소설비평담론의 반성과 새로운 모색

박훈하(Hun Ha Park) 한국현대소설학회 2000 현대소설연구 Vol.- No.13

조선시대 제주목의 의료제도 및 醫政

박훈평(Hun-Pyeong Park) 한국의사학회 2021 한국의사학회지 Vol.34 No.2

조선시대 제주는 섬이라는 특수성으로 인하여 관찰영과 병영 단위에 파견되는 심약이 단독으로 배치되는 등 의료제도 면에 있어 다른 지역과 구분되는 독특한 면이 있었다. 본 연구를 통하여 조선후기 제주목의 의료제도 및 의정 전반에 걸쳐 여러 사료로서 고증하였다. 그리하여 다음과 같은 유의미한 결론을 얻었다. 첫째, 제주심약의 업무와 인물들을 보면, 조선시대 제주의료의 태생적인 한계를 보여준다. 제주심약은 다른 제도심약에 비하여 의약에만 종사하기 어려운 상황, 주요 의관 가계들의 기피로 의관 자질의 질적인 하락이라는 이중의 한계를 지니고 있었다. 둘째, 의생을 통한 제주의 공공의료 구축은 실패하였다. 제주의생은 18세기 초반 공공의료에 있어 분명 필수적인 역할을 했다. 그러나 정원 등에서 연속성은 없었다. 의생을 맡은 향리는 필요에 의해 여러 향임을 맡았다. 따라서 의약에 대한 전문성은 결여 내지 부족하였다. 셋째 제주약포의 재배 약재는 제도권 의학을 위한 약재 수급의 실패를 보여준다. 제주에서 제도권 의약을 시행하기 위한 정도의 약재는 수급이 불가능하였다. 그렇다면 대체할 수 있는 향토 약재의 발굴이나, 외부에서의 반입이 필요했을 것인데 그러한 노력도 거의 없었다. 결론적으로 조선후기 제주는 중앙에서 행해지는 제도권 의약에 대한 기반 구축이 실패하였다. 의료를 시행하는 주체, 의료에 쓸 수 있는 약재 등이 모두 결여되거나 부족하였다. 조선후기 제주가 전래의 巫醫를 계속적으로 따른 것은 다른 대안이 없었기 때문이다. During the Joseon Dynasty, Jeju had a unique aspect that differentiated it from other regions in terms of medical system, such as the exclusive deployment of shimyak dispatched to Gamyeong and Barracks units due to the uniqueness of being an island. Through this study, it has been verified as various historical sources throughout the medical system and procedures of Jeju in the late Joseon Dynasty. Thus, the following significant conclusions were drawn. 1) Looking at the work and characters of Jejushimyak, it shows the inherent limitations of Jeju medical care in the Joseon Dynasty. Compared to other multiple regions’s shimyak, Jejushimyak had two limitations: it was difficult to engage in only medicine, and the quality of medical doctors declined due to the avoidance of major medical doctors households. 2) The establishment of public health care in Jeju through Medical Cadets failed. Jeju medical science obviously played an essential role in public health care in the early 18th century. However, there was no continuity in the garden, etc. Hyangri, who was in charge of Medical Cadets, was in charge of various fragrances as needed. Thus expertise in medicine was lacking or lacking. 3) The cultivated herbs of Jeju’s herb field show the failure of supply of herbs for institutional medicine. It was impossible to supply enough herbs to implement institutional medicine in Jeju. In that case, it would have been necessary to discover alternative local herbs or to bring them in from outside, but there was hardly any such effort. In conclusion, in the late Joseon Dynasty, Jeju failed to establish a foundation for centrally administered institutional medicine. There was a lack or lack of all the entities that provided medical care and herbs that could be used for medical care. The reason that Jeju continued to follow traditional shaman medicine in the late Joseon Dynasty was because there was no other alternative.

조선시대 의학교과서 연구

박훈평(Hun-Pyeng Park) 한국의사학회 2016 한국의사학회지 Vol.29 No.2

The purpose of this study is to analyze how medical texts in Joseon Dynasty have changed in time and to understand their characteristics. Medical texts that reflect the medical standards of the time were enable us to look into how medical bureaucrats were trained and education policies related to the training. Chinese medicine influenced Joseon Dynasty’s medicine in different ways at different times. Before the Imjin War, Joseon dynasty’s medicine was largely under the influence of the Song dynasty’s medicine. After the war, the four noted physicians of Jin-Yuan era had increasingly more significant influence, along with the introduction of Ming dynasty’s medicine. The facts found through this study include : 1) the basic courses were composed of Chandomac (纂圖脈), Dongingyeong (銅人經), and Boncho (本草); 2) Josenization of medical division system was established for the first time during the reign of King Sejo (世祖), and updated throughout the time of the King Seongjong (成宗) and King Sun Jo (宣祖); 3) Hyangyak (鄕藥) education with medical texts was limited to some periods like King Seongjong (成宗) and King Sejo (世祖); 4) the high proportion of Bangseo (方書) in the early era gradually decreased, and more of specialized and comprehensive medical books came to find their way into the standard curriculum.

