| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Body Mass Index (BMI) No effect | NoneNo effect | 20 people | ||||
| Testosterone | Improves (the measure goes up) | 1 study | 20 people | |||
| Cortisol | Improves (the measure goes down) | 20 people | ||||
| Strength | Improves (the measure goes up) | 20 people | ||||
| Waist-Hip Ratio | Improves (the measure goes up) | 20 people |
Supplement
Panax ginseng is a root used for centuries in Asian herbal medicine, and its ginsenosides are thought to boost nitric oxide, which relaxes smooth muscle and widens blood vessels. People most often look at it for erectile dysfunction, and small trials found erections went up, with the evidence rated moderate. Those studies were small, involving under 200 people in total, so larger trials would give a firmer picture.
Sources: PMID 12394711; PMID 8750052
- Updated
- How we grade
- 59 studies cited
- Best evidence
- Grade B
- Conditions studied
- 41
- Outcomes
- 228
- Graded outcomes
- 09187
Evidence by condition
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Erections Small Increase | Improves (the measure goes up) | Small effect | 4 studies | 195 people | ||
Studies that measured erections
| ||||||
| Testosterone | Improves (the measure goes up) | 1 study | 60 people | |||
Studies that measured testosterone | ||||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 60 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 60 people | ||||
| Prolactin | Improves (the measure goes up) | 60 people | ||||
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 124 people | ||
Studies that measured blood glucose
| ||||||
| Insulin | Changes; see studies | 3 studies | 182 people | |||
Studies that measured insulin
| ||||||
| HbA1c | Improves (the measure goes down) | 2 studies | 476 people | |||
| Subjective Well-Being | Improves (the measure goes up) | 2 studies | 36 people | |||
| Glycemic Control | Improves (the measure goes up) | 1 study | 15 people | |||
| Blood Pressure | Improves (the measure goes down) | 702 people | ||||
| Body Fat | Improves (the measure goes down) | 106 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 753 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 657 people | ||||
| Total cholesterol | Improves (the measure goes down) | 803 people | ||||
| Triglycerides | Improves (the measure goes down) | 741 people | ||||
| Weight | Improves (the measure goes down) | 36 people | ||||
Dyslipidemia
- Blood glucose: improves
- Insulin: changes; see studies
- HbA1c: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 124 people | ||
Studies that measured blood glucose
| ||||||
| Insulin | Changes; see studies | 3 studies | 182 people | |||
Studies that measured insulin
| ||||||
| HbA1c | Improves (the measure goes down) | 2 studies | 476 people | |||
| Blood Pressure | Improves (the measure goes down) | 702 people | ||||
| Body Fat | Improves (the measure goes down) | 106 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 753 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 657 people | ||||
| Total cholesterol | Improves (the measure goes down) | 803 people | ||||
| Triglycerides | Improves (the measure goes down) | 741 people | ||||
Prediabetes
- Blood glucose: improves
- Insulin: changes; see studies
- HbA1c: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 124 people | ||
Studies that measured blood glucose
| ||||||
| Insulin | Changes; see studies | 3 studies | 182 people | |||
Studies that measured insulin
| ||||||
| HbA1c | Improves (the measure goes down) | 2 studies | 476 people | |||
| Blood Pressure | Improves (the measure goes down) | 702 people | ||||
| Body Fat | Improves (the measure goes down) | 106 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 753 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 657 people | ||||
| Total cholesterol | Improves (the measure goes down) | 803 people | ||||
| Triglycerides | Improves (the measure goes down) | 741 people | ||||
General Athletic Performance
- Blood Lactate (Exercise): improves
- Oxygen Uptake: improves
- Exercise Recovery: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Lactate (Exercise) Small Decrease | Improves (the measure goes down) | Small effect | 2 studies | 63 people | ||
Studies that measured blood lactate (exercise) | ||||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 132 people | |||
| Exercise Recovery | Improves (the measure goes up) | 1 study | 24 people | |||
Studies that measured exercise recovery | ||||||
| Immunoglobulin A | Improves (the measure goes up) | 1 study | 38 people | |||
Studies that measured immunoglobulin a | ||||||
| Lactate Dehydrogenase | Improves (the measure goes up) | 1 study | 10 people | |||
Studies that measured lactate dehydrogenase | ||||||
| Testosterone | Improves (the measure goes up) | 1 study | 20 people | |||
| Body Fat | Improves (the measure goes down) | 74 people | ||||
| Body Mass Index (BMI) | Improves (the measure goes down) | 20 people | ||||
| Cortisol | Improves (the measure goes down) | 20 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 47 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 24 people | ||||
| Free Fatty Acids | Improves (the measure goes up) | 8 people | ||||
