Asian Ginseng

 (Panax ginseng) has traditionally been used as a supportive herb for male potency. A double-blind trial 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 ED. The benefit of Asian ginseng confirmed in another double-blind study, in which 900 mg three times a day was given for eight weeks.

Extensive but often poorly designed studies have been conducted on the use of Asian ginseng (Panax ginseng) to improve athletic performance. While some early controlled studies suggested there might be benefits, several recent double-blind trials have found no significant effects of Asian ginseng on endurance exercise. In many studies, it is possible that ginseng was used in insufficient amounts or for an inadequate length of time; a more effective regimen for enhancing endurance performance may be 2 grams of powdered root per day or 200 to 400 mg per day of an extract standardized for 4% ginsenosides, taken for eight to twelve weeks. Short-term intense exercise has also not been helped by Asian ginseng according to double-blind trials, but one controlled study reported increased pectoral and quadricep muscle strength in non-exercising men and women after taking 1 gram per day of Asian ginseng for six weeks. An extract of a related plant, American ginseng (Panax quinquefolius), was found ineffective at improving endurance exercise performance in untrained people after one week’s supplementation in a double-blind study.^[REF]

The Chinese herb bupleurum is included in two similar Chinese herbal formulae known as sho-saiko-to and saiko-keishi-to; these combinations contain the same herbs but in different proportions. The other ingredients are peony root, pinellia root, cassia bark, ginger root, jujube fruit, root, Asian scullcap root, and licorice root. Both formulas have been shown in preliminary trials to be helpful for people with epilepsy. No negative interactions with a variety of anticonvulsant drugs were noted in these trials. The usual amount taken of these formulas is 2.5 grams three times per day as capsules or tea. People with epilepsy should not use either formula without first consulting with a healthcare professional.

Preliminary trials have shown that the bupleurum-containing formula sho-saiko-to can help reduce symptoms and blood liver enzyme levels in children and adults with chronic active viral hepatitis. Most of theses trials were in people with hepatitis B infection, though one preliminary trial has also shown a benefit in people with hepatitis C. Sho-saiko-to was also found, in a large preliminary trial to decrease the risk of people with chronic viral hepatitis developing liver cancer. However, people who had a sign of recent hepatitis B infection were not as strongly protected in this trial. The usual amount of sho-saiko-to used is 2.5 grams three times daily. Sho-saiko-to should not be used together with interferon drug therapy as it may increase risk of pneumonitis - a potentially dangerous inflammation in the lungs.

has a long history of use in traditional herbal medicine for preventing and treating conditions related to the immune system. A double-blind study of healthy people found that taking 100 mg of a standardized extract of Asian ginseng twice per day improved immune function.

The Chinese herb bupleurum is an important component of the formula known as sho-saiko-to. Sho-saiko-to was shown in one preliminary trial to reduce the risk of liver cancer in people with liver cirrhosis. The amount of this formula used was 2.5 grams three times daily.

may prove useful for male infertility. One preliminary study found that 4 grams of Asian ginseng per day for three months led to an improvement in sperm count and sperm motility.

A double-blind trial found that (200 mg per day of standardized extract) helped alleviate psychological symptoms of menopause, such as depression and anxiety, but did not decrease physical symptoms, such as hot flashes or sexual dysfunction, in postmenopausal women who had not been treated with hormones. In another double-blind trial, supplementation with 3 grams per day of red ginseng (heated Asian ginseng) for 12 weeks significantly improved menopausal hot flashes, compared with a placebo.

The herbs discussed here are considered members of a controversial category known as adaptogens, which are thought to increase the body's resistance to stress, and to generally enhance physical and mental functioning. Many animal studies have shown that various herbal adaptogens have protective effects against physically stressful experiences, but whether these findings are relevant to human stress experiences is debatable.

Animal studies support the idea that is an adaptogen. Some studies have suggested that Asian ginseng can enhance feelings of well-being in elderly people with age-associated memory impairment, nurses working night shifts, or people with diabetes. In a double-blind trial, people taking a daily combination of a multivitamin-mineral supplement (MVM) with 40 mg of ginseng extract (standardized for 4% ginsenosides) for 12 weeks reported greater improvements in quality of life measured with a questionnaire compared with a group taking only MVM. The same MVM-ginseng combination was tested in a double-blind study of night-shift healthcare workers. Compared with a placebo group, the group receiving the MVM-ginseng combination improved on one out of four measures of mental performance, one out of three measures of mood (increased calmness, but no change in alertness or contentment), and a measure of reported fatigue. However, in another double-blind study, healthy adults given 200 or 400 mg per day of a standardized extract of Asian ginseng (equivalent to 1,000 or 2,000 mg of ginseng root) showed no significant improvement in any of several measures of psychological well-being after two months.

