{"error":false,"id":["168979"],"data":{"IVOD_ID":168979,"IVOD_URL":"https://ivod.ly.gov.tw/Play/Clip/1M/168979","日期":"2026-04-29","會議資料":{"會議代碼":"委員會-11-5-26-8","會議代碼:str":"第11屆第5會期社會福利及衛生環境委員會第8次全體委員會議","屆":11,"會期":5,"會次":8,"臨時會會次":null,"種類":"委員會","委員會代碼":[26],"委員會代碼:str":["社會福利及衛生環境委員會"],"標題":"第11屆第5會期社會福利及衛生環境委員會第8次全體委員會議"},"影片種類":"Clip","開始時間":"2026-04-29T15:13:33+08:00","結束時間":"2026-04-29T15:31:40+08:00","影片長度":"00:18:07","支援功能":["ai-transcript","gazette"],"video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/6301273cb2dfee84e37423fad95e1f4784e55221ec8869c0ddedb1387a11a892c28002b7c9e729de5ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林淑芬","委員發言時間":"15:13:33 - 15:31:40","會議時間":"2026-04-29T14:30:00+08:00","會議名稱":"立法院第11屆第5會期社會福利及衛生環境委員會第8次全體委員會議（事由：（下午2時30分起。若上午議程尚未結束，待結束後接續召開）\n一、繼續審查\n(一)委員柯志恩等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(二)委員林月琴等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(三)委員王育敏等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n......(因系統字數上限，詳見議事日程)\n二、審查\n(一)委員徐欣瑩等18人擬具「醫療法第二十一條條文修正草案」案。\n(二)委員洪申翰、賴惠員等17人擬具「醫療法部分條文修正草案」案。\n(三)委員盧縣一等16人擬具「醫療法第七十一條條文修正草案」案。\n(四)委員鍾佳濱等19人擬具「醫療法第八十四條條文修正草案」案。\n(五)委員王正旭等24人擬具「醫療法增訂第七十一條之一條文草案」案。\n(六)台灣民眾黨黨團擬具「醫療法第一百零三條條文修正草案」案。\n(七)委員郭昱晴等16人擬具「醫療法第一百零三條條文修正草案」案。\n(八)委員盧縣一等17人擬具「醫療法第四十九條及第五十條條文修正草案」案。\n(九)委員蘇巧慧等19人擬具「醫療法增訂第二十二條之一條文草案」案。\n(十)委員賴惠員等20人擬具「醫療法第八十四條及第一百零四條條文修正草案」案。\n(十一)委員李彥秀等16人擬具「醫療法部分條文修正草案」案。\n(十二)委員陳瑩等16人擬具「醫療法第八十八條條文修正草案」案。\n(十三)委員劉建國等18人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(十四)委員劉建國等16人擬具「醫療法第四十九條及第五十條條文修正草案」案。\n(十五)委員邱鎮軍等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(十六)委員劉建國等16人擬具「醫療法增訂第九十八條之一條文草案」案。\n(十七)委員林思銘等23人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(十八)委員羅智強等16人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(十九)委員張嘉郡等17人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(二十)委員蘇清泉等22人擬具「醫療法部分條文修正草案」案。\n(二十一)委員羅明才等16人擬具「醫療法第十條、第二十四條及第一百零六條條文修正草案」案。\n(二十二)台灣民眾黨黨團擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(二十三)委員許宇甄等21人擬具「醫療法第二十四條及第一百零六條條文修正草案」案。\n(二十四)委員廖偉翔等19人擬具「醫療法第一百零二條條文修正草案」案。\n【第二(二十四)案，如未經各黨團簽署不復議同意書，則不予審查】\n【僅詢答，下午1時30分起辦理發言】\n【4月29日上午9時起及下午2時30分起為一次會】）","transcript":{"pyannote":[{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":4.13159375,"end":9.66659375,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":13.53096875,"end":75.96846875,"speaker_score":0.975},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":75.51284375,"end":81.25034375,"speaker_score":0.827},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":79.71471875,"end":95.86409375000001,"speaker_score":0.975},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":84.52409375,"end":85.75596875000001,"speaker_score":0.827},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":85.84034375,"end":86.02596875,"speaker_score":0.827},{"speaker":"SPEAKER_03","start":86.02596875,"end":86.48159375},{"speaker":"SPEAKER_03","start":92.23596875000001,"end":92.86034375000001},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":92.86034375000001,"end":92.92784375000001,"speaker_score":0.827},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":96.77534375,"end":107.01846875000001,"speaker_score":0.827},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":102.93471875,"end":103.45784375000001,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":107.01846875000001,"end":112.41846875,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":112.87409375,"end":157.44096875,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":157.55909375000002,"end":171.09284375000001,"speaker_score":0.975},{"speaker":"SPEAKER_03","start":171.37971875000002,"end":171.90284375000002},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":173.03346875,"end":174.02909375000002,"speaker_score":0.975},{"speaker":"SPEAKER_00","speaker_name":"劉司長越萍","start":174.02909375000002,"end":188.81159375000001,"speaker_score":0.806},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":188.81159375000001,"end":200.06721875000002,"speaker_score":0.975},{"speaker":"SPEAKER_03","start":200.06721875000002,"end":200.38784375},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":200.30346875,"end":253.96596875000003,"speaker_score":0.975},{"speaker":"SPEAKER_03","start":253.96596875000003,"end":253.98284375000003},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":253.98284375000003,"end":262.92659375,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":263.29784375,"end":273.45659375,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":273.50721875,"end":276.47721875,"speaker_score":0.975},{"speaker":"SPEAKER_03","start":276.47721875,"end":276.54471875},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":276.54471875,"end":279.88596875,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