환경공간정보 문서 제작 방안 연구

박훈진(Hun-Jin Park),나영우(Young-Woo Na),이정일(Jung-Il Lee),최병길(Byoung-Gil Choi) 대한공간정보학회 2014 한국지형공간정보학회 학술대회 Vol.2014 No.5

Fly ash에 의한 SCR 촉매의 침식 특성에 관한 수치해석적 연구

박훈채(Hun Chae Park),최항석(Hang Seok Choi),김석준(Seock Joon Kim),최연석(Yeon Seok Choi) 대한설비공학회 2010 대한설비공학회 학술발표대회논문집 Vol.2010 No.6

The SCR catalyst in coal-fired power plant is eroded by the collision of fly ash on the catalyst face. However the erosion of SCR catalyst by the collision of fly ash has not been fully studied, especially in terms of fluid dynamics. Hence, in the present study, we focus on the gas and solid flows inside the SCR catalyst duct and their consequent effect on the erosion characteristics by fly ash. For this purpose, computational fluid dynamics is applied to investigate the two-phase flows and to evaluate the erosion rate for different flow and particle conditions. Also, the erosion rate and pressure drop of honeycomb shape are compared with corrugate shape. From the results, when the collision velocity of fly ash is increased, the erosion rate is enhanced and the erosion rate is decreased if the particle diameter is increased. It is noted that the erosion rate and pressure drop of the corrugate shape are lower than those of the honeycomb shape.

태산구급방 정본화 연구

박훈평(Hun-Pyeong Park) 한국의사학회 2019 한국의사학회지 Vol.32 No.1

TheTaesangugeupbang(EmergencyPrescriptionsforChildbirth)isamedicaltextwrittenbyLi-ChengongofChinaintheearly14thcentury. ItincorporatesformsofobstetricsandgynecologyinuseintheChosunDynastyandisquotedintheHyangyakjibsungbang(Compendium ofPrescriptionfrom theCountryside),theEuibangyoochui(ClassifiedCollectionofMedicalPrescriptions),andtheTaesanjibyo(Collection ofEssentialsforChildbirth).TherecentrediscoveryofTaesangugeupbangmanuscriptsinJapanhasenabledfull-scaleresearchofthistext. Thisarticleisbasedonastudyofthesemanuscriptsandattemptstosynthesizethetextthroughthevariousdocuments.Thearticlesuggests that:(1)criticaltextsforunderstandingtheTaesangugeupbangincludetheUijeoggo(AReviewofMedicalBooks),theEuibangyoochui, andtheTaesanjibyo;(2)thereisapossibilitythattheTaesangugeupbanghaddisappearedfrom useinJoseonbythelate15thcentury; (3)theTaesangugeupbangcomplementedthetreatmentregimenofothertextsandinfluencedthedevelopmentofearlyChosunophthalmology; (4)TheTaesangugeupbangisquotedinmanyJoseon smedicaltextsandisrelatedtotheauthor smentor.

