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我舉這個例子的用意就是要說明不能光看表面現象就得出因果關係的結論。
富人得痛風 和 有修行之人出舍利 都是表面上看來有兩個現象似乎有聯繫的事例。在真實機理不明了的時候，就從表面現象得出因果關係的結論甚至加以崇拜，不是科學的方法，不過作為宗教，無妨。
原帖由 一說實相 於 2008-1-21 10:29 發表
無論是過去還是現在，好像沒有人認為富貴了就要得痛風的。能否引用一個文獻，說明百分之多少的富人在過去得了痛風？
A concise history of gout and hyperuricemia and their treatment
George Nuki1 and Peter A Simkin2
1University of Edinburgh Rheumatic Diseases Unit, Scotland, UK
2Division of Rheumatology, University of Washington, Seattle, Washington, USA
Arthritis Research & Therapy 2006, 8(Suppl 1):S1doi:10.1186/ar1906
Published: 12 April 2006
© 2006 BioMed Central Ltd
Abstract
First identified by the Egyptians in 2640 BC, podagra (acute gout occurring in the first metatarsophalangeal joint) was later recognized by Hippocrates in the fifth century BC, who referred to it as 'the unwalkable disease'. The term is derived from the Latin word gutta (or 'drop'), and referred to the prevailing medieval belief that an excess of one of the four 'humors' – which in equilibrium were thought to maintain health – would, under certain circumstances, 'drop' or flow into a joint, causing pain and inflammation. Throughout history, gout has been associated with rich foods and excessive alcohol consumption. Because it is clearly associated with a life that, at least in the past, could only be afforded by the affluent, gout has been referred to as the 'disease of kings'. Although there is evidence that colchicine, an alkaloid derived from the autumn crocus (Colchicum autumnale), was used as a powerful purgative in ancient Greece more than 2000 years ago, its first use as a selective and specific treatment for gout is attributed to the Byzantine Christian physician Alexander of Tralles in the sixth century AD. Uricosuric agents were first used at the end of the 19th century. In the modern era, nonsteroidal anti-inflammatory drugs are usually the drugs of choice for treating acute gout. Perhaps the most important historical advance in the treatment of hyperuricemia was the development of xanthine oxidase inhibitors, which are effective in reducing plasma and urinary urate levels and have been shown to reverse the development of tophaceous deposits.
原帖由 一說實相 於 2008-1-21 10:29 發表
沒有錯，以前得痛風的大都是有錢人，那是因為他們的飲食和生活習慣所致。即使在當時大家也都明白是因為他們的飲食和生活習慣不是因為他們口袋裡的錢。有沒有人發了財了大家就擔心他要得痛風了？做科學的人，說話要嚴謹，思想卻不要保守。科學的每一步發展都是突破了原有的固定認識的。
請問這句話的證據？而我看到的醫生的文章都是說，不少病人被診斷為痛風的時候，還爭辯道，我又不是富人，怎麼會得這個病？ |
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