":279.93659375000004,"end":302.11034375,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":302.43096875000003,"end":311.86409375,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":312.53909375,"end":322.27596875,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":322.78221875,"end":343.33596875,"speaker_score":0.975},{"speaker":"SPEAKER_01","speaker_name":"林委員淑芬","start":345.02346875,"end":348.55034375,"speaker_score":0.975},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":345.86721875,"end":345.95159375000003,"speaker_score":0.827},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":346.03596875,"end":346.39034375,"speaker_score":0.827},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":349.51221875000005,"end":350.42346875000004,"speaker_score":0.827},{"speaker":"SPEAKER_02","speaker_name":"石部長崇良","start":351.40221875000003,"end":353.3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是不是請我們石部長 部長你喝水慢慢喝沒關係有請石部長"},{"start":15.505,"end":28.035,"text":"我們在2024年就通過了再生醫療法還有再生醫療製劑條例那今年1月1號雙法也正式施行了那我們希望透過再生醫療能夠在嚴謹的科學的證據臨床試驗還有人體細胞來源的管理製劑品質還有醫療機構責任的發展下"},{"start":35.04,"end":48.956,"text":"成為這個新一代下一個世代的主流的醫學的這個契機但是呢大家都也知道這也變成市場上一個亂象的來源其中一個最嚴重的就是外密體"},{"start":50.498,"end":75.72,"text":"大家都覺得這個再生醫療很簡單就外秘體就變成再生醫療的這個代名詞那我們的司長其實有談到就是說我國僅核准生技公司以人體細胞衍生之外秘體作為這個化妝品保養品的原料都沒有核准外秘體的治療行為都沒有 到現在仍然都沒有嘛 是不是對"},{"start":76.661,"end":95.159,"text":"到目前為止還沒有任何一個核准式外密體用在治療只有人體的然後當原料可以當這個化妝品對可是那你知道目前坊間以外密體為號稱的違法治療行為多不多治療喔我不是談化妝品我先談治療"},{"start":96.969,"end":103.512,"text":"我們在醫事室也有交查了幾案有衛生局去查 包含廣告幾案 四案你知道在2025年6月有一個個案"},{"start":113.376,"end":123.584,"text":"這個個案我不曉得你們有沒有查就是2025年6月接觸一款號稱韓國獨家代理的外密體產品業者聲稱皮下注射可以讓皮膚緊緻重返年輕結果患者在施打容量高達6CC的這個增劑以後全身隨即出現嚴重的紅腫"},{"start":135.032,"end":156.727,"text":"然後就緊急消腫然後隨後兩頰跟額頭冒出密密麻麻如秋枕般的凸起霧半年無法消退身心飽受煎熬收治該病例的台大醫院皮膚部主任蔡承芳診斷患者是因異物注射引發延遲性免疫反應進而導致異物肉芽腫"},{"start":157.708,"end":170.987,"text":"那其實這個台大去治療他半年了以後呢患者的臉部仍有明顯的色素沉澱還有深層的凹洞復原之路遙遙無期這個案子有沒有是你們試案之一嗎有沒有"},{"start":173.826,"end":188.194,"text":"不是因為我們現在就是針對外密體的部分1月1號開始可以適用再生醫療法去處理然後1月1號之前的話都得用的是現在的醫療法做處理所以是兩個法院不一樣"},{"start":189.275,"end":210.617,"text":"那我現在大家都覺得說MYT外密體治療好像沒有什麼事實上是很嚴重了因為後來該患者他們去調查該患者施打的徵劑成分極其複雜除了植物外密體以外還混了PDR以及多種多達五十幾種的保養成分基本上的本質就是化妝品精華液"},{"start":211.958,"end":218.902,"text":"但是他強調 這個醫生 台大醫生強調這些不是真劑 非針對注射設計的成分他不是 他可能是保養品而已他不是要打針用的結果被他們這些成分混合了50多種注入皮下 極易引發免疫系統排斥這正是導致患者長期發炎形成肉芽腫的主因那其實現在很多業者會閃躲這個皮下注射喔"},{"start":238.931,"end":262.619,"text":"它會變成水光針冷凍噴槍或高壓氣體噴槍宣稱不是打針規避法規但事實上只要導入皮膚真皮疹法律上事實上就等同注射行為都是違法的那你們的副司長也講過就是完全都沒有核准的針劑治療可是你們接獲這四起違規以外這四起大概"},{"start":263.379,"end":279.171,"text":"台北台中高雄還有彰化的一家美容SPA中心都地方衛生局在查辦但我是要問你說部長這個不是事件而已這個是比比皆是啦比比皆是而且風險很大"},{"start":280.817,"end":301.67,"text":"所以他宣稱為外用化妝品原料你們合法是這樣子可是診所把它當成可以抗衰老再生修復促進組織恢復暗示可以改善疾病或身體機能他被很多醫美診所包裝成高階抗老療程又貴又"},{"start":302.56,"end":329.53,"text":"又很多人去追逐追逐的話術很多啦抗衰老、逆齡、細胞修復、再生管理、術後修復這些都在引導消費者相信外秘體具有特定生理或醫療效果可是事實上不是嘛事實上不是外秘體除了注射療程還有點滴療程還號稱可以達到心臟保護效果"},{"start":330.33,"end":343.045,"text":"那2024年通過今年施行然後醫療機構的網站還在大剌剌的宣傳外媒體的療效那我們中央主管機關的角色在哪裡你看這是什麼診所劉醫師有話說第一張是這個嗎"},{"start":353.416,"end":376.75,"text":"好 劉醫師有話說也沒有關係啦劉醫師有話說 說了什麼劉醫師說對心臟醫學會來講對心臟醫學有幫助促進本身的什麼自我療癒系統很小隻喔 劉醫師醫師可以這樣講 診所有名字的啦 再下一張"},{"start":379.747,"end":407.669,"text":"水光注射 水光注射 什麼診所都有診所有名字還可以直接違法 他們都直接大剌剌的不在乎不把衛福部當一回事 還有呢外密體 還有醫美診所創造一個小傷口讓外密體滲入皮膚天啊 天啊 這樣行嗎 還有呢"},{"start":410.3,"end":430.507,"text":"這個都有診所名字啦 沒中 這樣看有嗎 這樣很多啦這個很謝謝委員藉這個機會那麼讓國人更清楚據我的瞭解全世界現在沒有任何一款核准的外媒體可以作為醫療"},{"start":433.288,"end":437.07,"text":"核准的外密體可以珍寄注射現在問題是這個國家我們沒政府啊衛福部沒去啊這都金獸耶金獸裡面有醫生耶有經營者耶而且我剛剛講的是隨便上網搜尋就找得到的耶"},{"start":450.218,"end":467.665,"text":"欸 冰山一角餒你們到底有沒有建立一個系統性的查核機制還是說 只要沒有被檢舉 沒有被媒體揭露然後沒有像剛剛講的那種不良個案發生然後 這些違規就可以繼續存在你只要知道全世界都沒有合法 台灣也沒有法律是合法可以做的台灣煮到冰過 他們已經不怕拉廣告"},{"start":475.088,"end":489.592,"text":"跟委員說明 我會請這個144交查下去 全國的醫美診所都地毯式的查一遍 看看有沒有違法的情形網路你怎麼查 網路上拉生意耶 還直接在網路上拉生意耶"},{"start":495.677,"end":522.737,"text":"這個網路的我們也會跟速發部合作啦我們過去會有一些AI的巡查去跳出來來交查那現在外密體的商品大概就剩下美容產品吧護膚的美容產品的那你再看這個是我們助理在蝦皮的購物平台搜尋外密體三個字型大家馬上搜尋都可以看到具體的商品頁面"},{"start":525.491,"end":547.263,"text":"這些商品在上面有辦法查詢這些商品的名稱有辦法在食藥署的化妝品產品登錄中找到資料嗎我們的化妝品要怎麼管理你到化妝品產品登錄去到登錄的系統去查詢是不是"},{"start":548.567,"end":557.953,"text":"有沒有公司公司有沒有合法 工廠登記證有沒有合法有沒有登錄嘛 對不對我們有個登錄平台可以查對啊 好查嗎"},{"start":559.856,"end":585.196,"text":"這個什麼茶?很難看你自己看人家這個衛福部是這個茶要的啦這是茶要的茶化妝品的好來你就剛剛那一頁化妝品的品名字名稱是什麼?網路上的化妝品名稱會是你這裡的名稱嗎?網路上的名字跟你的登錄他業者真正登錄不一定是同一個名字欸怎麼辦?"