No abstract available.
Diphtheria/*history ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Human

The western medical knowledges of the human anatomy and physiology including knowledges of central nervous system have probably been introduced into Korea by Prince Sohyon Seja in 1645. The authentic education for the western medicine at the governmental and private medical schools, however, originated from 1899 and the education of mental disease was included in curriculum of Tai-Han-uiwon, the governmental medical school before 1910. In 1913 the first department of psychiatry (Department of Mental Disease) was established at the Chongdokbu-uiwon, the clinic of the Japanese colonial government, the former Korean governmental hospital which has later developed to the Kyongs ong Imperial University Hospital. On the other hand, there was in Severance Hospital Medical College, one Australian missionary psychiatrist McLaren, who has served at Paton Memorial Hospital in Jinju, Korea from 1911, taught neurology and psychiatry from 1913 at Severance Hospital Medical College, established psychiatry ward in 1923 at the Hospital, conducted the ward in humanistic way until 1940. It was the German psychiatry which the Japanese psychiatrists have brought to the Korean peninsula and it remained as major trends of psychiatry in Korea during the Japanese occupation between 1911 and 1945. The academic levels of Kyongsong Imperial University in psychiatry as well as the quality of mental care seemed to be almost equivocal to the psychiatry in Japan. However, psychiatrists scope of social psychiatric issues and of the research interests seemed to be somewhat narrow. Due to the political discrimination for the Korean students, the Koreans had less opportunity for the promotion at the university than Japanese residents in Korea. In 1945, after the end of the Pacific War only about 11 Korean psychiatrists were left in Korea, who organized Korean Neuropsychiatric Association. The Department of Neuropsychiatry of Seoul National University (former Department of Neurology and Psychiatry, Kyongsong Imperial University) was the center for psychiatry training. The Korean War (1950-1953) enabled the interchanges between. Korean and American military psychiatrist, and motivated great change in Korean psychiatry from biologic oriented German descriptive psychiatry to the American dynamic psychobiological psychiatry. The German educational clinical systems were completely displaced by the American system, when internship and residency training system was conducted since 1958. However, there were always attempts to integrate old traditional Korean wisdoms into the modern psychiatry and to introduce European approaches and knowledges in psychiatry. With the rapid industrialization and economic development of the country since the late 1960s and the prevailing social defensive attitudes towards mentally ill patients of the leaders of the military regimes the increase of private asylums appeared where many chronically ill mental patients were kept without adequate treatment. The reform of asylums in the mid 1980s was gradually proceeded by the government leading consequently to the increase of huge mental hospitals in the land. With the democratization of the political situation as well as the social welfare policy of the government in the 1990s and with the steady stimulation elicited by some NGOs Mental Health Act was enacted in 1995 and the community mental health centers were increasingly set up in several districts. In concern with research activities in psychiatry remarkable development in social cultural as well as biological fields are recognized especially since in the 1970s academic societies for the subspecialities of psychiatry have been organized which cover the various schools of psychotherapy, social psychiatry as well as many subspecialities of biological psychiatry. The number of training hospitals have been increased as the result, the number of psychiatry specialists was increased from 93 in 1956 to 1593 in 1999. KNPA (Korean Neuropsychiatric Association) internal and international activities has been expanded. Question is however, the quality of services and the quality of academic achievement. Gradually, the voice was raised to focus more on the quality of research and training activities.
English Abstract ; History of Medicine, 20th Cent. ; History of Medicine, 20th Cent. ; History of Medicine, 21st Cent. ; Korea ; Psychiatry/*history ; Western World/*history

Since its introduction to Korea from Japan at the beginning of the seventeenth century, tobacco became very popular with an amazing rapidity among Koreans. Along with widespread cultivation of tobacco, smoking also became very popular among Koreans, regardless of their classes, ages, and sexes. On the other hand, other imported crops from America via Europe in the sam period, like sweet potato, potato, corn and tomato, did not enjoy such popularity in Korea. A long time after their introduction, Koreans began to cultivate these crops. Why did Koreans respond enthusiastically to the newly-imported tobacco? What kind of factors contributed to the rapid transmission of tobacco in Korea? This study examined the causes of rapid diffusion of the smoking population in three aspects. First was economic aspect. The farming of tobacco yielded a profit by selling it to Chinese. The climate and the soil of Korea fit for farming of tobacco. So the farm land of tobacco expanded gradually since the 18th century. Second was medical aspect. At first, many Koreans believed that smoking was helpful to digestion, expectoration, protecting coldness, and exterminating parasites. Afterwards, they believed smoking could encourage vitality and protect diseases. There was no reason of smoking cessation for the people's health in that the hazards of smoking were not well known to the commonage in those days, though a few intellectuals acknowledge its harm. Third was sociocultural aspect. We could trace the smoking culture of Chosun dynasty through arts, poems, and essays. The making of smoking culture made stable reproduction of smokers generation by generation. Especially, the smoking culture secured juvenile's smoking. Considering the three aspects above, we know that what reason the Decree of Ban of Smoking in Korea was not strict in comparison to that of China (Qing Dynasty), in which the violators were executed. The regulation of smoking by the government failed except controlling in sociocultural aspect. The government reinforced controlling of smoking culture in counteraction to the threat of collapse of the hierarchy of Chosun dynasty in 18th century.
English Abstract ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; Korea ; Smoking/*history ; *Tobacco