조선후기 밀양변씨 의관 연구 - 효량공파를 중심으로

박훈평 ( Park Hun Pyeong ) 호남사학회 2021 역사학연구 Vol.84 No.-

밀양변씨 효량공파는 조선후기의 의학 관료를 구성하는 대표적 가계였다. 조사된 가계 내의 의관은 총 88명이였다. 본 연구에서 다음과 같은 논지를 도출해냈다. 첫째, 의관 가계로서 17세기 중반에 형성되기 시작하여, 18세기 중후반 이후19세기 후반까지 전성기로서 일정한 지위를 유지하였다. 효량공파 가계 내 의관은 변이근ㆍ변이형 형제가 처음이었다. 정조 순조 대에 활동한 의약동참의 변관해와 변지순은 숭록대부와 정헌대부가 되면서 의관 가계로서 입지를 탄탄하게 하였다. 둘째, 사조 분석을 통해보면, 의관 가계로서의 세전 양상이 잘 나타나지 않는다. 효량공파의 경우 사조 중에 역관이 많이 있기 때문인데, 효량공파는 조선후기 주요한 역관 가문의 하나로서 후손들이 의과에만 치중하지 않고 역과로도 출사하였다. 셋째, 대부분의 의학 관료는 삼의사에 속하였다. 최종 관력이 삼의사에 해당하는 이들은 총 86명으로 전체(88명)의 97.72%이다. 이는 가계 내 인물이 의학을 본업으로 할 경우 대부분 삼의사에서 근무할 수 있었음을 뜻한다. 조선후기 의관이 단순히 실력만으로 되지 않는 현실을 반영한다. 넷째, 내의원에서의 가계 위상은 19세기 중반 이후로 더 높아졌다. 효량공파 내의원 입사자는 19세기 중반을 기준으로 변화된다. 주요한 입속방법이 19세기중후반 의약 동참의와 내침의에서 내의로 바뀐다. 내의원의 三廳이 모두 의술이 높은 이들이지만 삼청의 첫째는 내의라는 점에서 효량공파 출신들의 내의원 내위상이 더 높아졌다. 다섯째, 의학 관료는 19세기 전반 이후 의과 중심으로 배출되었다. 가계 내 양의사 입사자는 순조 때를 기점으로 하여 혜민서에서 전의감 중심으로 변화된다. 또한 내의는 의과 출신자여야 했으므로 전의감 중심으로의 관력자 변화와 내의중심으로의 내의원 입속과는 연관된다. Hyolyang(孝亮)-gong(公)’s ancestry of Miryang Byun clan was a representative family line that made up medical bureaucrats in the late Joseon Dynasty. There were 88 medical bureaucrats in the household surveyed. In this study, the following arguments were derived. 1) As a medical bureaucracy, it began to form in the mid-17th century, and maintained a certain status as a heyday from the midlate 18th century to the late 19th century. Byun li-geun(卞爾瑾)and Byun li-hyeong(卞爾珩)were the first medical bureaucrat in the Hyoryang-gong’s ancestry. Uiyagdongcham-ui(讓藥同參醫)s Byun Gwan-hae(卞觀海)and Byun Ji-soon(卞之浮), who were active in the dynasty of King Jeongjo and Sunjo, became Sunglogdaebu(崇祿大夫) and Jeongheondaebu(正意大夫), solidfying their position as medical bureaucrats. 2) Through the analysis of four ancestors(father, grandfather, greatgrandfather, and maternal grandfather), a medical bureaucracy does not appear well. This is because in the case of Hyolyang-gong’s ancestry, there are many interpreters in four ancestors. As one of the major interpreter families in the late Joseon Dynasty, their descendants did not only focus on medicine, but also worked as a interpreter. 3) Most of the medical doctors belonged to three medical offices(Naeuiwon, Jeoneuigam, Hyeminseo). There are a total of 86 persons whose final government office under these offices, 97.72% of the total (88 persons). This means that most people in the household could work at a sam doctor if their main occupation was medicine. It reflects the reality that medical bureaucrats in the late Joseon Dynasty was not simply based on skills. 4) The family status in Naeuiwon has risen since the mid-19th century. A person who enters Naeuiwon of Hyolyang-gong’s ancestry changes as of the middle of the 19th century. In the mid to late 19th century, the main method of entry changed from Uiyagdongcham-ui and Naechim-u《內緘醫)to Naeui. 5) Medical bureaucrats have been discharged mainly from medical state examination since the first half of the 19th century. Starting from the reign of King Sunjo, the entrants to the two medical offices change from Hyeminseo to Jeonuigam.

