Historical or traditional use
(may or may not be supported by scientific studies)
Asian ginseng has been
a part of Chinese medicine for over 2,000 years. The first reference to
the use of Asian ginseng dates to the 1st century A.D. Ginseng is commonly
used by elderly people in the Orient to improve mental and physical
vitality.
Active
constituents
Ginseng’s actions in
the body are thought to be due to a complex interplay of constituents. The
primary group are the ginsenosides, which are believed to counter the
effects of stress and enhance intellectual and physical performance.
Thirteen ginsenosides have been identified in Asian ginseng. Two of them,
ginsenosides Rg1 and Rb1, have been closely studied. Other constituents
include the panaxans, which may help lower blood sugar, and the
polysaccharides (complex sugar molecules), which are thought to support
immune function.
Long-term intake of
Asian ginseng may be linked to a reduced risk of some forms of cancer.A
double-blind trial found that 200 mg of Asian ginseng per day improved
blood sugar levels in people with type 2 (non-insulin-dependent) diabetes.
Human trials have mostly failed to confirm the purported benefit of Asian
ginseng for the enhancement of athletic performance. One preliminary trial
suggests it may help those in poor physical condition to tolerate exercise
better. In combination with some vitamins and minerals, 80 mg of ginseng
per day was found to effectively reduce fatigue in a double-blind
trial.Another double-blind trial also found it helpful for relief of
fatigue and, possibly, stress. Although there are no human clinical
trials, adaptogenic herbs such as Asian ginseng may be useful for people
with chronic fatigue syndrome. This may be because these herbs are thought
to have an immuno-modulating effect and also help support the normal
function of the hypothalamic-pituitary-adrenal axis, the hormonal stress
system of the body.
Asian ginseng may also
prove useful for male infertility. A double-blind trial with a large group
of infertile men found that 4 grams of Asian ginseng per day for three
months led to an improvement in sperm count and sperm
motility.
Asian ginseng may also
help men with erectile dysfunction. A double-blind trial in Korea found
that 1,800 mg per day of Asian ginseng extract for three months helped
improve libido and the ability to maintain an erection in men with
erectile dysfunction. This finding was confirmed in another double-blind
study, in which 900 mg three times a day was given for eight
weeks.
How much is usually
taken?
The most researched
form of ginseng, standardized herbal extracts, supply approximately 5–7%
ginsenosides. Ginseng root extracts are sometimes recommended at 200–500
mg per day. Non-standardized extracts require a higher intake, generally
1–4 grams per day for tablets or 2–3 ml for dried root tincture three
times per day. Ginseng is traditionally used for two to three weeks
continuously, followed by a one- to two-week “rest” period before
resuming.
Are there any side effects or
interactions?
Used in the recommended
amounts, ginseng is generally safe. In rare instances, it may cause
over-stimulation and possibly insomnia. Consuming caffeine with ginseng
increases the risk of over-stimulation and gastrointestinal upset. People
with uncontrolled high blood pressure should use ginseng cautiously.
Long-term use of ginseng may cause menstrual abnormalities and breast
tenderness in some women. Ginseng is not recommended for pregnant or
breast-feeding
women.