},{"start":586.741,"end":612.012,"text":"登錄的業者名稱化妝品公司在網路上賣的他很多都查不到耶登錄業者名稱是什麼哪個縣市別我怎麼知道啊你的化妝品保養品在你的化妝品登錄平台可見性很差"},{"start":613.988,"end":633.996,"text":"大家的地方路不會變過但是是不是合法的不知道成分可不可以去了解不知道這個平台很難用的查不到啦你看這下一個只要用中文品名輸進去應該就可以查你講得很簡單的來你現在來實驗一下找一個你蚵蝦皮上的"},{"start":639.742,"end":666.659,"text":"這個品名 登記叫什麼 安美洛是大廠牌 很貴 不用來換做下一個 看看有沒有別的 安美洛或許有還有什麼好 來來來 再來 安美洛安美洛的縣市別是哪一個縣市別 你看這個廣告商品裡面哪一個縣市別 縣市別是一定要 我要去看 上面要看什麼產品包裝上面有沒有 它在平台上賣有嗎"},{"start":668.922,"end":683.42,"text":"我要登錄什麼限制別修一下吧因為有限制再看看有沒有別的公司業者要找哪一個品名的名字模糊攝取"},{"start":685.436,"end":704.662,"text":"這個叫品 新品上市 外密體植萃精華 右下角是不是 外密體植萃精華 品名是叫這個嗎公司的縣識別是啥 公 阿哥阿哥那個什麼 公司登記是哪個 網路上都看不到耶"},{"start":706.107,"end":728.516,"text":"我要買之前我也看不到也查不到我怎麼知道買進來的東西是啥東西你們網路上在販售化妝品保養品都不用規範嗎不用跟你的化妝品這一個銜接上你的查詢平台不用銜接嗎你的化妝品平台查詢線識別我是要製造商還是工廠還是公司"},{"start":732.355,"end":752.477,"text":"公司的名字叫什麼 網路上每一個都有 都查得到嗎沒有啦 沒有啦 輸入業者 輸入業者那如果你要求這一些 那我要看到每一個平台上在賣的都有這一些標示出來你的平台上都沒有這一些標示耶"},{"start":754.076,"end":765.203,"text":"你的平台要上架難道不用符合你這一個登錄的這一些設定的條件讓我們資訊讓所有消費者上網可以查詢嗎你看剛才那些NP外密體550億這個叫名稱嗎外密體再生修復精華這個叫名稱嗎然後呢"},{"start":784.219,"end":801.879,"text":"還搭配再生修復高單位修復醫美術後名稱不但不知道產品包裝頁面標示不清楚也沒有辦法看到製造者輸入業者產品登錄字號你乾脆叫他把產品登錄字號告訴我們不是還一目了然"},{"start":803.502,"end":815.243,"text":"產品登錄的字號你在你的查詢平台裡面我直接輸入你的登錄字號直接查詢不就一清二楚啊你都沒有欸 都沒有管理都沒有在管理啊"},{"start":817.096,"end":833.109,"text":"沒有完整的化妝有沒有完成化妝品登錄不知道那為什麼可以公開販售有完成登錄的話那為什麼消費者沒有辦法在他平台上的網頁上清楚的看到登錄資訊都沒有規範"},{"start":836.738,"end":849.346,"text":"更不知道這個網頁所使用的名稱、成分、宣稱跟登錄資料到底有沒有一致也有可能他要登錄啊但跟登錄的事實的成分有沒有一致不知道"},{"start":851.696,"end":878.782,"text":"而且你看這種外秘題的成分剛剛搜尋到外秘題再生修復醫美術後導入高單位外秘題這種醫療效能的暗示這種誇大的廣告也沒有人在管理你們的食藥署也沒有人在管理 保庭剛剛講增劑注射也沒有人在管理現在合法的保養品也沒有人在管理這亂象很多的 開支都很貴"},{"start":883.02,"end":900.97,"text":"跟委員說明我們大概兩個方面第一個那個查詢的那個登錄平台我們來優化因為有一些欄位確實可以稍微模糊一點也可以列出來那這樣搜尋的話比較容易好搜尋讓這個使用者比較容易使用"},{"start":901.59,"end":916.253,"text":"那第二個就是在販賣的時候的資訊揭露必要要求的資訊揭露我們來修訂要求一定要揭露到哪一些像剛剛提到的這個一定要揭露產品的全名"},{"start":917.014,"end":932.528,"text":"你的商品名稱要很明確要讓人家一看就確認商品名稱外盒標示登錄資料實際成分都要標示出來那我們在平台上這一些外盒包裝全部都要全部顯現"},{"start":934.51,"end":942.218,"text":"所以現在消費者看到了商品名稱圖片售價他就只有售價評價銷售出銷量這個是平台上重點可是我們消費者的重點是要看到這個產品的名稱製造商輸入業者成分他有沒有登錄跟登錄的不一樣我們要看的是這個"},{"start":955.333,"end":972.741,"text":"所以你現在讓消費者都沒有辦法判斷所有判斷的品名是什麼外盒名稱是什麼登錄的名稱是什麼是不是同一個東西通通都不知道這樣就不對了這樣的管理就失去了實際的管理的效果等於沒有管理那你說你們這個東西要做什麼時候要做出來蛤"},{"start":981.707,"end":998.16,"text":"外密體的這些所有化妝品保養品外密體的這個東西他有沒有完成登錄也不知道啊你們要求平台或是化妝品上平台或外裝化妝品保養品的外部包裝要涵蓋哪些東西"},{"start":1002.146,"end":1024.425,"text":"這個東西要多久重新檢討出來我們三個月內把它檢討檢討出來你們登錄制度三個月內也要一併給它改善對 就是要求那個應該要哪一些介入那另外一件事情就是這些都不是單一商品 單一行為平台販售的跟醫美療程的會相互聯動"},{"start":1025.686,"end":1046.592,"text":"其實都是連動在一起的所以有的在增技他也販售商品販售商品的他也連動到這個增技所以要看的話其實要整體看在一起我們希望應該要建立起查核的機制把產品的來源 登錄的資料 廣告的宣稱跟診所施作一次查清楚啦"},{"start":1047.793,"end":1059.128,"text":"不要再這樣子 好像再生醫療法過去了大家看到再生醫療 外媒體 再生醫療這個一燈差十秋了 還沒有但是不知道還要花大錢 花冤枉錢"},{"start":1060.84,"end":1083.133,"text":"這個就不應該了啦好謝謝委員我們會來檢討那另外那個這個不是這個查驗登記的外密體拿來做鑰匙因為那還涉及到鑰匙法的違約那個是刑事稅那是刑事稅徵記的打進去的啊保養品的兩個你都沒有管欸現在要開始管啦好謝謝委員提醒"}],"gazette":[{"speaker":"林委員淑芬","start":"2026-04-29T15:13:37.462000+08:00","guessed":false,"end":"2026-04-29T15:13:40.053000+08:00","text":"謝謝召委，請石部長。","quality":0.625},{"speaker":"林委員淑芬","start":"2026-04-29T15:13:40.053000+08:00","guessed":false,"end":"2026-04-29T15:13:41.820000+08:00","text":"部長，你喝水可以慢慢喝，沒關係。","quality":0.846},{"speaker":"主席","start":"2026-04-29T15:13:42.222000+08:00","guessed":false,"end":"2026-04-29T15:13:42.382000+08:00","text":"請石部長。","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:13:42.382000+08:00","guessed":true,"end":"2026-04-29T15:13:45.443500+08:00","text":"林委員好。","quality":0},{"speaker":"林委員淑芬","start":"2026-04-29T15:13:45.443500+08:00","guessed":true,"end":"2026-04-29T15:13:48.505000+08:00","text":"部長，你好。","quality":0},{"speaker":"林委員淑芬","start":"2026-04-29T15:13:48.505000+08:00","guessed":false,"end":"2026-04-29T15:14:14.568000+08:00","text":"我國在2024年通過再生醫療法和再生醫療製劑條例，今年1月1日雙法也正式施行了，我們希望透過再生醫療，在嚴謹的科學證據、臨床試驗、人體細胞來源的管理、製劑品質、醫療機構責任的發展下，成為新一代、下一個世代的主流醫學契機。","quality":0.968},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:14.568000+08:00","guessed":false,"end":"2026-04-29T15:14:21.956000+08:00","text":"但是大家也都知道，這成為市場上亂象的來源，其中一項最嚴重，就是外泌體。","quality":0.871},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:23.498000+08:00","guessed":false,"end":"2026-04-29T15:14:30.905000+08:00","text":"大家覺得再生醫療很簡單，結果外泌體就變成再生醫療的代名詞。","quality":0.889},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:31.485000+08:00","guessed":false,"end":"2026-04-29T15:14:46.718000+08:00","text":"司長之前談到，我國僅核准生技公司以人體細胞衍生之外泌體作為化妝品、保養品的原料，沒有核准外泌體的治療行為。","quality":0.918},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:46.718000+08:00","guessed":false,"end":"2026-04-29T15:14:48.260000+08:00","text":"都沒有，到現在仍然沒有嘛！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:48.480000+08:00","guessed":false,"end":"2026-04-29T15:14:48.700000+08:00","text":"是不是？","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:14:48.720000+08:00","guessed":false,"end":"2026-04-29T15:14:54.326000+08:00","text":"對，到目前為止還沒有核准任何外泌體用在治療。","quality":0.85},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:54.326000+08:00","guessed":false,"end":"2026-04-29T15:14:57.989000+08:00","text":"只有人體的可以，且只可以當原料、可以當……","quality":0.647},{"speaker":"石部長崇良","start":"2026-04-29T15:14:57.989000+08:00","guessed":false,"end":"2026-04-29T15:14:58.269000+08:00","text":"化妝品。