
Panax ginseng
Panax ginseng C.A. Meyer
Also known as: Korean ginseng, Asian ginseng, Red ginseng, White ginseng, Chinese ginseng, Ren shen
Panax ginseng, also known as Korean or Asian ginseng, is one of the most valued medicinal herbs in traditional Chinese medicine. It is used as an adaptogen to improve energy, cognitive function, and overall vitality.
Introduction
Panax ginseng, commonly known as Korean ginseng or Asian ginseng, is a perennial plant native to Korea, China, and parts of Russia. It has been used for over 2,000 years in traditional Chinese medicine as a tonic to restore and enhance well-being.
The Latin name "Panax" derives from the Greek word "panacea" meaning "all-healing," reflecting the traditional belief in ginseng's wide-ranging health benefits. The term "ginseng" comes from the Chinese "ren shen" meaning "man root," referring to the human-like shape of the root.
Panax ginseng contains unique bioactive compounds called ginsenosides (also called panaxosides), which are steroid-like saponins that appear to be responsible for many of the herb's effects. Over 150 different ginsenosides have been identified, with Rb1, Rg1, Rg3, and Re being among the most studied.
Korean red ginseng is produced by steaming and drying fresh ginseng roots, a process that converts some ginsenosides into more bioactive forms and enhances preservation. White ginseng is simply dried without steaming.
Modern research has investigated ginseng's effects on cognitive function, physical performance, immune function, erectile dysfunction, and blood sugar control. While traditional use is extensive, clinical evidence is mixed, with some studies showing significant benefits and others showing minimal effects.
It is important to distinguish Panax ginseng from other plants called "ginseng" such as Siberian ginseng (Eleutherococcus senticosus), which is a different species with different active compounds.
Main Benefits
May improve cognitive function, memory, and mental performance in healthy individuals and those with mild cognitive impairment.
Shows potential for reducing fatigue and improving physical performance and endurance.
May support immune function and reduce the risk of respiratory infections.
Has been studied for improving erectile dysfunction and sexual function in men.
May help regulate blood sugar levels and improve insulin sensitivity.
Mechanism of Action
Panax ginseng's effects are mediated primarily through its ginsenoside compounds:
Neurotransmitter Modulation: Ginsenosides may influence various neurotransmitter systems including acetylcholine, serotonin, dopamine, and GABA. This may explain effects on cognitive function, mood, and stress response.
Nitric Oxide Production: Ginsenosides can stimulate nitric oxide synthesis in endothelial cells, potentially improving blood flow and erectile function. This vasodilatory effect may also benefit cardiovascular health.
Antioxidant Effects: Ginsenosides have demonstrated antioxidant properties, protecting cells from oxidative stress. This may contribute to neuroprotective and anti-aging effects.
HPA Axis Modulation: Ginseng appears to modulate the hypothalamic-pituitary-adrenal (HPA) axis, helping regulate cortisol and the stress response. This adaptogenic mechanism is similar to other adaptogenic herbs.
Glucose Metabolism: Ginsenosides may improve insulin sensitivity and glucose uptake in muscle cells, potentially through AMPK activation and other pathways.
Immune Modulation: Ginseng polysaccharides and ginsenosides can modulate immune function, potentially enhancing natural killer cell activity and cytokine production.
Anti-inflammatory Effects: Some ginsenosides have demonstrated anti-inflammatory properties through inhibition of NF-κB and other inflammatory pathways.
Natural Sources
Panax ginseng is not consumed as a food but is harvested specifically for medicinal use. It grows wild and is cultivated in Korea, China, and Russia.
Examples:
Ginseng root (not a dietary food source)
Not a food source; must be obtained through herbal supplements; cultivated and wild-harvested for medicinal use only.
Recommended Daily Intake
No established RDA. Clinical studies typically use 200-400 mg daily of standardized extract (4-7% ginsenosides). Traditional doses vary widely.
