台北市中医师公会台北中医医学杂志

诚徵：执业中医师－汉补世家中医诊所体系

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理事长的话

98.2 适当使用人叁不会减弱抗凝血剂Warfarin 的效果

适当使用人叁不会减弱抗凝血剂Warfarin 的效果

Adequately Taking Ginseng does not Reduce the Efficacy of Anticoagulation of Warfarin

陈安履　林舜谷*

台北市立联合医院仁爱区中医科

【摘要】

许多心血管疾病患者因为要长期控制凝血功能而在服用Warfarin，有动物实验发现人叁可能会降低 Warfarin 的抗凝血效果，因此许多医师会建议病患避免服用。临床研究显示，心脏瓣膜置换病患与缺血性中风患者，若在医师的监控下服用人叁并不会降低Warfarin 的抗凝血效果。但对於健康人而言，合并使用 Warfarin 和西洋叁则可能会抑制抗凝血。。

【关键词】人叁、Warfarin、抗凝血、中西药交互作用

An-Lu ChenShun-Ku Lin*

Department of Chinese Medicine, Taipei City Hospital, RenAi Branch. Department of

Health, Taipei City Covernment

【Summary】

Several patients with cardiovascular disease take Warfarin for a long time to regulate blood coagulation. Some animal studies revealed that taking Ginseng may inhibit the efficacy of anticoagulation of Warfarin. Consequently, many doctors very often advise their patients not to take it. However, clinical studies revealed that taking Ginseng does not inhibit anticoagulation of Warfarin for those patients who have valve replacement surgery or ischemic stroke under the supervision of their doctors. By contrast, taking Warfarin in combination with Xiyangshen may inhibit anticoagulation for healthy people.

【Keywords】Ginseng, Warfarin, Anticoagulation, Herbal-drug Interactions

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