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:58.269000+08:00","guessed":true,"end":"2026-04-29T15:14:59.269000+08:00","text":"對，化妝品。","quality":0.25},{"speaker":"林委員淑芬","start":"2026-04-29T15:14:59.210000+08:00","guessed":false,"end":"2026-04-29T15:14:59.911000+08:00","text":"可是你可知道？","quality":0.833},{"speaker":"林委員淑芬","start":"2026-04-29T15:15:00.071000+08:00","guessed":false,"end":"2026-04-29T15:15:04.796000+08:00","text":"目前坊間號稱外泌體的違法治療行為多不多？治療！","quality":0.857},{"speaker":"林委員淑芬","start":"2026-04-29T15:15:05.857000+08:00","guessed":false,"end":"2026-04-29T15:15:08.159000+08:00","text":"我不是談化妝品，我先談治療。","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:15:11.830000+08:00","guessed":false,"end":"2026-04-29T15:15:15.972000+08:00","text":"醫事司交查了幾案給衛生局去查，包含廣告。幾案？4案。4案？好。","quality":0.826},{"speaker":"林委員淑芬","start":"2026-04-29T15:15:15.992000+08:00","guessed":false,"end":"2026-04-29T15:15:16.492000+08:00","text":"你可知道2025年6月的一起個案？","quality":0.727},{"speaker":"林委員淑芬","start":"2026-04-29T15:15:26.376000+08:00","guessed":false,"end":"2026-04-29T15:15:56.678000+08:00","text":"這起個案不曉得你們有沒有查，有患者在2025年6月接觸一款號稱韓國獨家代理的外泌體產品，業者聲稱皮下注射可以讓皮膚緊緻、重返年輕，結果患者在施打容量高達6cc的針劑以後，全身隨即出現嚴重的紅腫，雖然緊急消腫，但隨後兩頰及額頭冒出密密麻麻、如丘疹般的突起物，半年無法消退，身心飽受煎熬。","quality":0.872},{"speaker":"林委員淑芬","start":"2026-04-29T15:15:57.339000+08:00","guessed":false,"end":"2026-04-29T15:16:09.727000+08:00","text":"收治該病例的臺大醫院皮膚部主任蔡呈芳診斷，患者是因異物注射引發延遲性免疫反應，進而導致異物肉芽腫。","quality":0.978},{"speaker":"林委員淑芬","start":"2026-04-29T15:16:10.969000+08:00","guessed":false,"end":"2026-04-29T15:16:20.642000+08:00","text":"其實臺大治療半年以後，患者的臉部仍有明顯的色素沉澱以及深層凹洞，復原之路遙遙無期。","quality":0.947},{"speaker":"林委員淑芬","start":"2026-04-29T15:16:21.723000+08:00","guessed":false,"end":"2026-04-29T15:16:26.967000+08:00","text":"這個案子是你們所說的4案之一嗎？不是。不是？好。","quality":0.684},{"speaker":"劉司長越萍","start":"2026-04-29T15:16:28.327000+08:00","guessed":false,"end":"2026-04-29T15:16:30.368000+08:00","text":"我們現在就是針對外泌體。","quality":0.909},{"speaker":"劉司長越萍","start":"2026-04-29T15:16:30.909000+08:00","guessed":false,"end":"2026-04-29T15:16:41.194000+08:00","text":"1月1日開始，外泌體可以適用再生醫療法，但1月1日之前都得用現在的醫療法處理，所以兩者法源不一樣。好。","quality":0.786},{"speaker":"林委員淑芬","start":"2026-04-29T15:16:42.736000+08:00","guessed":false,"end":"2026-04-29T15:17:03.597000+08:00","text":"現在大家都覺得外泌體治療好像沒什麼，事實上是很嚴重的，因為後來經過調查，該患者施打的針劑成分極其複雜，除了植物外泌體以外，還混了PDRN及多達五十幾種保養成分，基本上，本質就是化妝品精華液。","quality":0.92},{"speaker":"林委員淑芬","start":"2026-04-29T15:17:04.958000+08:00","guessed":false,"end":"2026-04-29T15:17:10.921000+08:00","text":"但是這名臺大醫生強調，這些不是針劑，非針對注射設計的成分，它可能只是保養品而已，不是打針用的，結果業者把它混合五十多種成分注入皮下，極易引發免疫系統排斥，這正是導致患者長期發炎、形成肉芽腫的主因。","quality":0.843},{"speaker":"林委員淑芬","start":"2026-04-29T15:17:11.061000+08:00","guessed":false,"end":"2026-04-29T15:17:40.214000+08:00","text":"其實現在很多業者會閃躲皮下注射，變身為水光針、冷凍噴槍或高壓氣體噴槍，宣稱不是打針，規避法規。","quality":0.952},{"speaker":"林委員淑芬","start":"2026-04-29T15:17:40.214000+08:00","guessed":false,"end":"2026-04-29T15:17:51.798000+08:00","text":"但事實上只要導入皮膚真皮層，在法律上就等同注射行為，都是違法的，你們的副司長也講過，完全沒有核准針劑治療。","quality":0.958},{"speaker":"林委員淑芬","start":"2026-04-29T15:17:52.098000+08:00","guessed":false,"end":"2026-04-29T15:18:08.929000+08:00","text":"你們接獲這4起違規，涵蓋臺北、臺中、高雄還有彰化一家美容SPA中心，都由地方衛生局查辦，但我要問你，不是這4件而已，比比皆是啦！","quality":0.926},{"speaker":"林委員淑芬","start":"2026-04-29T15:18:10.690000+08:00","guessed":false,"end":"2026-04-29T15:18:12.151000+08:00","text":"而且風險很大。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:18:14.918000+08:00","guessed":false,"end":"2026-04-29T15:18:37.021000+08:00","text":"業者宣稱為外用化妝品原料─你們規定合法的用途是這樣，可是診所指它可以抗衰老、再生修復、促進組織恢復，暗示可以改善疾病或身體機能，它被很多醫美診所包裝成高階抗老療程，又貴、又有很多人追逐。","quality":0.871},{"speaker":"林委員淑芬","start":"2026-04-29T15:18:39.061000+08:00","guessed":false,"end":"2026-04-29T15:18:53.126000+08:00","text":"吸引追逐的話術很多，包括有抗衰老、逆齡、細胞修復、再生管理、術後修復，這些都在引導消費者相信外泌體具有特定生理或醫療效果，但事實上不是嘛！","quality":0.885},{"speaker":"林委員淑芬","start":"2026-04-29T15:18:56.187000+08:00","guessed":false,"end":"2026-04-29T15:19:02.510000+08:00","text":"外泌體除了注射療程，還有點滴療程，還號稱可以達到心臟保護效果。","quality":0.964},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:04.211000+08:00","guessed":false,"end":"2026-04-29T15:19:15.004000+08:00","text":"2024年通過、今年施行，醫療機構網站還大剌剌地宣傳外泌體的療效，中央主管機關的角色在哪裡？","quality":0.947},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:15.004000+08:00","guessed":false,"end":"2026-04-29T15:19:15.685000+08:00","text":"你看，這是什麼診所？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:15.805000+08:00","guessed":false,"end":"2026-04-29T15:19:33.881000+08:00","text":"「劉醫師有話說」，說了什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:33.881000+08:00","guessed":false,"end":"2026-04-29T15:19:48.209000+08:00","text":"「劉醫師」說心臟醫學會講對心臟醫學有幫助、促進本身的自我療癒系統，醫師可以這樣講？