Asian ginseng is commonly used in Traditional Chinese Medicine to treat diabetes. Asian ginseng extracts and constituents known as ginsenosides have demonstrated antidiabetic effects such as lowering glucose levels, improving insulin levels, reducing insulin resistance scores, and improving lipid levels in multiple clinical trials and laboratory studies. In one placebo-controlled trial, taking 5 grams of Asian ginseng per day for 12 weeks led to better blood glucose response to glucose ingestion in participants with type 2 diabetes. A placebo-controlled trial using various doses of a vinegar extract of Asian ginseng noted 1.5 grams per day was associated with greater reduction in HgbA1c and fasting glucose levels than either 2 or 3 grams per day. Another trial found, in subjects with well controlled type 2 diabetes, 6 grams per day of crude Asian ginseng rootlets improved the response to a glucose load, lowered fasting insulin levels, and increased insulin sensitivity scores, but did not improve HgbA1c.

In a preliminary trial, supplementation with 4.5 grams per day of Asian (Panax) ginseng for 12 weeks resulted in a statistically significant 15% improvement in a measure of cognitive function. This improvement waned after the treatment was discontinued.

Adaptogenic herbs such as and eleuthero may also be useful for CFS patients—the herbs not only have an immunomodulating effect but also help support the normal function of the hypothalamic-pituitary-adrenal axis, the hormonal stress system of the body. These herbs are useful follow-ups to the six to eight weeks of taking licorice root and may be used for long-term support of adrenal function in people with CFS. However, no controlled research has investigated the effect of adaptogenic herbs on CFS.

Herbal supplements can help strengthen the immune system and fight infections. Adaptogens, which include eleuthero, , astragalus, and schisandra, are thought to help keep various body systems—including the immune system—functioning optimally. They have not been systematically evaluated as cold remedies. However, one double-blind trial found that people who were given 100 mg of Asian ginseng extract in combination with a flu vaccine experienced a lower frequency of colds and flu compared with people who received only the flu vaccine.

The Chinese herb bupleurum, as part of the herbal formula sho-saiko-to, has been shown to have beneficial immune effects on white blood cells taken from people infected with HIV. Sho-saiko-to has also been shown to improve the efficacy of the anti-HIV drug lamivudine in the test tube. One preliminary study found that 7 of 13 people with HIV given sho-saiko-to had improvements in immune function. Double-blind trials are needed to determine whether bupleurum or sho-saiko-to might benefit people with HIV infection or AIDS. Other herbs in sho-saiko-to have also been shown to have anti-HIV activity in the test tube, most notably Asian scullcap. Therefore studies on sho-saiko-to cannot be taken to mean that bupleurum is the only active herb involved. The other ingredients are peony root, pinellia root, cassia bark, ginger root, jujube fruit, root, Asian scullcap root, and licorice root.

Immune-modulating plants that could theoretically be beneficial for people with HIV infection include , eleuthero, and the medicinal mushrooms shiitake and reishi. One preliminary study found that steamed then dried Asian ginseng (also known as red ginseng) had beneficial effects in people infected with HIV, and increased the effectiveness of the anti-HIV drug, AZT. This supports the idea that immuno-modulating herbs could benefit people with HIV infection, though more research is needed.

Herbs that support a person’s immune system in the fight against microbes include the following: American ginseng, andrographis, , astragalus, coriolus, eleuthero, ligustrum, maitake, picrorhiza, reishi, schisandra, and shiitake.

and eleuthero (Siberian ginseng) have immune-enhancing properties, which may play a role in preventing infection with the influenza virus. However, they have not yet been specifically studied for this purpose. One double-blind trial found that co-administration of 100 mg of Asian ginseng extract with a flu vaccine led to a lower frequency of colds and flu compared to people who just received the flu vaccine alone.

Asian ginseng (Panax ginseng) is commonly used in Traditional Chinese Medicine to treat diabetes. It has been shown in test tube and animal studies to enhance the release of insulin from the pancreas and increase the number of insulin receptors. Asian ginseng and its active constituents have also been found to improve blood glucose control and reduce complications in animal models of type 1 diabetes. Clinical trials in people with type 1 diabetes are needed to confirm these findings.