Frasca T, Brett A S, Yoo S D
University of South Carolina School of Medicine, Columbia, USA.
Arch Intern Med. 1997 Sep 22;157(17):2007-9. doi: 10.1001/archinte.157.17.2007.
A 31-year-old man ingested an unknown amount of mandrake plant purchased at a local health food store and came to the emergency department with severe nausea and vomiting. He was hospitalized overnight but recovered uneventfully without obvious adverse systemic effects. This plant was almost certainly Podophyllum peltatum based on chromatographic identification of podophyllotoxin in a sample. However, the patient had mistakenly believed he was taking the anticholinergic and hallucinatory plant Mandragora officinarum, which is also known as mandrake. Other users of herbal substances and authors of the medical literature have also confused these 2 versions of mandrake. Given the growing popularity of alternative therapies, physicians should understand the distinction between these substances and should be aware of the medical effects of other commonly used herbal remedies.
一名31岁男子摄入了在当地一家健康食品店购买的数量不明的曼德拉草，因严重恶心和呕吐来到急诊科。他住院一晚，但顺利康复，无明显全身不良反应。根据样本中鬼臼毒素的色谱鉴定，这种植物几乎可以肯定是盾叶鬼臼。然而，患者误以为自己服用的是具有抗胆碱能和致幻作用的植物曼陀罗，曼陀罗也被称为曼德拉草。草药的其他使用者和医学文献的作者也混淆了这两种曼德拉草。鉴于替代疗法越来越受欢迎，医生应该了解这些物质之间的区别，并应知晓其他常用草药疗法的医学效果。
