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。500Please respect copyright.PENANAMbv9NgljZ9500Please respect copyright.PENANA0GoU43cWVx
500Please respect copyright.PENANAoq8mDssi4S
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。500Please respect copyright.PENANAdeaFrdut3c
500Please respect copyright.PENANA8OjJ9rEM2Y500Please respect copyright.PENANA5QPAeKJLg6
500Please respect copyright.PENANAE0kJH6o6Ry
(圖2)左圖為Panax notoginseng(三七);500Please respect copyright.PENANAT0p1Vk6PeA
500Please respect copyright.PENANAOVWVGtwktk
中圖為Sedum aizoon(土三七);500Please respect copyright.PENANAo1gS26eb5L
500Please respect copyright.PENANAnSuJHPpj2R
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。500Please respect copyright.PENANA7jOSm2KMU9
500Please respect copyright.PENANA1ytP0YAM1k
500Please respect copyright.PENANAeOLwP0PxFx
(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;500Please respect copyright.PENANANtdfHdKhcQ
真正的三七及土三七並不含PAs。500Please respect copyright.PENANAinnNSO7DlJ
500Please respect copyright.PENANAYPQQnWUMvb500Please respect copyright.PENANAnrqYkgR1Zd
500Please respect copyright.PENANAZrFwulHB3a
這些PA化學物進入人體後,會形成DHPA及DHP化學物。500Please respect copyright.PENANAtd8RZ3VEwK
500Please respect copyright.PENANAZVPiEvDIv1
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。500Please respect copyright.PENANASmA9ITm4Je
500Please respect copyright.PENANAvWmLkYOs4P
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。500Please respect copyright.PENANAVFbKoqGeco
500Please respect copyright.PENANAeAZjteP998
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。500Please respect copyright.PENANAb2LXPibdF9
500Please respect copyright.PENANA4STvCnKdTY
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。500Please respect copyright.PENANAkV49EekKcw
500Please respect copyright.PENANAvfarS33w6S
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。500Please respect copyright.PENANA9L0FcRyBK5
500Please respect copyright.PENANAZtx1BXFw48
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。500Please respect copyright.PENANAxtADpzKK2y
500Please respect copyright.PENANA2ZMP7P4Pm6
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/toc500Please respect copyright.PENANAIGxP16EpJf
500Please respect copyright.PENANA0oP56mCKyR
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。500Please respect copyright.PENANAmGnVyeQMif
500Please respect copyright.PENANAeps7zK3vf4
Link:500Please respect copyright.PENANAxsdjtLRghj
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio500Please respect copyright.PENANAxSUmh54Tgo
500Please respect copyright.PENANASlEex8b0zl
500Please respect copyright.PENANAsMMmOrVHXB
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。500Please respect copyright.PENANAVB7mCZZ4wQ
500Please respect copyright.PENANAqJ6fWf22wZ
https://www.instagram.com/potatopigtongue/500Please respect copyright.PENANA0i8ciQKFFG
500Please respect copyright.PENANAv94hhx51Zc
500Please respect copyright.PENANAZPXnbN3Wkf
Ref1:https://www.nature.com/articles/s41401-020-00553-9500Please respect copyright.PENANAo6ZhvJhmbo