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:48.209000+08:00","guessed":false,"end":"2026-04-29T15:19:49.029000+08:00","text":"還是診所、有名字的啊！","quality":0.667},{"speaker":"林委員淑芬","start":"2026-04-29T15:19:49.570000+08:00","guessed":false,"end":"2026-04-29T15:20:06.438000+08:00","text":"下一張：「水光注射」，都有診所、有名字還可以直接違法，他們都直接大剌剌的不在乎，不把衛福部當一回事。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:06.898000+08:00","guessed":false,"end":"2026-04-29T15:20:18.687000+08:00","text":"還有醫美診所說，創造一個小傷口讓外泌體滲入皮膚，天啊！天啊！","quality":0.923},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:19.548000+08:00","guessed":false,"end":"2026-04-29T15:20:20.509000+08:00","text":"這樣行嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:23.300000+08:00","guessed":false,"end":"2026-04-29T15:20:24.240000+08:00","text":"這個都有診所名字的啊！","quality":0.8},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:28.282000+08:00","guessed":false,"end":"2026-04-29T15:20:29.362000+08:00","text":"部長，這樣有看懂嗎？","quality":0.5},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:29.362000+08:00","guessed":false,"end":"2026-04-29T15:20:29.922000+08:00","text":"這樣的很多啦！","quality":0.833},{"speaker":"石部長崇良","start":"2026-04-29T15:20:31.883000+08:00","guessed":false,"end":"2026-04-29T15:20:43.507000+08:00","text":"很謝謝委員藉這個機會讓國人更清楚，據我的瞭解，全世界現在沒有任何一款核准的外泌體可以作為醫療。","quality":0.977},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:46.288000+08:00","guessed":false,"end":"2026-04-29T15:20:48.069000+08:00","text":"現在就不講全世界沒有一款核准的外泌體可以針劑注射，現在的問題是，這個國家難道沒有政府了嗎？","quality":0.5},{"speaker":"林委員淑芬","start":"2026-04-29T15:20:48.209000+08:00","guessed":false,"end":"2026-04-29T15:21:04.119000+08:00","text":"衛福部不見了，這些都是診所，診所裡面有醫生、有經營者，而且我剛剛講是隨便上網搜尋就找得到，冰山一角！","quality":0.795},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:05.199000+08:00","guessed":false,"end":"2026-04-29T15:21:08.120000+08:00","text":"你們到底有沒有建立一個系統性的查核機制？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:08.640000+08:00","guessed":false,"end":"2026-04-29T15:21:17.644000+08:00","text":"還是只要沒有被檢舉、沒有被媒體揭露、沒有像剛剛講的那種不良個案發生，這些違規就可以繼續存在？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:18.364000+08:00","guessed":false,"end":"2026-04-29T15:21:20.645000+08:00","text":"你都會講全世界都不合法，臺灣也沒有半個是合法可以注射的，但是臺灣注射到翻過去，連醫生都不怕，還在那邊拉廣告，這個要怎麼處理？","quality":0.482},{"speaker":"石部長崇良","start":"2026-04-29T15:21:28.088000+08:00","guessed":false,"end":"2026-04-29T15:21:38.511000+08:00","text":"跟委員說明，我會請醫事司交查下去，全國的醫美診所都地毯式地查一遍，看看有沒有違法的情形。","quality":0.9},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:39.131000+08:00","guessed":false,"end":"2026-04-29T15:21:39.471000+08:00","text":"網路你怎麼查？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:41.031000+08:00","guessed":false,"end":"2026-04-29T15:21:42.372000+08:00","text":"還直接在網路上拉生意！","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:21:48.677000+08:00","guessed":false,"end":"2026-04-29T15:21:56.003000+08:00","text":"這個網路的，我們也會跟數發部合作，我們過去會有一些AI的巡查跳出來，我來交查，這個也可以查。","quality":0.805},{"speaker":"林委員淑芬","start":"2026-04-29T15:21:56.863000+08:00","guessed":false,"end":"2026-04-29T15:22:00.806000+08:00","text":"現在外泌體的商品大概就剩下美容產品吧？","quality":0.944},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:01.807000+08:00","guessed":false,"end":"2026-04-29T15:22:02.668000+08:00","text":"護膚的、美容產品的。對。","quality":0.889},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:03.768000+08:00","guessed":false,"end":"2026-04-29T15:22:28.737000+08:00","text":"那你再看，我的助理在蝦皮的購物平臺搜尋「外泌體」3個字，請大家馬上搜尋，都可以看到具體的商品頁面，這些商品在上面有辦法查詢，這些商品的名稱有辦法在食藥署的化粧品產品登錄中找到資料嗎？","quality":0.951},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:29.037000+08:00","guessed":false,"end":"2026-04-29T15:22:32.539000+08:00","text":"化粧品要怎麼管理？","quality":0.875},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:34.900000+08:00","guessed":false,"end":"2026-04-29T15:22:40.243000+08:00","text":"到化粧品產品登錄的系統去查詢，是不是？","quality":0.941},{"speaker":"石部長崇良","start":"2026-04-29T15:22:40.243000+08:00","guessed":true,"end":"2026-04-29T15:22:44.189000+08:00","text":"我們有登錄的平臺。","quality":0.125},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:44.189000+08:00","guessed":false,"end":"2026-04-29T15:22:47.591000+08:00","text":"公司有沒有合法、工廠登記證有沒有合法，有沒有登錄嘛！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:47.871000+08:00","guessed":false,"end":"2026-04-29T15:22:47.971000+08:00","text":"對不對？","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:22:47.971000+08:00","guessed":false,"end":"2026-04-29T15:22:49.932000+08:00","text":"我們有登錄平臺可以查。對啊！