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。398Please respect copyright.PENANApHSnJY0qBb
398Please respect copyright.PENANAs7GZPwksGz
398Please respect copyright.PENANAr9FDsQWffG
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。398Please respect copyright.PENANA7Wn9trNbIo
398Please respect copyright.PENANA9P7Ksa73U3
398Please respect copyright.PENANAkf7Argjbf6
398Please respect copyright.PENANAM8E4mATK8W
(圖2)左圖為Panax notoginseng(三七);398Please respect copyright.PENANAruXQFQTVbP
398Please respect copyright.PENANAFlE9kvfm3u
中圖為Sedum aizoon(土三七);398Please respect copyright.PENANAy7WC1u83Tf
398Please respect copyright.PENANAdpaj6VwxhL
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。398Please respect copyright.PENANAwa0HwUercG
398Please respect copyright.PENANANQUyNe1iRH
398Please respect copyright.PENANAhUZU13qRjc
(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;398Please respect copyright.PENANA2SHtiONPEQ
真正的三七及土三七並不含PAs。398Please respect copyright.PENANAmrI9AdLeOY
398Please respect copyright.PENANAR9kYQy4KG8
398Please respect copyright.PENANAyQZnl51aRZ
398Please respect copyright.PENANAdA7s15n40z
這些PA化學物進入人體後,會形成DHPA及DHP化學物。398Please respect copyright.PENANA02Mv4c1b1d
398Please respect copyright.PENANAf8KEqj6rJp
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。398Please respect copyright.PENANAsS4fN0hXVu
398Please respect copyright.PENANAEswWDTEIVa
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。398Please respect copyright.PENANAAhzNSuPUnv
398Please respect copyright.PENANATtA5lxojnV
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。398Please respect copyright.PENANAMu8gPjjNz3
398Please respect copyright.PENANAqnEBj7hqoq
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。398Please respect copyright.PENANApIXHL7dv0S
398Please respect copyright.PENANApvEznsumnD
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。398Please respect copyright.PENANA8Z0oPdvlCJ
398Please respect copyright.PENANA5GG9fCU8aV
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。398Please respect copyright.PENANAkJVlrsImZm
398Please respect copyright.PENANAQCu5PNZxic
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/toc398Please respect copyright.PENANAl8I4usloe3
398Please respect copyright.PENANAqH7qW5rO9p
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。398Please respect copyright.PENANAYQnfv0roLH
398Please respect copyright.PENANARziWnQKXX2
Link:398Please respect copyright.PENANARaAOwowHAm
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio398Please respect copyright.PENANA5dIwyNpia7
398Please respect copyright.PENANAP7PcQGJ7SP
398Please respect copyright.PENANAyF7ZiTheeb
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。398Please respect copyright.PENANAHb0l6XnSG6
398Please respect copyright.PENANAdNBBa7doHI
https://www.instagram.com/potatopigtongue/398Please respect copyright.PENANAiI5jALMiOi
398Please respect copyright.PENANAJo6HnPzA0n
398Please respect copyright.PENANAhdGgcfBRh2
Ref1:https://www.nature.com/articles/s41401-020-00553-9398Please respect copyright.PENANAOBfq8EIovN