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。320Please respect copyright.PENANALKst1vceWH
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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。320Please respect copyright.PENANARcGi9opJ9n
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(圖2)左圖為Panax notoginseng(三七);320Please respect copyright.PENANA4pJgyTUd90
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中圖為Sedum aizoon(土三七);320Please respect copyright.PENANA2vwRuXjdKf
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而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。320Please respect copyright.PENANAWLNQaxxzzR
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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;320Please respect copyright.PENANA3f3LnfIATM
真正的三七及土三七並不含PAs。320Please respect copyright.PENANASWn3oJ9AnR
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這些PA化學物進入人體後,會形成DHPA及DHP化學物。320Please respect copyright.PENANAntrl9mMUAH
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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。320Please respect copyright.PENANAhtxoA7ZQAo
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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。320Please respect copyright.PENANAjR4cQWxPEp
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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。320Please respect copyright.PENANAaTxwWa6gib
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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。320Please respect copyright.PENANA5Aa4W1SYIl
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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。320Please respect copyright.PENANAoqu5S6gfpS
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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。320Please respect copyright.PENANAw9ebKTKZyk
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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/toc320Please respect copyright.PENANAxFEuRwJN0N
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https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio320Please respect copyright.PENANADeAHn4VDA0
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有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。320Please respect copyright.PENANAaVtxS6OFqI
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https://www.instagram.com/potatopigtongue/320Please respect copyright.PENANAgj64IoySir
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Ref1:https://www.nature.com/articles/s41401-020-00553-9320Please respect copyright.PENANASbzOIBGCgg