19세기 전후 사대부가의 감염병 양상과 대처 －정원용의 『경산일록』을 중심으로－ = The aspects of infectious diseases of the Sadaebu(noble family) in the 19th century and their countermeasures －focusing on the Jung Won-yong’s 『Kyung-san II Lok』－

다국어 초록 (Multilingual Abstract)

Kyung-san Il Lok is the diary of Jung Won-yong (1783~1873), a typical gyeonghwasajok of the late Joseon Dynasty and who recorded events during the nine decades of his life. This diary mentions measles, smallpox, malaria, cholera, dysentery and an unknown infectious disease experienced by himself, his family, the royal family and the people around him. The diary records a total of 160 cases in 68 outbreaks. Of these 160 cases mentioned, 53 infected persons and 17 deceased were identified. When comparing the infected persons to those deceased and the ages of the deceased, the most lethal infectious diseases were cholera, followed by smallpox and measles.
In Heumyoung by Yoo Man-ju, which began to be written before Kyung-san Il Lok and recorded the events between 1775 and 1787, smallpox and roseola were recorded as the typical diseases. On the other hand, regulations on the statutory contagious diseases promulgated by the Korean Empire in 1899 mention smallpox, typhoid, typhus fever, cholera, dysentery and diphtheria. By comparing these infectious diseases with those mentioned in Kyung-san Il Lok, we can observe the emergence of new infectious disease and the division and decline of existing diseases over about 125 years.
This study looks at the Jung family in relation to the infectious diseases described in Kyung-san Il Lok after analyzing the family tree and the records of infection at different periods. It also analyzes how the nobility in 19th-century Joseon managed infectious disease through doctors, medicine and avoidance. Through this discussion, it can be seen that the Jung family was frequently beset by the contagious diseases that spread from one person to another, such as smallpox and measles, while they rarely suffered from cholera, a water-borne illness affected by the living environment. What can also be seen is that the Jung family had immediate access to the best medical doctors and medicine available at the time. Nevertheless, they still suffered, with 35 of them becoming ill and 9 passing away. In this study, the author investigates the role infectious disease played in the internal and external changes during the late Joseon period.