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。301Please respect copyright.PENANAZJ0Re5BPxU
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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。301Please respect copyright.PENANAWpaIyRfC36
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(圖2)左圖為Panax notoginseng(三七);301Please respect copyright.PENANA7yBHjPZO8S
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中圖為Sedum aizoon(土三七);301Please respect copyright.PENANAgfKY6UBnAF
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而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。301Please respect copyright.PENANAWaDX6SsBGx
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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;301Please respect copyright.PENANAKmZupvNDXo
真正的三七及土三七並不含PAs。301Please respect copyright.PENANAvbnv7GoAGg
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這些PA化學物進入人體後,會形成DHPA及DHP化學物。301Please respect copyright.PENANAePCVAvQfpB
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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。301Please respect copyright.PENANAzHhFOrOI97
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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。301Please respect copyright.PENANA5qODW1AR0g
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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。301Please respect copyright.PENANAMM1yGmHkfb
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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。301Please respect copyright.PENANALUq7jnNsf7
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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。301Please respect copyright.PENANAVPw9XsfoAW
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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/portfolio301Please respect copyright.PENANAzOoPcPAtpg
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有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。301Please respect copyright.PENANAdsFm1ZDa9I
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https://www.instagram.com/potatopigtongue/301Please respect copyright.PENANAEwn3OaZZAb
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Ref1:https://www.nature.com/articles/s41401-020-00553-9301Please respect copyright.PENANAtmyedMll3W