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This study includes clinical review of historical records associated with pregnancy and childbirth of Lady Hyegyeong, Crown princess of Chosun Dynasty during the reign of King Yeongjo. It primarily reviews the conception of her first child in 1749 through the birth of her youngest in 1756. Living through the misfortune-riddled royal court of Chosun Dynasty including continuous feuds between King Yeongjo and Crown prince Sado, the six pregnancies left the Crown princess with four children and two spontaneous abortions. Our medical historical review of Lady Hyegyong’s life in this paper not only allows us with further insight into her life but also introduces us to level of pregnancy care provided by ‘Yakbang’(藥房), the royal infirmary at the time.

In this paper, we pay special ...

This study includes clinical review of historical records associated with pregnancy and childbirth of Lady Hyegyeong, Crown princess of Chosun Dynasty during the reign of King Yeongjo. It primarily reviews the conception of her first child in 1749 through the birth of her youngest in 1756. Living through the misfortune-riddled royal court of Chosun Dynasty including continuous feuds between King Yeongjo and Crown prince Sado, the six pregnancies left the Crown princess with four children and two spontaneous abortions. Our medical historical review of Lady Hyegyong’s life in this paper not only allows us with further insight into her life but also introduces us to level of pregnancy care provided by ‘Yakbang’(藥房), the royal infirmary at the time.

In this paper, we pay special attention to the fact that human pregnancy was arbitrarily divided into four different stages in this time and different treatment strategy was applied during the each period. These four stages of pregnancy include “Taeing-stage”(胎孕期), the first period where no treatment or medication is prescribed, “Boyang-stage”(保養期), the second stage where treatment or medication is used regardless of the symptoms, “Sandal”(산달), referring to the last month of pregnancy , and “Sanil”(산일), referring to the pregnancy due date. Our expanded research into ‘Seungjeongwon-Ilgi’(『承政院日記』), the Diaries of the Royal Secretariat of Chosun Dynasty provided us with more complete list of treatments and medications prescribed to Lady Hyegyeong during her pregnancy and this provided us with more clear understanding on pregnancy care at this time.

According to our findings, Geumgwedanggwi-san(金匱當歸散), Palmul-tang(八物湯), and Geumchul-tang(芩朮湯) were prescribed during Boyang-stage; Dalsaeng-san(達生散) during Sandal; Bulsu-san(佛手散) and Jaso-eum(紫蘇飮) were prescribed on Sanil. Gunggwi-tang(芎歸湯) and Jeungsonsamul-tang(增損四物湯) were often used right after delivery while Jaeumbaekbo-whan(滋陰百補丸) were selected for late postnatal care.
Our results suggest that there is evidence of more standardization and uniformity in medical protocols in eighteenth-century Korea compared to modern Korean Medicine. Seungjeongwon-Ilgi(『承政院日記』) depicts medical cares for treating certain conditions at that time were uniform according to disease and not to the patients. The author hopes that study of Seungjeongwon-Ilgi(『承政院日記』) continues to standardize medical protocol in modern Korean Medicine in the future.

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