조선후기 소아전염병 痘瘡과 麻疹에 대한 인식 변화 -4종 종합의서를 바탕으로-

Abstract

Objectives : The publication of a specialized medical text on a specific disease at a specific time means that the disease which had broken out previously has become a problem throughout society. In this paper, changes in perception of the pediatric infectious diseases Douchuang(痘瘡, smallpox) and Mazhen(麻疹) were examined in the medical texts, the Donguibogam, Jejungsinpyeon, Yaksandang Sinjip Uibang Geumnangjibo, and the Uijongboik. Methods : Entries on Mazhen are brief within the Donguibogam which was published before its pandemic, while in the Jejungsinpyeon, which was published after Joseon had experienced the pandemic, understanding of the disease is rather insufficient. In the text Yaksandang Sinjip Uibang Geumnangjibo, which was published in the early 19th century, there is an abundance of personal accounts on the treatment of Douchuang and Mazhen. In the Uijongboik, various treatment methods of Douchuang and Mazhen could be found. Results & Conclusions : These findings could be interpreted as reflecting a development in medical knowledge of Hongzhen(紅疹) after years of experience dealing with the disease, which had been insufficient in the past as could be found in private medical texts written after the great Hongyi(紅疫, measles) pandemic had already passed. In that time Hongzhen(紅疹) had become one of the most important pediatric diseases, and peoples’ perspectives had also changed accordingly.