中藥與西藥的比拼經常出現,箇中經常出現的論據就是中藥缺乏科學精密驗證,純粹是依靠經驗及神農嘗百草的方式積聚理論。457Please respect copyright.PENANAkNLpxJhDrA457Please respect copyright.PENANAySl513lHtE
457Please respect copyright.PENANA8KGrHoTlIP
本篇文章無意將中藥及西藥對衡,而是嘗試以西醫科學角度審視一款中醫藥材,三七。457Please respect copyright.PENANA4Nu4NDOLvx
457Please respect copyright.PENANATaVCxLmwW0457Please respect copyright.PENANAEXGg3EOSa6
457Please respect copyright.PENANAI2b91S4Cua
(圖2)左圖為Panax notoginseng(三七);457Please respect copyright.PENANAAB6mbWanvX
457Please respect copyright.PENANA84jTgX05KV
中圖為Sedum aizoon(土三七);457Please respect copyright.PENANAiDtoXlAohI
457Please respect copyright.PENANAJjc8Xv6UkH
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。457Please respect copyright.PENANA1lGAeI7qQr
457Please respect copyright.PENANAC9ul3N9z6w
457Please respect copyright.PENANAG5D2u7hHxO
(圖3)不幸的是,這款誤當成土三七的藥材內含名為pyrrolizidine alkaloids (PAs)的化學物;457Please respect copyright.PENANAgWEcNJY4zl
真正的三七及土三七並不含PAs。457Please respect copyright.PENANAxLUQhVgMsl
457Please respect copyright.PENANAszOvxWKY2G457Please respect copyright.PENANAwZLOcAneDH
457Please respect copyright.PENANAyOvDtYeMya
這些PA化學物進入人體後,會形成DHPA及DHP化學物。457Please respect copyright.PENANAvjqCwQEaST
457Please respect copyright.PENANAKFVEt4C8No
而DHPA及DHP化學物會與肝臟內各種蛋白質結合,導致肝臟無法運作正常。457Please respect copyright.PENANATBRUr9mewI
457Please respect copyright.PENANAzuGn45LEBQ
根據資料統計(Ref1),誤當Gynura japonica作為土三七下藥,構成了中國在2017年約10-30%因攝取藥物導致肝臟收損的個案。457Please respect copyright.PENANAiqvzNiLQz4
457Please respect copyright.PENANAD3sHDylJyP
這亦表示,若有經驗不足的中藥醫師或商人胡亂購買藥材的話,將會無意之間害了別人。457Please respect copyright.PENANAOJGN6U7ZVy
457Please respect copyright.PENANAb0pZ8ToHE1
能否有系統分配及管理中藥藥材的類別,將會是現今中醫所需面對的問題。457Please respect copyright.PENANA2j5nEy8kyg
457Please respect copyright.PENANA6aEtOIAsXD
有興趣繼續觀看用西醫角度觀看中藥的話,請給予正評及留言,反應熱烈的話將會寫新一集。457Please respect copyright.PENANANGYBucNJ85
457Please respect copyright.PENANArOQfFu5HiO
如果想我快啲出文的話,請入去Penana網站科普專欄–薯不揀單俾一個like以及Bookmark,這對我非常之重要。457Please respect copyright.PENANA49364rtq69
457Please respect copyright.PENANA5nSs6z9SDi
Link: https://www.penana.com/story/66244/%E7%A7%91%E6%99%AE%E5%B0%88%E6%AC%84-%E8%96%AF%E4%B8%8D%E6%8F%80%E5%96%AE/toc457Please respect copyright.PENANAhfU5DFK6jK
457Please respect copyright.PENANAyRdBZ9Gzcr
同時亦可以在Penana網站裡按「買一嚿/半嚿薯仔」,以課金的方式推動我繼續搜羅資料寫文,多謝。457Please respect copyright.PENANAgrjRFy723M
457Please respect copyright.PENANA7oh0MhSGDb
Link:457Please respect copyright.PENANAM6mP5JIr9a
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio457Please respect copyright.PENANAonJ2P46Hix
457Please respect copyright.PENANAsjWxCSt7PO
457Please respect copyright.PENANACFvcRqHwJQ
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。457Please respect copyright.PENANA78mDgflYMu
457Please respect copyright.PENANA3f2lZOuKmF
https://www.instagram.com/potatopigtongue/457Please respect copyright.PENANATftq20GrgM
457Please respect copyright.PENANAcV17zgMBjs
457Please respect copyright.PENANAvo0qaBV2ja
Ref1:https://www.nature.com/articles/s41401-020-00553-9457Please respect copyright.PENANALUYc2cNdah