Marijuana-Is It a Medicine?

Thersilla Oberbarnscheidt, N. S. Miller
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Abstract

This review is based on literature search to determine the risks and benefits of marijuana as a medical agent and the role for marijuana in mainstream medicine. “Marijuana" is the natural form of cannabis derived from the Cannabis sativa plant and refers specifically to the dried leaves and flowering tops or "herbal cannabis”. Other terms for marijuana are cannabis or hemp. Current clinical studies do not focus on the natural form of marijuana, but evaluate synthetical forms of THC instead. Marijuana is a schedule I substance by federal law with high potential of addiction and no medical benefit which limits research studies and forbids clinical use. However, the synthetically form THC cannot be compared with the natural form of marijuana and vice versa. Unlike most medications on the market, marijuana does not have only one or two active agents. Natural forms of marijuana are derived from the plant, Cannabis sativa, and consist of over 400 compounds including flavonoids and terpenoids and more than 60 cannabinoids other than delta-tetrahydrocannabinol (THC). Many of these compounds are not understood and their effects and adverse effects unknown.
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大麻是一种药吗?
本综述通过文献检索来确定大麻作为一种药物的风险和益处,以及大麻在主流医学中的作用。“大麻”是从大麻植物中提取的天然形式的大麻,特指干燥的叶子和开花的顶部或“草本大麻”。大麻的其他叫法是大麻或大麻。目前的临床研究并不关注大麻的天然形式,而是评估四氢大麻酚的合成形式。根据联邦法律,大麻是一种附表1物质,具有很高的成瘾潜力,没有医疗效益,这限制了研究和禁止临床使用。然而,合成形式的四氢大麻酚不能与大麻的天然形式相比,反之亦然。与市场上的大多数药物不同,大麻并不只有一两种活性物质。天然形式的大麻来自植物大麻,由400多种化合物组成,包括黄酮类化合物和萜类化合物以及60多种大麻素,而不是德尔塔四氢大麻酚(THC)。这些化合物中有许多还不为人所知,它们的作用和副作用也不得而知。
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