"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 ; English Abstract ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Medicine, Traditional/*history ; Philosophy/*history ; Western World/*history

Our country had quite an advanced system of medical education during the era of the Koryo Kingdom, and during the Choson Dynasty, the Kyong Guk Dae Jon, in Which a systematized medical education was clearly described, was compiled in the era of King Sejong. However, the educational system was not for Western medicine. Western medicine was first introduced to our country in the 9th year of King Injo(1631) when Chong Du Won, Yi Yong Jun, etc., returned from Yon Gyong(Beiuin) with Chik Bang Oe Gi. Knowledge of Western medicine was disseminated by Shil Hak(practical learning) scholars who read a translation in Chinese characters, of Chik Bang Oe Gi. Yi Ik(Song Ho), Yi Gyu Gyong(O ju), Choe Han Gi(Hye Gang), Chong Yak Yong(Ta San), etc., read books of Western medicine and introduced in writing the excellent theory of Western medicine. In addition, Yu Hyong Won(Pan Gye), Pak Ji Won(Yon Am), Pak Je Ga(Cho Jong). etc., showed much interest in Western medicine, but no writings by them about western medicine can be found. With the establishment of a treaty of amity with Japan in the 13th year of King Kojong(1876), followed by the succession of amity treaties with Western powers, foreigners including medical doctors were permitted to flow into this country. At that time, doctors Horace N. Allen, W.B. Scranton, John W. Heron, Rosetta Sherwood(Rosetta S. Hall), etc. came to Korea and inaugurated hospitals, where they taught Western medicine to Korean students. Dr. Horace N. Allen, with the permission of king Kojong, established Che Jung Won in April 1885, and in March 1886, he began at the hospital to provide education of Western medicine to Korean students who were recruited by the Korean Government. However, the education was not conducted on a regular basis, only training them for work as assistants. This is considered to be the pioneer case of Western medical education in this country. Before that time, Japanese medical doctors came to Korea, but there are no records showing they conducted medical education. There is a document showing that Chi Sok Yong, who not a medical doctor, accompanied a diplomatic mission to Japan in 1880, and returned with the technique of vaccination. As a Korean, he was the first to learn and introduce western medicine to this country.
Education, Medical/*history ; English Abstract ; Europe ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; United States

As is widely recognized, Heo Jun was a man who under King Seonjo (1568-1608) performed his duty as a royal physician very successfully and also left a truly monumental work (Dongeuibogam), An Encyclopedia of Oriental Medicine. In spite of such a great accomplishment as a royal physician and as a compiler, Heo Jun was not accepted or treated properly by the people in the government as well as in the society He was particularly discriminated against by his lineage members as is well shown in the genealogy compiled by his clan in 1911.
*Encyclopedias ; English Abstract ; History of Medicine, 16th Cent. ; History of Medicine, 17th Cent. ; Korea ; Physicians/*history ; *Public Opinion

Japan extended her territory since the end of 19th century, Sahalin island northward, Ryukyu islands southward. Japan annexed Chosen in 1910. The task of Japanase ethnology was how to describe and define the people of many races in Japanese territory. On the other hand Japanese ethnology was a confrontation of Japanese about the sense of superiority of the West. Japanese ethnology was the background of exploitation and discrimination of other Asian countries and their people. In that sense Japan imitated Western countries in an age of imperialism. Japanese ethnologist adopted two theories; one was an anthropology and another was the theory of evolution. They classified races into two categories, evoluted one and primitive one. Japanese government intended to utilize Asian people in respond to the advantages and disadvantages of each race. Kubo, Koganei, Kyono, and Hasebe were those who studied Chosen people. Kubo, a professor of department of Anatomy of Kyungsung Junior Medical College, was the most productive one in anthropology of Chosen people. He describes Chosen people as a primitive one. His prejudice about Chosen people was very closely related with so called "Kubo abusive words case". It was a symbolic happening rather than a personal defect in the perspective of the idea of Japanese ethnology about Chosen people.
Ethnology/*history ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Japan ; Korea

