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。516Please respect copyright.PENANASa7gi45HW2516Please respect copyright.PENANAybsffrshgX
516Please respect copyright.PENANAeXSEcLoLgJ
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。516Please respect copyright.PENANAtYyxwdQ4h6
516Please respect copyright.PENANAvKC0iLTCqn516Please respect copyright.PENANA3GKrSlazWe
516Please respect copyright.PENANAiomtVSdn8o
(圖2)左圖為Panax notoginseng(三七);516Please respect copyright.PENANAYE54oBtDXW
516Please respect copyright.PENANANtpVqD9tY3
中圖為Sedum aizoon(土三七);516Please respect copyright.PENANA9hmSsymQXr
516Please respect copyright.PENANAflgnW3tkYJ
而右圖則為Gynura japonica,頻繁被誤當成土三七的藥材。516Please respect copyright.PENANAvmlf33wXP2
516Please respect copyright.PENANAZypCpBQz1A
516Please respect copyright.PENANArI5jMPZi6l
(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;516Please respect copyright.PENANAt8mPiUmNis
真正的三七及土三七並不含PAs。516Please respect copyright.PENANAA4CycrEZag
516Please respect copyright.PENANA12LI74KYTU516Please respect copyright.PENANAZ1xvQIW8Fm
516Please respect copyright.PENANA5cty8POS5q
這些PA化學物進入人體後,會形成DHPA及DHP化學物。516Please respect copyright.PENANAE4USrDV8CQ
516Please respect copyright.PENANACCxu7OqhIF
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。516Please respect copyright.PENANAnFqvfpoyX1
516Please respect copyright.PENANA05FRVIgJQy
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。516Please respect copyright.PENANAiobfEz0YLB
516Please respect copyright.PENANA4jixzJh3K1
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。516Please respect copyright.PENANAJVVsCjjVmi
516Please respect copyright.PENANAg0sgKouxUl
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。516Please respect copyright.PENANAhEk9BhKXJN
516Please respect copyright.PENANA1nC8ZrLzgm
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。516Please respect copyright.PENANAVKfMPGCAQ3
516Please respect copyright.PENANAAnSMnAez6R
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。516Please respect copyright.PENANAFegBhHFIgL
516Please respect copyright.PENANAa9DLSj2Zt3
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/toc516Please respect copyright.PENANAZAuhPljgAT
516Please respect copyright.PENANAt2yeg4Wy97
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。516Please respect copyright.PENANAgPEF3E8PEV
516Please respect copyright.PENANARSuWHbgyxn
Link:516Please respect copyright.PENANAcOrPAaICO0
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio516Please respect copyright.PENANAQt5gVFJnOn
516Please respect copyright.PENANAEcsrPuw85T
516Please respect copyright.PENANAS4j0y98QfU
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。516Please respect copyright.PENANAOG0wWfdSOl
516Please respect copyright.PENANANOqZSH5M9c
https://www.instagram.com/potatopigtongue/516Please respect copyright.PENANAGc7KTYKyi8
516Please respect copyright.PENANACaTKwULUgC
516Please respect copyright.PENANAj3VL61e6cK
Ref1:https://www.nature.com/articles/s41401-020-00553-9516Please respect copyright.PENANAO8NEZt9pD1