Reference Values:
| Standardized extract | 200-400 mg/day |
| Standardized to ginsenosides | 4-7% ginsenosides |
| Korean red ginseng | 900 mg/day of extract |
Sources for RDI/AI:
Take in cycles (e.g., 3 weeks on, 1-2 weeks off) to prevent tolerance. Take in the morning as it may cause insomnia if taken late in the day.
Effectiveness for Specific Focuses
Improves cognitive performance and memory; acute cognitive enhancement; neuroprotective potential.
Reduces fatigue and improves physical performance; traditional tonic use; enhances endurance.
May enhance immune function; reduces respiratory infections; immunomodulatory effects.
Improves erectile dysfunction and sexual function; traditional aphrodisiac use; nitric oxide enhancement.
May improve blood sugar control and insulin sensitivity; AMPK activation; glucose metabolism support.
Safety Information
Potential Side Effects
Insomnia
Nervousness or restlessness
Headache
Digestive upset
Changes in blood pressure
Menstrual irregularities
Contraindications
Pregnancy and breastfeeding (insufficient safety data)
Children (not recommended)
Autoimmune conditions (may stimulate immune system)
Hormone-sensitive conditions (theoretical concern)
Overdose Information
Generally well-tolerated; high doses may cause overstimulation ("ginseng abuse syndrome"); good safety margin at recommended doses.
High doses may cause overstimulation, insomnia, anxiety, headache, digestive upset, and changes in blood pressure.
Documented Overdose Symptoms:
Insomnia
Nervousness
Headache
Hypertension or hypotension
Diarrhea
Generally safe at recommended doses. Good safety profile. Long-term use may lead to tolerance.
Interactions
Drug Interactions:
Blood thinners (warfarin) - may reduce effectiveness
MAO inhibitors - potential interactions
Stimulants - additive effects
Diabetes medications - may affect blood sugar
Blood pressure medications - may affect blood pressure
Significant interactions with blood thinners; caution with diabetes and BP medications; may affect many drug classes.
Other Supplement Interactions:
Caffeine and other stimulants - additive stimulation
Other adaptogens - may be synergistic
Caution with other stimulants; synergistic with other adaptogens.
Take in the morning to avoid insomnia. May cause overstimulation in sensitive individuals. Discontinue use 7 days before surgery due to potential blood sugar and blood clotting effects. Ensure product is authentic Panax ginseng, not Siberian ginseng.
Forms and Bioavailability
Korean red ginseng (steamed) is generally considered more potent than white ginseng (dried). Standardized extracts ensure consistent ginsenoside content.
Korean Red Ginseng Extract
Steamed and dried roots; enhanced bioactive compounds; most researched form.
Steaming process converts ginsenosides to more bioactive forms; most extensively studied; preferred form.
Considered the highest quality form. The steaming process increases bioavailability of certain ginsenosides.
Standardized Ginseng Extract (4-7% ginsenosides)
Standardized for consistent ginsenoside content; ensures reliable dosing.
Consistent potency; well-characterized; reliable for clinical effects.
Look for products standardized to 4-7% ginsenosides. This ensures consistent active compound levels.
White Ginseng
Air-dried without steaming; different ginsenoside profile than red ginseng.
Less processed but potentially less bioactive compounds; different effects than red ginseng.
May have different therapeutic properties than red ginseng. Generally considered less potent for most applications.
Warnings & Suitability
Did You Know...?
The genus name "Panax" comes from the Greek word for "all-healing" or "panacea," reflecting the traditional belief in ginseng's universal healing properties.
Wild ginseng roots can sell for thousands of dollars per pound, with the most prized specimens being decades old and having human-like shapes.
Korean red ginseng is steamed at 100°C for 2-3 hours, a process that converts ginsenosides into more bioactive forms and gives it the characteristic red color.
True Panax ginseng takes 4-6 years to mature before harvesting, making it one of the slowest-growing medicinal herbs.
General Scientific Sources
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Content Verification
Last Medical Review: 2/13/2026
Reviewed by: Editorial Team
