing many brilliant people at the time. In the second half of the reign of Emperor Chengzong it was decided that the incompetence of the government healthcare organizations and the abundance of charlatans could not be neglected any longer. Existing policies and systems was limited in educating and training proper physicians, and this problem was not restricted to the field of medicine. The need for new systems that could reform the social order led to the restoration of the civil service examination system. The civil service examination system for Confucianism and for medicine began in 1314 and 1316, respectively. The purpose of the medical examination system was to select medical officials. The medical examination system which started in 1316 had a significant impact on the medicine of the Yuan dynasty for many reasons. Firstly, the qualification to apply to the medical examination did not remain constricted to ‘Yixue’ but opened to all ‘Zhusehuji’; and secondly, the examination system did not have a restriction on the number of applicants was not restricted. The most important aspect of the examination system was that the number of test takers that passed the first test was one hundred and the number of passers of the second test were thirty, which were not low compared to the number of passers of the Confucianism examination. As such, the impact of the medical examination on the Yuan society was substantial. The Confucian examination selected 300 persons to pass the first test. The second test had 100 test takers which was equally divided among the four social classes at 25 percent each. The medical system selected 100 persons in the first test and 30 in the second. What is important is that unlike the Confucian examination system, the medical system was not divided into four classes. Hypothetically, the 30 qualified persons could all be South Chinese. In terms of the number of passers, it was much more promising for the South Chinese to flourish through the medical test than through Confucian examination test. Such facts support the claim that the Yuan Dynasty emphasized the field of medicine compared to the Song Dynasty. Although the Song Dynasty implemented the civil service examination system early on, the medical system was not implemented until 1115, which started with the founding of ‘Yixue’ across the country and assigning student capacity. During the Song Dynasty, the number of students in the medical system was 15 percent of that in the Confucianism system, and compared to that in Yuan, it raised to 30 percent, which is twofold. The indications of the Yuan Dynasty valuing medicine and making an effort to educate and train medical experts can be seen in the ‘Yihu system’, ‘Guanyitijusi’, Yixuetijusi’, and medical school as well as the ratio of the medical system capacity.
Asian Continental Ancestry Group
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Confucianism
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Delivery of Health Care
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Humans
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Music
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Schools, Medical
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Social Class
8.A Modern History of ‘Imperial Medicine’ Surrounding Hansen's Disease: Strategies to Manage Public Opinion in Modern Japanese Media.
Korean Journal of Medical History 2017;26(3):417-454
The purpose of this study is to understand the reality of imperial medicine by exploring the strategic attitude of the Japanese authority targeting the public who were not patients of Hansen's disease. For this purpose, this study examines the mass media data related to Hansen's disease published in Korea and Japan during the Japanese colonial rule. Research on Hansen's disease can be divided into medical, sociohistorical, social welfare, and human rights approach. There are medical studies and statistics on the dissemination of medical information about Hansen's disease and management measures, the history of the management of the disease, guarantee of the rights of the patients and the welfare environment, and studies on the autobiographical, literary writings and oral statements on the life and psychological conflicts of the patients. Among existing research, the topics of the study on Hansen's disease under the Japanese colonial rule include the history of the Sorokdo Island Sanatorium, investigation on the forced labor of the patients in the island, human rights violations against the patients, oral memoirs of the patients and doctors who practiced at that time. All of these studies are important achievements regarding the research on the patients. An important study of Hansen's disease in modern Japan is the work of Hujino Utaka, which introduces the isolation of and discrimination against the patients of Hansen's disease. Hujino Utaka's study examines the annihilation of people with infectious diseases in Japan and its colonies by the imperial government, which was the consequence of the imperial medical policies, and reports on the isolation of Hansen's disease patients during the war. Although these researches are important achievements in the study of Hansen's disease in modernity, their focus has mainly been on the history of isolation and exploitation in the Sorokdo Island Sanatorium and discrimination against the patients within the sanatorium, which was controlled by the director of the sanatorium. Consequently, the research tends to perceive the problem within the frame of antagonism between the agent of imperialism and the victims of exploitation by the hands of imperialism. Hence, it has limitations in that it has not fully addressed the problem of the people who were not Hansen's disease patients and as such, existed somewhere in between the two extremes in the process of administering medicine under the imperial rule. The purpose of this study is to identify the direction of imperial medicine in the history of Hansen's disease in Japan and to comprehend the characteristics of policy on Hansen's disease developed by Mitsuda Kensuke, who was behind the policy of imperial medicine, and examine the process of imperial medicine reaching out to the people (of Japan and its colonies). To achieve the goal, this study explores how the agent of imperial medicine gain the favor the public, who are not Hansen's disease patients, by means of the mass media. Specifically, this paper examines data in the Japanese language related to Korean patients of Hansen's disease including the mass media data on Hansen's disease in the source book titled The Collection of Data on Hansen's Disease in Joseon under the Colonial Rule(8 volumes) compiled by Takio Eiji, which has not been studied until now. It also reviews the cultural and popular magazines published in Japan and Joseon at that time.
