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。517Please respect copyright.PENANAFVZBKpGSqK517Please respect copyright.PENANAo9aFfcXNKV
517Please respect copyright.PENANAhlSdu1873m
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。517Please respect copyright.PENANAg5Np58RsiJ
517Please respect copyright.PENANAOJ512kXWCQ517Please respect copyright.PENANAS47fopWu2k
517Please respect copyright.PENANAaOYzXsW5bG
(圖2)左圖為Panax notoginseng(三七);517Please respect copyright.PENANA11heraO4RD
517Please respect copyright.PENANAz4sLizX85V
中圖為Sedum aizoon(土三七);517Please respect copyright.PENANAUNavvjNgT8
517Please respect copyright.PENANA3hBXKRiCPl
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。517Please respect copyright.PENANAxhzULAygJA
517Please respect copyright.PENANAVQyaYnGs3J
517Please respect copyright.PENANAJKrumIHE9j
(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;517Please respect copyright.PENANAvrPhJN5e58
真正的三七及土三七並不含PAs。517Please respect copyright.PENANAcoYf78tZzg
517Please respect copyright.PENANAyj6CGcukjK517Please respect copyright.PENANA1yOMEUidXZ
517Please respect copyright.PENANAAh0PCn9AsZ
這些PA化學物進入人體後,會形成DHPA及DHP化學物。517Please respect copyright.PENANAaqauYwBvT6
517Please respect copyright.PENANA7qTaO6DNaN
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。517Please respect copyright.PENANAxBnhco8jt4
517Please respect copyright.PENANAMHzDwM9b8k
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。517Please respect copyright.PENANAeQdt0KsBeW
517Please respect copyright.PENANAsf7nzCHqKn
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。517Please respect copyright.PENANALMfrJ21sRc
517Please respect copyright.PENANATcwEzB6W75
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。517Please respect copyright.PENANAk84LLqsezQ
517Please respect copyright.PENANAUdLM7mQWsg
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。517Please respect copyright.PENANAnOa3NxSveZ
517Please respect copyright.PENANARGfWsfO3m4
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。517Please respect copyright.PENANAWrzZ8kCsRQ
517Please respect copyright.PENANA4J8CGNsIMd
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/toc517Please respect copyright.PENANAhtX43DUix1
517Please respect copyright.PENANAwPlXy78hK4
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。517Please respect copyright.PENANA2ZFjbOJ5LA
517Please respect copyright.PENANAK3PlfR3KII
Link:517Please respect copyright.PENANA80u2OjUlGg
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio517Please respect copyright.PENANAZ4d8Q460fd
517Please respect copyright.PENANAGEsIHlwFNS
517Please respect copyright.PENANAwMY1ZfKNLK
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。517Please respect copyright.PENANAlTEcUyae7d
517Please respect copyright.PENANAaOFlDyh6b9
https://www.instagram.com/potatopigtongue/517Please respect copyright.PENANAufJkU1DJHf
517Please respect copyright.PENANAM28ANjXEAv
517Please respect copyright.PENANAxAYFFuqZ9X
Ref1:https://www.nature.com/articles/s41401-020-00553-9517Please respect copyright.PENANApiaqX0Ep8v