Milk Thistle

Milk Thistle

水飞蓟 (Shuǐ Fēi Jì) · Silybum marianum

The gold standard for liver support supplements. Contains silymarin, a potent antioxidant compound that protects liver cells from damage and supports detoxification.

证据评分
7.5/10
安全性
大多数成人安全

适用于

主要功效

Protects liver cells from damage

Clinical trials show benefit in alcoholic liver disease and hepatitis

Supports liver regeneration

Silymarin stimulates protein synthesis in liver cells, promoting regeneration

Antioxidant protection

Silymarin is 10x more potent than vitamin E as a liver antioxidant

May reduce insulin resistance

Trials in diabetic patients show improved fasting glucose and HbA1c

服用方法

常用剂量: 200-400mg silymarin (from 140-300mg milk thistle extract standardized to 70-80% silymarin) 2-3x daily
剂型: capsule, tablet, liquid extract, seed powder
服用时间: Take with meals. For liver protection during alcohol use, take before drinking. 8-12 weeks for therapeutic effect
Silybin (the most active component) has poor bioavailability — phosphatidylcholine complexes (Siliphos) improve absorption 5-10x

安全性与相互作用

可能的副作用

  • Very well tolerated — one of the safest herbs
  • Mild laxative effect in some
  • Rare: allergic reaction in people allergic to ragweed family

禁忌人群

  • Allergy to Asteraceae/Compositae family (ragweed, daisies)
  • Hormone-sensitive conditions (weak estrogenic effect at very high doses)

药物相互作用

  • May affect CYP enzymes — theoretical concern with many drugs
  • Diabetes medications — may potentiate blood sugar lowering
  • Statins — may provide additive liver protection (beneficial interaction)

传统用途

Not a traditional TCM herb — Western origin. However, Shui Fei Ji (水飞蓟) is now included in Chinese pharmacopoeia. Used in European folk medicine since ancient Greece for liver and gallbladder complaints. The Roman historian Pliny the Elder recommended it for bile.

现代研究

Over 1,400 studies. Silymarin complex (silybin, silychristin, silydianin) provides hepatoprotection through multiple mechanisms: antioxidant, anti-inflammatory, antifibrotic, and cell-regenerating. Used as emergency treatment for death cap mushroom (Amanita) poisoning in hospitals.

在PubMed查看研究

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