
Ginger
Zingiber officinale
Also known as: Zingiber officinale, Ginger root, Ginger rhizome, Zingiberis rhizoma, Jiang (Chinese), Shoga (Japanese)
Ginger is a flowering plant whose rhizome (root) has been used for millennia as both a culinary spice and traditional medicine. It is particularly effective for nausea, digestive complaints, and inflammation.
Introduction
Ginger (Zingiber officinale) is a flowering plant native to Southeast Asia, where it has been cultivated for thousands of years. The part used medicinally and culinarily is the rhizome - an underground stem that grows horizontally. It has been a staple of traditional medicine systems including Ayurveda and Traditional Chinese Medicine for over 2,500 years.
The characteristic pungent flavor and aroma of ginger come from bioactive compounds called gingerols, with shogaols and paradols also contributing to its effects. Fresh ginger contains primarily gingerols, while dried or heated ginger has higher levels of shogaols, which are more potent in some respects.
Modern research has validated many traditional uses. Ginger is particularly well-studied for nausea and vomiting of various causes - pregnancy-related morning sickness, post-operative nausea, motion sickness, and chemotherapy-induced nausea. Its antiemetic effects are comparable to some pharmaceutical options with a much better safety profile.
Beyond nausea, ginger demonstrates significant anti-inflammatory and analgesic properties, making it useful for osteoarthritis, menstrual pain (dysmenorrhea), and muscle soreness. It supports digestive health by accelerating gastric emptying and reducing gastrointestinal distress.
Ginger has an exceptional safety record when used at recommended doses. It is classified as "Generally Recognized As Safe" (GRAS) by the FDA and has been consumed safely by billions of people throughout history.
Main Benefits
Reduces nausea and vomiting from pregnancy, motion sickness, surgery, and chemotherapy with effectiveness comparable to some medications.
Decreases pain and stiffness in osteoarthritis, particularly of the knee, with effects comparable to NSAIDs in some studies.
Reduces menstrual pain (dysmenorrhea) when taken at the start of menstruation; may be as effective as ibuprofen.
Accelerates gastric emptying and improves digestive function; reduces bloating and indigestion.
Reduces markers of inflammation and may help in inflammatory conditions including ulcerative colitis.
Mechanism of Action
Ginger's therapeutic effects result from multiple bioactive compounds and mechanisms:
Antiemetic Effects: Gingerols and shogaols interact with 5-HT3 (serotonin) receptors in the gastrointestinal tract and central nervous system, blocking the signals that trigger nausea and vomiting. They also modulate cholinergic M3 receptors and NK1 receptors involved in the vomiting reflex.
Anti-inflammatory Action: Ginger compounds inhibit multiple inflammatory pathways. They suppress COX-2 (cyclooxygenase-2) and 5-lipoxygenase, reducing prostaglandin and leukotriene synthesis. Ginger also inhibits NF-κB signaling and reduces production of inflammatory cytokines (TNF-α, IL-1β, IL-6).
Analgesic Properties: Through anti-inflammatory effects and potentially direct modulation of pain receptors (TRPV1), ginger reduces pain perception. The combination of COX and lipoxygenase inhibition provides broader anti-inflammatory action than NSAIDs that only target COX.
Gastroprokinetic Effects: Ginger accelerates gastric emptying through cholinergic and anticholinergic mechanisms, helping food move more quickly from stomach to small intestine. This improves digestion and reduces postprandial fullness and discomfort.
Antioxidant Activity: Ginger's polyphenols scavenge free radicals and upregulate antioxidant enzyme expression (SOD, catalase, glutathione peroxidase), protecting tissues from oxidative stress.
Antimicrobial Properties: Ginger extracts show activity against various pathogenic bacteria and fungi, potentially supporting gut health by inhibiting harmful microbes.
The variety of gingerols, shogaols, and related compounds in ginger work synergistically, which may explain why whole ginger extract often outperforms isolated compounds in research.
Natural Sources
Ginger root is widely available as a fresh spice, dried powder, and in various processed forms. It is one of the most commonly consumed spices globally.
Examples:
Fresh ginger root
Dried ginger powder
Ginger tea
Crystallized ginger
Pickled ginger (gari)
Ginger beer/ale (variable content)
Ginger supplements (extracts)
Widely available in grocery stores worldwide; inexpensive; versatile culinary use; therapeutic doses achievable through food, supplements, or tea.
Recommended Daily Intake
No established RDA. Doses vary by condition: 0.5-2 g/day for nausea, 1-3 g/day for pain and inflammation. Can be consumed as fresh root, dried powder, or standardized extracts.
