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。380Please respect copyright.PENANAzpOPdhGiSA
380Please respect copyright.PENANA3V0IXJXry9
380Please respect copyright.PENANAIELd0UwY6Y
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。380Please respect copyright.PENANAb68mMnCvFR
380Please respect copyright.PENANAiHInhqjZRX
380Please respect copyright.PENANAsKdhEm2Y7P
380Please respect copyright.PENANAsWA4f8v4aR
(圖2)左圖為Panax notoginseng(三七);380Please respect copyright.PENANAR4a3W5RlEj
380Please respect copyright.PENANAoIIhSdsUka
中圖為Sedum aizoon(土三七);380Please respect copyright.PENANATGa6IA15uc
380Please respect copyright.PENANAF8xqhUigt5
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。380Please respect copyright.PENANAqMzHbLQsaz
380Please respect copyright.PENANAzNbAzqAAW6
380Please respect copyright.PENANA4UMeNpqfc2
(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;380Please respect copyright.PENANA4mSvCJdQB4
真正的三七及土三七並不含PAs。380Please respect copyright.PENANAh17sxOjn8m
380Please respect copyright.PENANAvLelLdJSDx
380Please respect copyright.PENANAq79Er63zK5
380Please respect copyright.PENANAm7t2D6wd2S
這些PA化學物進入人體後,會形成DHPA及DHP化學物。380Please respect copyright.PENANAMUUtpI5T7F
380Please respect copyright.PENANAMLHV0xHWdU
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。380Please respect copyright.PENANAMxrulhXAhW
380Please respect copyright.PENANAqfxpjFqLHt
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。380Please respect copyright.PENANAexYoo6BSLH
380Please respect copyright.PENANAOhddgZHRRv
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。380Please respect copyright.PENANAkkS3r2Zzop
380Please respect copyright.PENANAqVRm8uchUw
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。380Please respect copyright.PENANAKHqq5qywMm
380Please respect copyright.PENANABpYPiWGWVI
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。380Please respect copyright.PENANAadfbo7sypT
380Please respect copyright.PENANAMhTzsXdiYl
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。380Please respect copyright.PENANALu7paxGk0n
380Please respect copyright.PENANAaM4czCvPVR
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/toc380Please respect copyright.PENANAlyHjIO2wHl
380Please respect copyright.PENANAt2rkp3lLrr
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。380Please respect copyright.PENANAgoo4Iz2qzb
380Please respect copyright.PENANA0DgpAckp7f
Link:380Please respect copyright.PENANAVHPLyDn5Jm
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio380Please respect copyright.PENANAGOP6NpzgTH
380Please respect copyright.PENANAlBxRsJTpWA
380Please respect copyright.PENANAKeXOgKytjh
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。380Please respect copyright.PENANA0COXhkpBbX
380Please respect copyright.PENANA20Cx35ZJcd
https://www.instagram.com/potatopigtongue/380Please respect copyright.PENANARzN9doraEx
380Please respect copyright.PENANARhlWqsxsmK
380Please respect copyright.PENANAchs3G5LvHE
Ref1:https://www.nature.com/articles/s41401-020-00553-9380Please respect copyright.PENANAIVMBdIKwPk