Female Physician during Joseon Dynasty
July 18, 2005The main task of the majority of Chosŏn women was to carry out household chores. Moreover, women from the commoner and lowborn classes (ch’ŏnin, which usually referred to the yangban’s female slaves), also had to engage in agricultural labor, with some even active in commerce. However, there were also some special professions in which women were engaged in, such as palace women or kungnyŏ (goong nyuh), female physicians (ŭinyŏ) and entertainers (kinyŏ), as well as shamans (munyŏ). Although these women were for the most part from the lowborn class, they nevertheless possessed skills which allowed them to engage in specialized professions.
In the deeply Confucian Chosŏn society, which was exemplified by the strengthening of the naewoebŏp (內外法: a law and behavioral code which prohibited free contact between men and women, which was based on the notion of rigid gender roles, in which men were considered to be the “woe“ while women were the “nae“, that restricted men’s sphere of influence to matters outside of the house, and conversely, women’s to internal family matters), female physicians (ŭinyŏ) were responsible for tending to other women when they fell ill. There were two types of female physicians, those who worked within the palace (naeuinyŏ) and those who worked for the state-sponsored health clinics located in certain areas of the country (hyeminsŏ). The female physicians who worked within the palace were responsible for tending to the women of the palace; meanwhile, those who worked in health clinics were assigned to look after women of the commoner class. It goes without saying that rigid standards were applied when it came to the selection of the female physicians who were to work within the palace. Such female physicians continued to be employed within the palace until the very end of the dynasty.
These female physicians were however prohibited from going into private practice. Although they were allowed to examine patients, the female physicians nevertheless had to defer to their male counterparts when it came time to make a prescription. As male doctors were not permitted to touch a woman, the actual disinfection of infected areas was carried out by the women physicians, with the same holding true when a female patient required acupuncture. These female physicians also played the role of midwife.
This ŭinyŏ system was first suggested by Hŏ To during the sixth year of the reign of King T’aejong. Hŏ suggested that a certain number of young girls should be trained to become physicians in the Chesaengwŏn (which was the name given to a certain type of medical facility during the Chosŏn dynasty). Moreover Hŏ argued that, “As there are many instances in which sick women prefer to die rather than be seen by a male doctor, we should select scores of young women and provide them with the necessary medical training so that we can save such women.”
However, the number of such female physicians was increased in the aftermath of the implementation of the naewoebŏp. Moreover, as the demand for such female physicians grew in outlying areas, the Chesaengwŏn began to select young girls of 10 or older who exhibited a high degree of intelligence, and then dispatched them to these areas once their training was complete.
These female physicians, who were subjected to an intense training program, usually received a stipend from the government twice a year. The reason why these female physicians who belonged to the Chesaengwŏn were paid twice a year was because they lived a rigorous life which involved constant studying and the looking after of patients on a daily basis.
As the Chesaengwŏn was merged with the Hyeminguk during the reign of King Sejo, the latter became responsible for the training of the female physicians. The Hyeminguk established a system under which the girls were rewarded when their grades were high, and conversely, punished when they were not (ŭinyŏ kwŏnjing Chokŏn). Moreover, the most outstanding students received a monthly stipend. The structure of this system made it such that these female physicians came to possess a large amount of medical knowledge and skills.
The education of these female physicians was further invigorated as time went by, with a more detailed education program put into place during the reign of King Songjong (Ŭinyŏ Kwŏngwajo). Under this new education programs, the female physicians were expected to master the following texts: Injaejikjimaek (仁齋直指脈); Tonginch´imhyŏlch´imgugyŏng (銅人鍼穴鍼灸經); Kagamsipsambang (加減十三方); T´aepyŏnghyeminhwajegukbang (太平惠民和劑局方); and the Puinmunsansŏ (婦人門産書) . These female physicians were divided into three levels: the first consisting of the top two female physicians, who were referred to as naeŭi and received a monthly stipend; the second, the kanbyŏngŭi, consisted of 20 women, of which only the top four received a stipend; while the third, ch’ohakŭi, was made up of the remaining women. A woman who failed to develop an adequate level of medical skills by the time she was forty, was sent back to her place of origin and replaced with a new trainee.
Different means were used to encourage the female physicians to acquire a deep body of medical knowledge. For example, during the reign of King Yŏngjo, the female physicians working at the hyeminsŏ who were found to exhibit a superior level of medical knowledge and skills were promoted to the palace. On occasion, certain female physicians even had their social status upgraded to that of commoner. Such cases usually involved a female physician’s successful treatment of a female member of the royal family.
These physicians carried out tasks which required a high degree of medical knowledge; these included the conducting of medical investigations in relation to legal cases, the administration of poison to female criminals, the investigation of crimes and of members of the sadaebu class luxurious wedding customs, as well as crimes committed within the palace or involving women from the sadaebu class.
While these female physicians can be regarded as having been professionals, their social status remained quite low because of their lowborn origins as either daughters’ of government slaves or of kisaeng. Moreover, during the reign of the Yŏnsangun, these female physicians began to be mobilized as female entertainers. As a result, from that point on, female physicians often became entertainers during parties carried out within the palace. Such women who carried out the dual roles of physician and entertainer were referred to as yakbang kisaeng (kisaeng of the Medicine Room).
Thus, as per relationship between Dae Jang Geum and Min Jung Ho in Jewel in the Palace drama, it’s not clear if female physician allowed to marry. But even if they were allowed to marry, it’s logical that Jang Geum will not be allowed to marry with Min Jung Ho as their social status is way apart, one is ranked officer in the palace and another is a lowest class servant. Unless, of course, as the drama suggests, Dae Jang Geum been promoted and given rank in the palace.

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