【作者】 赵英日；

【导师】 徐志伟；

【作者基本信息】 广州中医药大学 ， 中医基础理论， 2009， 博士

【摘要】 目的:(1)通过对朝鲜半岛医学史的研究,把握其学术特点及其发展方向;(2)通过分析儒学思想在朝鲜半岛的发展演变过程,可以从哲学的高度剖析出其对朝鲜半岛主流社会思想领域的影响;(3)通过儒学思想对朝鲜半岛医学的影响研究,探讨儒学思想与医学的关系,并希望通过对朝鲜半岛医学学术观点的研究,重新审视儒学思想的内涵及其价值所在。方法:(1)对朝鲜半岛医学史的研究:本文从历史、政治、社会文化发展的背景中研究了不同历史时期朝鲜半岛医学在哲学层面所受的影响。上古时代主要受巫的影响;三国时代医与巫并存;统一新罗时期与高丽前期受到佛教影响严重;高丽末期及李氏朝鲜时期主要受程朱学说特别是朱子学说的影响,李氏朝鲜时期朱子学说成为了官学。(2)儒学思想在朝鲜半岛的传播及发展:通过此项研究可以了解之所以在李氏朝鲜儒学思想被奉为官学的原因及其对社会各层面包括对医学的影响。(3)对朝鲜半岛医学的影响研究:通过朝鲜半岛医学史上代表性医书《乡药集成方》(1409)、《医方类聚》(1477)、《医林撮要》(1579)、《东医宝鉴》(1613)、《东医寿世保元》(1901)、《医零》(1798)的内容,分析了在朝鲜半岛医学发展阶段中儒学思想的重要影响。其内容是中医在朝鲜半岛消化吸收并逐步与当地风土人情相结合的过程、儒学思想的引用及其指导作用、朝鲜半岛医学学术思想形成上的儒学思想的重要影响等方面进行了考究。结果:(1)《乡药集成方》、《医方类聚》、《医林撮要》、《东医宝鉴》等主要受程朱学说的影响;(2)《东医寿世保元》受到了孟子和阳明学说的影响,但主要还是受到了阳明学说的影响;(3)《医零》是受到北学派(实学派)的影响,也是朝鲜半岛医学转向“轻理论,重实用”发展模式的重要标志之一。结论:纵观朝鲜半岛的医学发展,儒学思想在其发展的成熟阶段,于形而上的层面发挥了指导作用。更多还原

【Abstract】 Aim:(1)Find out the academic features and the development direction of Korean Peninsula medicine through its medical history study;(2)By analyzing the development and transformation process of the Confucianism in Korea Peninsula,find out the influence of Confucianism on the mainstream thoughts of Korean Peninsula from the angle of philosophy;(3)Analyze the Confucian influence on Korean Peninsula medicine and discuss the relationship between Confucianism and medicine with the hope of reexamining the connotation and value of Confucianism by studying the Korean Peninsula academic viewpoints about medicine.Methods:(1)Research on Korean Peninsula medical history: this article attempts to study the philosophical influence on Korean Peninsula medicine in different historical periods from the aspects of history,politics and social and cultural development.At Remote Ages,medicine was mainly influenced by witchcraft;in Three Kingdoms Period of Korean Peninsula,medicine coexisted with witchcraft;in Silla Period and early days of Goryeo Period,medicine was greatly influenced by Buddhism;at the end of Goryeo Period and Joseon Dynasty,medicine was mainly influenced by Cheng Hao’s, Cheng Yi’s and Zhu Xi’s theories,especially by Zhu Xi’s theory which became the official theory at the end of Joseon Dynasty.(2)The spread and development of Confucianism in Korean Peninsula:With this research,we can find out the reasons why Confucianism became the official study in Joseon Dynasty and the influence on medicine from each social sector.(3)Research on the influence on Korean Peninsula medicine:It analyzes the Confucian significant influence on medicine in the development period in Korean Peninsula by analyzing the representative medical works of Korean Peninsula in history including Xiang Yao Ji Cheng Fang(1409),Yi Fang Ju Lei(1477),Yi Lin Cuo Yao(1579), Dong Yi Bao Jian(1613),Dong Yi Shou Shi Bao Yuan(1901)and Yi Ling(1798),etc. Research has been carried out in this thesis about the acceptance and integration of Chinese Medicine with local customs,the adoption of Confucianism and its guidance function and the important influence of Confucianism in the development of Korean Peninsula medical academic thoughts.Conclusion:(1)Xiang Yao Ji Cheng Fang,Yi Fang Ju Lei,Yi Lin Cuo Yao and Dong Yi Bao Jian were mainly influenced by Cheng Hao’s,Cheng Yi’s and Zhu Xi’s theories.(2)Dong Yi Shou Shi Bao Yuan was influenced by Mencius theoreis and Yangming theories and mainly by the latter.(3)Yi Ling was influenced by the North School. It is one of the important signs marking that Korean Peninsula medicine was directing toward the orientation of focusing on practice and ignoring theories.Conclusion:By reviewing longitudinally the medical development in Korean Peninsula,we can find out that Confucianism at its maturity period guided the medical development in Korean Peninsula at superorganic aspect.更多还原