Reference Values:
| Nausea relief | 0.5-2 g/day |
| Osteoarthritis | 1-2 g/day |
| Menstrual pain | 1.5-2 g/day at onset |
| General digestive support | 1-3 g/day |
| Fresh ginger equivalent | 4-10 g/day |
Sources for RDI/AI:
Fresh ginger can be brewed as tea (1-2 g sliced per cup). Dried ginger is more concentrated than fresh. Take with food to minimize stomach upset. Divided doses throughout day may be more effective than single dose.
Effectiveness for Specific Focuses
Excellent for nausea of various causes; improves gastric emptying; reduces digestive discomfort; very well-studied for GI complaints.
Dual COX/LOX inhibition; reduces inflammatory markers; clinically effective for osteoarthritis; comparable to NSAIDs in some studies.
Strong evidence for pregnancy-related nausea and menstrual pain; safe option for women seeking natural remedies.
Good antioxidant capacity through polyphenols; upregulates endogenous antioxidant defenses; contributes to overall cellular protection.
Antimicrobial properties; may support immune function; traditional use for colds and respiratory health; moderate direct evidence.
Safety Information
Potential Side Effects
Mild heartburn or stomach upset (especially on empty stomach)
Mild diarrhea at high doses
Mouth/throat irritation
Increased bleeding risk at very high doses
Contraindications
High bleeding risk or bleeding disorders
Surgery (discontinue 1-2 weeks prior)
Gallstones (may stimulate bile production)
Overdose Information
Extremely safe; GRAS status; consumed safely for millennia; very high safety margin; no serious toxicity reported.
One of the safest medicinal herbs. FDA GRAS status. No reported deaths from overdose. Extremely well-tolerated across all age groups.
Interactions
Drug Interactions:
Blood thinners (warfarin, aspirin) - additive antiplatelet effects
Diabetes medications - may lower blood sugar
Blood pressure medications - may lower blood pressure
Antacids/GERD medications - reduced absorption
Moderate risk with blood thinners; monitor blood sugar if on diabetes medications; generally safe but caution with bleeding risk.
Other Supplement Interactions:
Other herbs/supplements with antiplatelet effects (garlic, ginkgo, turmeric) - additive bleeding risk
Digestive enzymes - compatible
Probiotics - compatible
Caution when combining with other blood-thinning supplements; otherwise safe combinations.
Discontinue 1-2 weeks before surgery due to potential bleeding risk. Start with lower doses to assess tolerance. Take with food to reduce stomach upset. Pregnancy: safe at culinary amounts; consult provider for high-dose supplementation.
Forms and Bioavailability
Ginger is available in multiple forms, with fresh and dried being most common. Standardized extracts provide consistent levels of active compounds.
Fresh Ginger Root
Fresh rhizome containing primarily gingerols; versatile for cooking and tea preparation.
Good bioavailability; traditional form with extensive use history; active compounds well-absorbed.
Brew as tea (sliced), use in cooking, or juice. Contains highest gingerol content. Best for nausea and digestive complaints.
Dried Ginger Powder
Dehydrated and ground ginger; more concentrated than fresh; contains more shogaols.
Good bioavailability; concentrated form; shogaols may be more potent for some effects; convenient.
Convenient for daily use. More concentrated than fresh (6:1 ratio approximately). Good for arthritis and general anti-inflammatory use.
Ginger Extract (Standardized)
Concentrated extract standardized for gingerol content; provides consistent dosing.
Standardized for active compounds; consistent potency; often enteric-coated to reduce stomach upset.
Best for therapeutic use requiring precise dosing. Look for standardized gingerols (5-20%). Often in capsule form.
Ginger Oil/Essential Oil
Concentrated essential oil primarily for topical use; very high concentration of active compounds.
Primarily topical use; not for internal consumption in concentrated form; different absorption profile.
Use diluted for massage or aromatherapy. Not for internal use. Different safety profile than oral forms.
Warnings & Suitability
Did You Know...?
Ginger has been cultivated for over 3,000 years and was one of the first spices exported from Asia to Europe, where it was highly valued.
The word "ginger" comes from the Sanskrit word "srngaveram" meaning "horn root," referring to the shape of the rhizome.
In medieval Europe, a pound of ginger was worth the same as a sheep - it was literally worth its weight in livestock.
Gingerols convert to shogaols when ginger is dried or cooked - this is why dried ginger has a different, more intense "heat" than fresh ginger.
General Scientific Sources
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Content Verification
Last Medical Review: 2/13/2026
Reviewed by: Editorial Team