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:50.733000+08:00","guessed":false,"end":"2026-04-29T15:22:50.953000+08:00","text":"好查嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:52.856000+08:00","guessed":false,"end":"2026-04-29T15:22:53.096000+08:00","text":"這個怎麼查？","quality":0.6},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:53.557000+08:00","guessed":false,"end":"2026-04-29T15:22:57.520000+08:00","text":"很難查，你自己看，衛福部這個是查藥的啦！","quality":0.765},{"speaker":"林委員淑芬","start":"2026-04-29T15:22:58.941000+08:00","guessed":false,"end":"2026-04-29T15:22:59.441000+08:00","text":"這是查藥的。","quality":0.6},{"speaker":"石部長崇良","start":"2026-04-29T15:22:59.441000+08:00","guessed":true,"end":"2026-04-29T15:23:01.903000+08:00","text":"化粧品也有查。","quality":0.167},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:01.903000+08:00","guessed":false,"end":"2026-04-29T15:23:02.083000+08:00","text":"查化粧品的。","quality":0.4},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:02.384000+08:00","guessed":false,"end":"2026-04-29T15:23:08.469000+08:00","text":"好，就我剛剛那一頁，化粧品的品名，名稱是什麼？","quality":0.895},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:08.469000+08:00","guessed":false,"end":"2026-04-29T15:23:13.392000+08:00","text":"網路上的化粧品名稱會是你這裡的名稱嗎？","quality":0.944},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:13.392000+08:00","guessed":false,"end":"2026-04-29T15:23:18.196000+08:00","text":"網路上的名字跟業者真正登錄的不一定是同一個名字，怎麼辦？","quality":0.962},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:19.741000+08:00","guessed":false,"end":"2026-04-29T15:23:28.185000+08:00","text":"業者登錄的名稱跟在網路上賣的名稱不一樣，很多都查不到！","quality":0.68},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:29.125000+08:00","guessed":false,"end":"2026-04-29T15:23:31.086000+08:00","text":"登錄業者名稱是什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:31.086000+08:00","guessed":false,"end":"2026-04-29T15:23:32.146000+08:00","text":"哪個縣市別？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:33.027000+08:00","guessed":false,"end":"2026-04-29T15:23:33.827000+08:00","text":"我怎麼知道啊！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:36.348000+08:00","guessed":false,"end":"2026-04-29T15:23:44.992000+08:00","text":"化粧品、保養品在化粧品登錄平臺的可近性很差啊！","quality":0.762},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:46.988000+08:00","guessed":false,"end":"2026-04-29T15:23:50.630000+08:00","text":"大家在網路上賣到翻過去，但是不是合法的？","quality":0.611},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:50.650000+08:00","guessed":false,"end":"2026-04-29T15:23:52.910000+08:00","text":"不知道。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:53.611000+08:00","guessed":false,"end":"2026-04-29T15:23:55.912000+08:00","text":"成分可不可以去瞭解？","quality":0.889},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:56.212000+08:00","guessed":false,"end":"2026-04-29T15:23:57.773000+08:00","text":"不知道。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:23:58.513000+08:00","guessed":false,"end":"2026-04-29T15:24:00.754000+08:00","text":"這個平臺很難用，查不到啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:01.034000+08:00","guessed":false,"end":"2026-04-29T15:24:02.735000+08:00","text":"你再看下一個。","quality":0.833},{"speaker":"石部長崇良","start":"2026-04-29T15:24:02.735000+08:00","guessed":false,"end":"2026-04-29T15:24:05.156000+08:00","text":"只要用中文品名輸進去，應該就可以查。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:05.816000+08:00","guessed":false,"end":"2026-04-29T15:24:06.196000+08:00","text":"你說得很簡單，來！","quality":0.857},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:06.196000+08:00","guessed":false,"end":"2026-04-29T15:24:14.423000+08:00","text":"你現在來實驗一下，找一個蝦皮上的，這個品名登記叫什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:14.423000+08:00","guessed":false,"end":"2026-04-29T15:24:19.066000+08:00","text":"「安美諾」是大廠牌，很貴，不用，換下一個，看看有沒有別的，「安美諾」或許有。","quality":0.929},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:23.969000+08:00","guessed":false,"end":"2026-04-29T15:24:28.072000+08:00","text":"好，「安美諾」的縣市別是哪一個縣市別？","quality":0.933},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:28.352000+08:00","guessed":false,"end":"2026-04-29T15:24:31.074000+08:00","text":"你看這個廣告商品是哪一個縣市別？","quality":0.933},{"speaker":"石部長崇良","start":"2026-04-29T15:24:32.215000+08:00","guessed":false,"end":"2026-04-29T15:24:34.056000+08:00","text":"縣市別是必要的欄位。","quality":0.556},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:34.176000+08:00","guessed":false,"end":"2026-04-29T15:24:34.656000+08:00","text":"我要去哪裡看？","quality":0.667},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:34.876000+08:00","guessed":false,"end":"2026-04-29T15:24:36.658000+08:00","text":"這上面要看什麼？","quality":0.857},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:36.658000+08:00","guessed":false,"end":"2026-04-29T15:24:37.658000+08:00","text":"它的產品包裝上面有沒有？","quality":0.818},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:38.359000+08:00","guessed":false,"end":"2026-04-29T15:24:39.659000+08:00","text":"它在平臺上賣，有嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:42.022000+08:00","guessed":false,"end":"2026-04-29T15:24:42.923000+08:00","text":"要登錄什麼縣市別？","quality":0.75},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:48.731000+08:00","guessed":false,"end":"2026-04-29T15:24:54.378000+08:00","text":"好，再看看有沒有別的，公司、業者要找哪一個？","quality":0.944},{"speaker":"林委員淑芬","start":"2026-04-29T15:24:54.378000+08:00","guessed":false,"end":"2026-04-29T15:25:08.699000+08:00","text":"品名的名字，這個叫「新品上市─外泌體植萃精華」，「外泌體植萃精華」，品名是叫這個嗎？","quality":0.912},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:08.699000+08:00","guessed":false,"end":"2026-04-29T15:25:10.280000+08:00","text":"公司的縣市別是啥？","quality":0.875},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:14.561000+08:00","guessed":false,"end":"2026-04-29T15:25:16.762000+08:00","text":"公司登記是哪個？