조선 후기 태안이씨 의관 연구 - 사맹공파를 중심으로

박훈평 ( Park Hun Pyeong ) 호남사학회 2021 역사학연구 Vol.83 No.-

태안이씨 사맹공파는 조선 후기 기술직 관료를 구성하는 주요한 가계의 하나이다. 조사된 가계 내의 의관은 총 65명이었다. 선행연구에서 조사된 57명에 새로 8명이 추가로 발굴되었다. 본 연구를 통하여 다음과 같은 결론을 도출해냈다. 첫째, 의관 가계로서 17세기 후반에 형성되기 시작하여, 18세기 중후반 전성기를 누렸고, 19세기에도 일정한 지위를 유지하였다. 가계 내 의관은 1672년 의과에 급제한 인물이 처음이었다. 18세기 중반, 내의를 3명이나 배출하면서 의관 가계로서 탄탄한 입지를 다졌다. 18세기 중후반은 활동한 가계 내 인물이 의관이 19명에 달한다. 19세기는 점차 고위직에 오른 의관이 줄었지만 배출 의관의 수는 비슷하였다. 둘째, 사조 분석을 통해보면, 18세기 후반에서 19세기 전반에 가계 내 세전 양상이 잘 나타난다. 사조 중에 의관이 없는 경우는 5례로 전체의 7.81%에 불과하다. 생년에 따른 활동 시기를 감안하면 18세기 후반에서 19세기 전반에 가계 내 세전 양상이 두드러진다. 셋째, 가장 많이 종사한 의학 관청은 전의감이었다. 해당 의관 중에 전의감이 최종 관력인 이는 42명으로 65.6%에 달한다. 『해혹변의』를 저술하게 된 배경도 이와 연관시켜 생각할 수 있다. 의관 가계로서의 지위를 유지하기 위한 방편의 하나로 가계 내 후진의 의과 대비에 더욱 노력했을 가능성이 있다. 넷째, 영조와 순조 때 의과의 급제 연령은 다른 의관 가계에 비하여 상대적으로 낮았다. 즉 세전 양상이 두드러진 시기에 급제 연령이 낮게 나타났다. 사맹공파 내에서 영정조기에 비하여 순조 대에 급제 연령이 높아졌다가 고종대에 다시 감소하는 추이도 세전과 급제 연령의 연소화와 관련시켜 볼 필요가 있다. Samaeng(司猛)-gong(公)’s ancestry of Taean Lee clan is one of the major clans that make up medical bureaucrats of the late Joseon Dynasty. There were 65 medical bureaucrats in the household surveyed. In addition to the 57 people investigated in the previous study, 8 additionally were discovered. Through this study, the following conclusions were drawn. 1) As a medical bureaucratic family, it began to be formed in the late 17th century, enjoyed its heyday in the mid to late 18th century, and It maintained a certain position even in the 19th century. The first medical bureaucrat in the household was the first to enter Medical state examination in 1672. In the middle of the 18th century, it produced three royal doctors and established a solid position as a medical bureaucrat. In the mid to late 18th century, there were 19 medical bureaucrats who were active in the household. In the 19th century, while the number of medical officials who had risen to high positions gradually decreased, the number of medical officials discharged was similar. 2) Through the analysis of father, grandfather, great-grandfather, and maternal grandfather, from the late 18th century to the first half of the 19th century, the pattern of inheritance within households is well seen. Among the four ancestors, there were no medical officials in 5 cases, accounting for only 7.81% of the total. Considering the period of activity according to the year of birth, the pattern of pre-tax in households is prominent in the late 18th and early 19th centuries. 3) The most engaged medical office was Jeoneuigam. Among the officers, the Jeonui-gam was the final official, accounting for 65.6% of the 42 people. The background that led to the writing of HaeHokByeonUi can be thought of in connection with this. As one of the means to maintain the status of the medical family, it is possible that they made more efforts to prepare for Medical state examination of the junior in the household. 4) At the time of King Yeongjo and Soonjo, the passing age of Medical state examination was relatively low compared to other periods. In other words, when the hereditary pattern was prominent, the age of passing grades was low.

뇌전이를 한 원발성 난관암 1 예

박훈량(Hun Ryang Park),박성환(Sung Hwan Park),김형태(Hyung Tae Kim),장홍준(Hong Jun Jang),김철(Chul Kim),김주원(Ju Woon Kim),형남규(Nam Gu Hyung) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.10

Carcinoma of the fallopian tube account for less than 1% of all cancers of the female genital tract. Central nerve system involvement by tubal cancer is considered an uncommon event. Attention should be paid to the possibility of distant metastasis associated the tubal carcinoma in order to treat these patients promptly. We have experienced one case of fallopian tube cancer with cerebellar metastasis and reported with brief review of literature.

조선 간행 『의학입문』 판본에 대한 서지학적 연구

박훈평(Hun Pyeng Park) 한국의사학회 2017 한국의사학회지 Vol.30 No.2

IntroductiontoMedicine(Euihak-Ipmun),writtenbyLeeChunoftheMingDynasty,isacomprehensivemedicalbookbroughtto Joseoninthe1600s.ItdirectlyinfluencedmanymedicalbookswrittenintheJoseonDynastyofthesameperiod,andbecameamajor citationdocumentofDongui- Bogam. Introduction to Medicine be cameamajor text form edical education in 1834 and hassince been use dasaclinical primer of Korean medicine. This article first examines the Joseon’s erapublished version of In troduction to Medicine using documentation of the Diary of the RoyalSecretariat (SeungjeongwonIlgi), and a wood blocklist. Based on the seinve stigations, the review erexamined theexisting versions ofthebook, and focused on various characteristics for comparison. This articl ereveals facts which include: 1)Alledition sofIntroduction to Medicinepublished atthe present office are published by Jeolla-doprovincialoffice(Jeolla-Gamyeong). 2)The first edition was published before 1636. 3) Afinely produced version (Jeongganbon) was published around 1760. 4)The Jeongrijache-ironty pepublic ation was published around 1801.