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。462Please respect copyright.PENANA4VF2ttLNeP462Please respect copyright.PENANAri7AhEcl5B
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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。462Please respect copyright.PENANAC2Z3wnspHj
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(圖2)左圖為Panax notoginseng(三七);462Please respect copyright.PENANA5TtqTjllgN
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中圖為Sedum aizoon(土三七);462Please respect copyright.PENANAjGN5ulumUF
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而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。462Please respect copyright.PENANAqtW6fOQryQ
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(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;462Please respect copyright.PENANAuMqt6uu9Jj
真正的三七及土三七並不含PAs。462Please respect copyright.PENANAnCPu1Qkcmz
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這些PA化學物進入人體後,會形成DHPA及DHP化學物。462Please respect copyright.PENANA9czF2r9CSV
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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。462Please respect copyright.PENANADjhwMosBfK
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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。462Please respect copyright.PENANAYi8iRy7xjP
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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。462Please respect copyright.PENANAoq4xSCgcpr
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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。462Please respect copyright.PENANAwM9SYICC3S
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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。462Please respect copyright.PENANArT7cxEO7F5
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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。462Please respect copyright.PENANAa0Qr31HIXf
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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/toc462Please respect copyright.PENANA0qCfSPfIbc
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Link:462Please respect copyright.PENANA93yuQKPjps
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio462Please respect copyright.PENANA0LdySJEPWb
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有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。462Please respect copyright.PENANAbAsiq65N0r
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https://www.instagram.com/potatopigtongue/462Please respect copyright.PENANAX8jRehwCiP
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Ref1:https://www.nature.com/articles/s41401-020-00553-9462Please respect copyright.PENANAPzGbOkhncd