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:16.762000+08:00","guessed":false,"end":"2026-04-29T15:25:17.462000+08:00","text":"網路上都看不到！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:19.107000+08:00","guessed":false,"end":"2026-04-29T15:25:25.450000+08:00","text":"我要買之前，我看不到也查不到，我怎麼知道買進來的是啥東西？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:26.650000+08:00","guessed":false,"end":"2026-04-29T15:25:30.091000+08:00","text":"網路上在販售化粧品、保養品都不用規範嗎？","quality":0.944},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:30.091000+08:00","guessed":false,"end":"2026-04-29T15:25:35.594000+08:00","text":"不用跟化粧品查詢平臺銜接嗎？","quality":0.923},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:35.894000+08:00","guessed":false,"end":"2026-04-29T15:25:41.496000+08:00","text":"化粧品平臺還查詢縣市別，是要製造商還是工廠，還是公司？","quality":0.833},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:45.355000+08:00","guessed":false,"end":"2026-04-29T15:25:48.338000+08:00","text":"公司的名字叫什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:48.338000+08:00","guessed":false,"end":"2026-04-29T15:25:49.960000+08:00","text":"網路上每一個都有，都查得到嗎？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:49.960000+08:00","guessed":false,"end":"2026-04-29T15:25:51.202000+08:00","text":"沒有啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:51.682000+08:00","guessed":false,"end":"2026-04-29T15:25:52.143000+08:00","text":"沒有啦！","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:52.763000+08:00","guessed":false,"end":"2026-04-29T15:25:53.104000+08:00","text":"包括輸入業者。","quality":0.667},{"speaker":"林委員淑芬","start":"2026-04-29T15:25:56.187000+08:00","guessed":false,"end":"2026-04-29T15:26:05.457000+08:00","text":"如果你要求這一些，那我要看到每一個平臺上在賣的都有把這一些標示出來，平臺上都沒有這一些標示耶！","quality":0.977},{"speaker":"林委員淑芬","start":"2026-04-29T15:26:07.456000+08:00","guessed":false,"end":"2026-04-29T15:26:15.321000+08:00","text":"平臺要上架難道不用符合登錄平臺設定的條件，讓所有消費者可以上網查詢這些資訊嗎？","quality":0.784},{"speaker":"林委員淑芬","start":"2026-04-29T15:26:15.321000+08:00","guessed":false,"end":"2026-04-29T15:26:17.163000+08:00","text":"你看剛才那一些商品，「NP外泌體─550億」，這個叫名稱嗎？","quality":0.773},{"speaker":"林委員淑芬","start":"2026-04-29T15:26:17.163000+08:00","guessed":false,"end":"2026-04-29T15:26:17.963000+08:00","text":"「外泌體再生修護精華」，這個叫名稱嗎？","quality":0.867},{"speaker":"林委員淑芬","start":"2026-04-29T15:26:37.219000+08:00","guessed":false,"end":"2026-04-29T15:26:54.859000+08:00","text":"還搭配再生修復、高單位修復、醫美術後，名稱不但不知道，產品包裝頁面標示不清楚，也沒有辦法看到製造者、輸入業者、產品登錄字號，你乾脆叫他把產品登錄字號告訴我們，不是還一目了然？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:26:56.502000+08:00","guessed":false,"end":"2026-04-29T15:27:04.997000+08:00","text":"產品登錄的字號，在查詢平臺裡直接輸入登錄字號查詢，不就一清二楚？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:06.139000+08:00","guessed":false,"end":"2026-04-29T15:27:08.103000+08:00","text":"你們都沒有在管理。","quality":0.875},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:12.558000+08:00","guessed":false,"end":"2026-04-29T15:27:17.562000+08:00","text":"部長，不知道有沒有完成化粧品登錄，為什麼可以公開販售？","quality":0.75},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:18.263000+08:00","guessed":false,"end":"2026-04-29T15:27:25.929000+08:00","text":"有完成登錄的話，為什麼消費者沒有辦法在平臺的網頁上清楚地看到登錄資訊？","quality":0.97},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:25.929000+08:00","guessed":false,"end":"2026-04-29T15:27:38.243000+08:00","text":"都沒有規範，更不知道這個網頁所使用的名稱、成分、宣稱跟登錄資料到底有沒有一致，也有可能它有登錄啊！","quality":0.955},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:38.663000+08:00","guessed":false,"end":"2026-04-29T15:27:41.625000+08:00","text":"但跟登錄的事實成分有沒有一致？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:41.885000+08:00","guessed":false,"end":"2026-04-29T15:27:42.326000+08:00","text":"不知道。