As early as the reign of King Taejo, the Chosen Dynasty started medical education in Pyongyang by establishing a medical school under "uikwa" which was an independent governmental organization of the 10 bu. Toward the end of the Dynasty, a local medical organization called "uihakwon", which was independent of the "Hyeminso" and comparatively large as a local medical organization, was established in Pyongyang under the control of "Pusa" and "Chick chang". This educational organization was staffed by one professor and had an enrollment of 16 students. Around 1894, when the Sino-Japanese War broke outs American missionaries, medical and non-medical, chose Pyongyang as the base of their missionary activities and started medical and educational work William James Hall, of the Northern Methodist Church, started medical work sometime later, Rossetta S. Hall, who accompanied her husband to Pyongyang opened a hospital for women. In the meantime, J. Hunter Wells, of the Northern Presbyterian Church, inaugurated the "Chejungwon" and launched medical service in Pyongyang. These medical activities naturally needed trained medical assistants and missionary doctors came to embrace an idea of educating regular medical doctors in Korea where there were no Korean medical doctors. This occasioned Dr. Hall and Dr. Wells to launch medical education. Their medical education which began in 1897-1899 was a pioneer work for Western medical education in Pyongyang. In 1905, Japan established the Japanese "Uisagwan" in Pyongyang and commissioned Nakamura Tomizo in charge of the organization and the medical care of Japanese residents. Nakamura opened a hospital in Pyongyang and while practicing on the one hand, conducted medical education for Korean students. At that time, he was recommended to become a member of the Tonginhae and started the Tongin Uiwon(hospital) and its attached medical school. He recruited students from private schools and provided Western medical education to them. This organization for medical education was the first medical school established by Japanese in Pyongyang. The Tongin Uiwon was sold to the Korean government in 1910 and regionalized under the name of Chahye Uiwon. This medical organization was disbanded in 1911 according to the policy for unified medical education of the Government-General in Korea which began with the annexation. The Pyongang area, due to its peculiar situation(the Japanese authorities regarded this area as one of people with strong anti-Japanese sentiment), lagged behind other areas in the benefit of all cultural facilities including medical organizations. Under the circumstances, in spite of a strong and longstanding insistence that there be established a medical school in Pyongyang the demand had not been met until 1923 when the Pyongyang Medical Training Institute was inaugurated by the Japanese. This institute was later reorganized into the Pyongyang Medical College which was operated entirely by Japanese professors until 1945 when North Korea was occupied by the Soviet Army. As aforementioned, the Pyongyang Medical College was staffed entirely Japanese professors. There were no Korean professor or no department chiefs of "political purpose". It is presumed that the graduates and under-graduates of the Pyongyang Medical College at that time were the most recalcitrant to the educational policy of Japanization. There were many graduates of this college who sought positions of academic researches elsewhere and made strenuous efforts to excel their Japanese competitors in social and academic aspects. with the results that as many as 24 of them won a degree of doctor of medical science with outstanding academic achievements. Such efforts of them resulted, after the liberation of our country, in the remarkable activities in the medical circle, both domestic and abroad, which were equal to those done by graduates of medical college, with much a longer history.
Education, Medical/*history ; English Abstract ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Korea

The views on the life in the early modern period(the 17th and 18th centuries) with their socio-cultural backgrounds and their meanings at that time were discussed in this paper. Those views discussed here were the dualistic, mechanistic one of Rene Descartes(1596-1650), the animistic, vitalistic one of Georg Ernst Stahl(1660-1734), and the monistic, mechanistic one of Julien Offray de La Mettrie(1709-1751). Author stressed that the processes of their view formation were influenced by the wide range of the various political and religious factors as well as the scientific, medical facts and opinions at that time, and that not only the contents of the views but also their historical contexts should be pursed in the study on the medical thoughts.
English Abstract ; Europe ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; Philosophy, Medical/*history ; Vitalism/*history

The correlation of medicine and evolutionism was negligent in history of science. This article analyzes the correlation of medicine and evolutionism in Metchinikov's medical thought. Metchinikov was concerned about the correlation of medicine and evolutionism. In the late nineteenth century when Metchinikov was engaged in his work, the evolutionism grew up with physico-chemical biology and ecology after The Origin of Species by Darwin. At that time, the evolutionism was pitted against the neo-darwinism and the neo-lamarckism. Metchinikov agreed with the neo-lamarckism because their biological methodology was non-discriminatory. The point of his problem was on the inflammation theory. Metchinikov accepted the theory of a struggle for existence by Darwin, but blamed the theory of a struggle in species. After all, he accepted the theory of a struggle in individual life by neo-lamarckism.
English Abstract ; *Evolution ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Philosophy, Medical/*history ; Science/*history