Asian Continental Ancestry Group*
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Communicable Diseases
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Discrimination (Psychology)
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Hand
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History, Modern 1601-*
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Human Rights
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Humans
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Japan
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Korea
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Leprosy*
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Mass Media
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Periodicals as Topic
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Public Opinion*
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Public-Private Sector Partnerships
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Social Welfare
9.The Formation of the Military Medical System of the Korean People's Army and the Military Medical Officer.
Korean Journal of Medical History 2017;26(3):379-416
The military medical system of the Korean People's Army (KPA) first appeared in August 1946 when a central military hospita was established at the headquarters. Inside the KPA, the military medical and veteran services were first established in February 1948. The military medical officers of the KPA were those who were initially engaged in North Korea's health care sector. Most of the early military medical officers were those who had been trained in the Japanese medical system before liberation and were surgeons. After the establishment of the government in September 1948, Lee Dongwha rapidly introduced the medical system of the Soviet army into the KPA. The KPA military medical system was a mix of Soviet, Japanese and Chinese military medical systems. The medical section of the KPA was similar to that of the Japanese army, and the medical section of the lower army was similar to that of the Soviet army. The stretcher platoon of the KPA were similar to those of the Japanese and Chinese armies. The KPA mainly used Japanese medical equipment at the beginning, and after the establishment of the North Korean regime in September 1948, they were gradually replaced with Soviet products. The military medical office of the KPA were equipped with treatment rooms, laboratories, hospitals, pharmacy, and inpatient rooms. The military medical office purchased medical journals and specimens for medical research and set up a separate research fund. In addition, the military medical office was equipped with a laboratory for medical experiments and raised laboratory animals. The KPA military medical system was specialized in the fields of infectious disease prevention and preventive medicine. At the time, infectious disease in North Korea was mainly caused by bacteria and viruses in unsanitary living environments. The KPA set up a special anti-infectious disease department in consideration of the soldiers living in the collective facilities. The second characteristic of the KPA military medical system is preventive medicine. Since early 1946, North Korea has been interested in preventive medicine and has established various medical facilities and personnel. In line with this history of preventive medicine, the preventive department was installed in the KPA military medical system.
Animals, Laboratory
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Asian Continental Ancestry Group
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Bacteria
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Communicable Diseases
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Democratic People's Republic of Korea
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Financial Management
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Health Care Sector
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Hospitals, Military
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Humans
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Inpatients
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Military Personnel*
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Pharmacy
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Preventive Medicine
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Surgeons
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Veterans
10.New Perspectives on the Origin of Korean Acupuncture: Based on Materials from Xiaoyingzi Tomb, Yanji and Neighbouring Region.
Korean Journal of Medical History 2017;26(3):339-378
This article discusses the development of early acupuncture needles as demonstrated by the artifacts excavated from the Northern part of the Yanji district, Jilin, China, during the Japanese colonial era (reported in 1941). Numerous bone needles, stone needles, and other medical devices were found in the Xiaoyingzi excavation. The stone needles from Xiaoyingzi can be categorized into three grades, based on length, of 8cm, 12–15cm, and 18cm. A set of round stones for massage were also discovered, along with obsidian blades. These relics were carefully stored in the middle of the body in the stone coffin. In addition to Xiaoyingzi, stone needles were also excavated along the lower valley region of the Tuman (Tumen, 豆滿) River. These facts indicate that the owner was involved in medical practice, and that medical procedures using stone needles were quite popular at the time. This article carefully investigates that the relics have nothing to do with weaving textile or military use. Current research on the origin of acupuncture has been confined either to stone needles from the prehistoric age or to bronze needles, as well as to literature from the Warring States period to the Han China, during which acupuncture technology was considerably expanded. However, substantial knowledge on the “gap” between stone needles and metal needles has been procured through the analysis of Xiaoyingzi, Yanji. The findings of Xiaoyingzi are also significant in providing a more detailed reconstruction of the development of acupuncture in East Asia and emergence of acupuncture throughout history. A large amount of medical items (stone and bone needles, cases for needles, massage stone type bianshi, and etc.), have been excavated from Xiaoyingzi and other neighbouring sites, Along with geographic and ecological factors, this archeological data strongly suggests the medical tradition of using acupuncture needles was practiced around Tumen River basin in the Bronze Age (10th century B.C.).
Acupuncture*
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Artifacts
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Asian Continental Ancestry Group
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China
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Far East
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Humans
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Massage
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Military Personnel
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Needles
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Rivers
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Textiles