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:27:44.696000+08:00","guessed":false,"end":"2026-04-29T15:28:00.139000+08:00","text":"而且你看這種外泌體的成分，剛剛搜尋的都是外泌體，還再生修復、醫美術後導入高單位外泌體，這種醫療效能的暗示，這種誇大的廣告也沒有人在管理，你們的食藥署也沒有在管理。","quality":0.865},{"speaker":"林委員淑芬","start":"2026-04-29T15:28:02.280000+08:00","guessed":false,"end":"2026-04-29T15:28:11.782000+08:00","text":"部長，剛剛講針劑注射沒有在管理，現在合法的保養品也沒有在管理，這種亂象很多，這些都很貴、很花錢！","quality":0.786},{"speaker":"林委員淑芬","start":"2026-04-29T15:28:11.782000+08:00","guessed":true,"end":"2026-04-29T15:28:16.020000+08:00","text":"部長，這個要怎麼辦？","quality":0},{"speaker":"石部長崇良","start":"2026-04-29T15:28:16.020000+08:00","guessed":false,"end":"2026-04-29T15:28:33.950000+08:00","text":"跟委員說明，我們大概兩個方面，第一個，查詢的登錄平臺我們來優化，因為有一些欄位確實稍微模糊一點也可以列出來，這樣的話比較容易搜尋，讓使用者比較容易使用。","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:28:34.770000+08:00","guessed":false,"end":"2026-04-29T15:28:49.233000+08:00","text":"第二個，我們來修訂販賣時必要要求的資訊揭露，要求一定要揭露到哪一些，像剛剛提到一定要揭露產品的全名，它的登錄資料等等這一些。","quality":0.719},{"speaker":"林委員淑芬","start":"2026-04-29T15:28:50.014000+08:00","guessed":false,"end":"2026-04-29T15:29:05.528000+08:00","text":"你的商品名稱要很明確，要讓人家一看就確認商品名稱，外盒標示、登錄資料、實際成分都要標示出來，在平臺上這一些外盒包裝都要全部顯現。","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:08.030000+08:00","guessed":false,"end":"2026-04-29T15:29:15.218000+08:00","text":"現在消費者看到商品名稱、圖片、售價，它就只有售價、評價、售出銷量，這個是平臺上的重點，可是消費者的重點是要看到這個產品的名稱、製造商、輸入業者、成分有沒有登錄，跟登錄的一不一樣，我們要看的是這個。","quality":0.965},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:28.693000+08:00","guessed":false,"end":"2026-04-29T15:29:33.155000+08:00","text":"你現在讓消費者都沒有辦法判斷，判斷的品名是什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:33.155000+08:00","guessed":false,"end":"2026-04-29T15:29:34.136000+08:00","text":"外盒名稱是什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:34.136000+08:00","guessed":false,"end":"2026-04-29T15:29:35.476000+08:00","text":"登錄的名稱是什麼？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:35.476000+08:00","guessed":false,"end":"2026-04-29T15:29:36.417000+08:00","text":"是不是同一個東西？","quality":1},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:37.157000+08:00","guessed":false,"end":"2026-04-29T15:29:43.540000+08:00","text":"統統都不知道，這樣就不對了，這樣的管理就失去了實際的管理效果，等於沒有管理。","quality":0.941},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:45.261000+08:00","guessed":false,"end":"2026-04-29T15:29:45.721000+08:00","text":"你說你們要做這個東西，什麼時候要做出來？","quality":0.889},{"speaker":"林委員淑芬","start":"2026-04-29T15:29:56.609000+08:00","guessed":false,"end":"2026-04-29T15:30:16.307000+08:00","text":"所有化粧品、保養品、外泌體這個東西，有沒有完成登錄也不知道，你們要求平臺或是化粧品上平臺，或是化粧品、保養品的外部包裝要涵蓋哪些東西，這個要多久能重新檢討出來？","quality":0.917},{"speaker":"石部長崇良","start":"2026-04-29T15:30:16.307000+08:00","guessed":false,"end":"2026-04-29T15:30:19.309000+08:00","text":"我們3個月內把它檢討，然後做一些修訂。","quality":0.562},{"speaker":"林委員淑芬","start":"2026-04-29T15:30:19.309000+08:00","guessed":false,"end":"2026-04-29T15:30:21.791000+08:00","text":"檢討出來。好。","quality":0.8},{"speaker":"林委員淑芬","start":"2026-04-29T15:30:21.791000+08:00","guessed":false,"end":"2026-04-29T15:30:24.794000+08:00","text":"你們的登錄制度3個月內也要一併改善。","quality":0.938},{"speaker":"石部長崇良","start":"2026-04-29T15:30:25.415000+08:00","guessed":false,"end":"2026-04-29T15:30:27.697000+08:00","text":"對，就是要求應該要有哪一些揭露。","quality":0.786},{"speaker":"林委員淑芬","start":"2026-04-29T15:30:29.999000+08:00","guessed":false,"end":"2026-04-29T15:30:59.352000+08:00","text":"另外一件事情，這些都不是單一商品、單一行為，平臺販售的跟醫美療程的會相互連動，其實都是連動在一起的，因為有的針劑也會當商品販售，當商品販售的也連動到針劑，所以要看的話，其實要整體一起來看，我們希望應該要建立起查核的機制，把產品的來源、登錄的資料、廣告的宣稱跟診所施作一次查清楚。好。","quality":0.882},{"speaker":"林委員淑芬","start":"2026-04-29T15:31:00.793000+08:00","guessed":false,"end":"2026-04-29T15:31:07.482000+08:00","text":"不要再這樣子，好像再生醫療法過去了，大家看到外泌體就是再生醫療，差得很遠啦！","quality":0.735},{"speaker":"林委員淑芬","start":"2026-04-29T15:31:08.583000+08:00","guessed":false,"end":"2026-04-29T15:31:14.601000+08:00","text":"還沒有，但是民眾不知道還在花大錢、花冤枉錢，這個就不應該了。","quality":0.885},{"speaker":"石部長崇良","start":"2026-04-29T15:31:15.561000+08:00","guessed":false,"end":"2026-04-29T15:31:18.503000+08:00","text":"好，謝謝委員，我們會來檢討。","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:31:18.623000+08:00","guessed":false,"end":"2026-04-29T15:31:26.567000+08:00","text":"另外，不是查驗登記的外泌體拿來做藥使用，那個還涉及到藥事法的偽藥，那是刑事罪。是啊！","quality":0.568},{"speaker":"林委員淑芬","start":"2026-04-29T15:31:26.567000+08:00","guessed":true,"end":"2026-04-29T15:31:27.567000+08:00","text":"針劑打進去的……","quality":0},{"speaker":"石部長崇良","start":"2026-04-29T15:31:27.288000+08:00","guessed":false,"end":"2026-04-29T15:31:27.808000+08:00","text":"那個是刑事罪。","quality":0.833},{"speaker":"林委員淑芬","start":"2026-04-29T15:31:31.870000+08:00","guessed":false,"end":"2026-04-29T15:31:35.572000+08:00","text":"保養品的，兩個你都沒有管，現在要開始管啦！","quality":1},{"speaker":"石部長崇良","start":"2026-04-29T15:31:35.932000+08:00","guessed":false,"end":"2026-04-29T15:31:36.113000+08:00","text":"好，謝謝委員提醒。","quality":1},{"speaker":"主席","start":"2026-04-29T15:31:36.613000+08:00","guessed":true,"end":"2026-04-29T15:31:39.470143+08:00","text":"謝謝林淑芬委員的質詢。","quality":0},{"speaker":"主席","start":"2026-04-29T15:31:39.770143+08:00","guessed":true,"end":"2026-04-29T15:31:42.627286+08:00","text":"現在請邱慧洳委員質詢。","quality":0}]}},"supported_relations":[],"relations":[]}