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사망에 이른 안면부 심부감염증: 효종(孝宗) 독살설에 대한 두경부외과의사의 의사학(醫史學)적 고찰

A Head and Neck Surgeon’s Consideration of King Hyojong’s Poisoning: Fatal Facial Abscess

대한이비인후과학회지-두경부외과학 2020년 63권 10호 p.463 ~ 470
김한수,
소속 상세정보
김한수 ( Kim Han-Su ) - Ewha Womans University School of Medicine Department of Otolaryngology and Head & Neck Surgery

Abstract


Background and Objectives: The King Hyojong was the 17th King of the Chosun dynasty from 1649 to 1659. He is well known for his plan for northern campaigns against the Manchus (Bukbeol, 북벌), an act of vengeance on the Qing dynasty for the war of 1636. His plan for the northern conquest was never put into action since he suddenly died of small boil on face in 40 years old. After his death, the reason of his sudden death was questioned by the public. Many people suspected him of being killed by poison. We studied and considered the cause of King Hyojong’s death based on two tremendous Chosun dynasty’s official records

Materials and Method: We reviewed Joseon Wangjo Sillok (the annals of the Joseon dynasty) and Seungjeongwon Ilgi (the diaries of royal secretariat of the Joeson dynasty).

Results: King Hyojong had congenital pre-auricular fistula. He also had been suffering from diabetes and its related complications for a long time before his death. His pre-auricular fistula was infected and not managed properly. It could be presumed that King Hyojong’s cause of death was hypovolemic shock from fatal injury of superficial temporal artery caused by inappropriate incision and drainage.

Conclusion: We assumed a historical person’s cause of death based on Chosun dynasty’s official records.

키워드

Cause of death; Joseon Wangjo Sillok; King Hyojong; Seungjeongwon Ilgil

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