頁籤選單縮合
題名 | 中藥內暗藏西藥抗癲癇藥物的探討=An Investigation of the Covert Use of Western Antiepileptic Drugs in Chinese Medicine |
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作者 | 江冠華; 吳婉莉; 盧玉強; Kong, Koon-wah; Wu, Wan-li; Lo, Yuk-keung; |
期刊 | 癲癇論壇 |
出版日期 | 19970300 |
卷期 | 1:1 1997.03[民86.03] |
頁次 | 頁19-26 |
分類號 | 418.21 |
語文 | chi |
關鍵詞 | 癲癇; 另類療法; 中藥; Epilepsy; Alternative therapy; Chinese medicine; |
中文摘要 | 有些癲癇病患對西醫的治療失去信心,轉而相信一些道聽塗說,未經科學驗證的秘方,或尋求另類療法來治療其疾病。中醫藥是台灣社會最普遍的另類療法之一。高雄榮民總醫院在1993年5月至1994年4月之一年內,從癲癇門診初診病人中,發現有11位病人曾在最近服用所謂科學中藥的中藥粉。他們所服用之藥品,都被強調為科學中藥,全部是土黃色的藥粉,每天服用2到3次。其中5位病人仍單獨服用這類藥品,檢查這些病人之血液是否具有癲能停、魯米那或癲通等3種常見的抗癲癇藥物,結果顯示這5位病人之血液中均含癲能停和魯米那成份,濃度分別為3.79-41.06μg/ml和2.76-23.37μg/ml。取其中一位病人的藥物作定量分析,也發現具有癲能停及魯米那的成份。這個研究發現在台灣有部份宣稱治療癲癇的中藥粉暗藏有西藥在其中,而被美名為「科學中藥」用來欺騙病人。 |
英文摘要 | Purpose Chinese medicine is one of the most popular altenative therapies in Taiwan. Fear of long-term dependence on western medication and its side effects often leads patients with epilepsy to seek an alternative therapy. We invetigated the use of Chinese medicines among patients with epilepsy visiting our outpatient clinic for the first time. Methods From May 1993 to April 1994, we took the past history of taking Chinest medicines among patients with epilepsy at the first visit to our epilepsy clinic. We measured the serum concentration of three commonly used natieplieptic druges of Phenytoin (PHT), Phenbarbital (PB), and Carbamazepine (CBZ) among patients who cuurently still took Chinese medicines. Results Elenev patients on the first visit to the epilepsy clinic of Veterans General Hospital-Kaoshiung had history of taking Chinese medicines for seizure control, of whom five were still taking only Chinese medicines for seizure control. There was no detectable CBZ in their serum. However, ther were measurable concerntrations of PHT with a range of 3.79-41.06μg/ml and PB with a range of 2.76-23.37μg/ml in the serum. The qualitative analysis of the Chinese medicines from one of these five patients revealed positive for PHT and PB. Conclusions Some of patients with epilepsy took Chinese medicines for seizure control. The measurement of the blood concentration for PHT and PB revealed that PHT and PB have been intermingled with Chinese medicines. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。