| Heart Rate | Improves (the measure goes down) | 105 people | ||||
| Muscle Soreness | Improves (the measure goes down) | 10 people | ||||
| Peak power output (PPO) | Improves (the measure goes up) | 62 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 54 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 36 people | ||||
| Strength | Improves (the measure goes up) | 53 people | ||||
| Waist-Hip Ratio | Improves (the measure goes up) | 20 people | ||||
| Weight | Improves (the measure goes down) | 74 people | ||||
Metabolic Health
- Anti-Oxidant Enzyme Profile: improves
- Cognition: improves
- Blood glucose: improves
Cognitive Improvement
- Alzheimer's Disease Symptoms: improves
- Attention: improves
- Cognition: improves
Alzheimer’s Disease
- Alzheimer's Disease Symptoms: improves
- Cognition: improves
- Cognitive Decline: improves
Mood Improvement
- Cognition: improves
- Subjective Well-Being: improves
- Reaction Time: improves
Multiple Sclerosis (MS)
- Cognition: improves
- Fatigue Symptoms: improves
- Quality of Life: improves
Mild Cognitive Impairment (MCI)
- Cognition: improves
- Intermediate-Term Memory: improves
- Short-Term Memory (Simple): improves
Muscle Recovery
- Blood glucose: improves
- Oxygen Uptake: improves
- Creatine Kinase: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 18 people | ||
Studies that measured blood glucose
| ||||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 20 people | |||
| Creatine Kinase | Changes; see studies | 1 study | 20 people | |||
Studies that measured creatine kinase | ||||||
| Glycemic Control | Improves (the measure goes up) | 1 study | 18 people | |||
| Inflammation | Improves (the measure goes down) | 1 study | 18 people | |||
Studies that measured inflammation | ||||||
| Lactate Dehydrogenase | Improves (the measure goes up) | 1 study | 10 people | |||
| Muscle Damage | Changes; see studies | 18 people | ||||
| Muscle Soreness | Improves (the measure goes down) | 10 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 10 people | ||||
High Blood Pressure
- Blood glucose: improves
- Blood Pressure: improves
- Triglycerides: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 64 people | ||
| Blood Pressure | Improves (the measure goes down) | 64 people | ||||
| Triglycerides | Improves (the measure goes down) | 64 people | ||||
| Vascular Function | Improves (the measure goes up) | 64 people |
Obesity
- Blood glucose: improves
- Glycemic Control: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 15 people | ||
| Glycemic Control | Improves (the measure goes up) | 1 study | 15 people |
Metabolic Syndrome
- Blood glucose: improves
- Insulin: changes; see studies
- Glycemic Control: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 48 people | ||
| Insulin | Changes; see studies | 3 studies | 48 people | |||
| Glycemic Control | Improves (the measure goes up) | 1 study | 48 people | |||
| Blood Pressure | Improves (the measure goes down) | 48 people | ||||
| C-Reactive Protein (CRP) | Improves (the measure goes down) | 48 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 48 people | ||||
| LDL Oxidation | Improves (the measure goes down) | 48 people | ||||
| Total cholesterol | Improves (the measure goes down) | 48 people | ||||
| Triglycerides | Improves (the measure goes down) | 48 people |
Overweight
- Blood glucose: improves
- Glycemic Control: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 3 studies | 15 people | ||
| Glycemic Control | Improves (the measure goes up) | 1 study | 15 people |
Aerobic Exercise Performance
- Blood Lactate (Exercise): improves
- Oxygen Uptake: improves
- Body Fat: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Lactate (Exercise) Small Decrease | Improves (the measure goes down) | Small effect | 2 studies | 36 people | ||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 105 people | |||
| Body Fat | Improves (the measure goes down) | 41 people | ||||
| Exercise Capacity | Improves (the measure goes up) | 28 people | ||||
| Heart Rate | Improves (the measure goes down) | 105 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 36 people | ||||
| Respiratory Exchange Ratio | Improves (the measure goes up) | 36 people | ||||
| Weight | Improves (the measure goes down) | 41 people |
General Cardiovascular Health
- Blood Flow: improves
- Blood glucose: improves
- Insulin: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Flow Small Increase | Improves (the measure goes up) | Small effect | 2 studies | 17 people | ||
| Blood glucose | Improves (the measure goes down) | 3 studies | 124 people | |||
| Insulin | Changes; see studies | 3 studies | 182 people | |||
| HbA1c | Improves (the measure goes down) | 2 studies | 476 people | |||
| Blood Pressure | Improves (the measure goes down) | 702 people | ||||
| Body Fat | Improves (the measure goes down) | 106 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 753 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 657 people | ||||
| Total cholesterol | Improves (the measure goes down) | 803 people | ||||
| Triglycerides | Improves (the measure goes down) | 741 people | ||||
| Vascular Function | Improves (the measure goes up) | 17 people |
Myalgic Encephalomyelitis (Chronic Fatigue Syndrome)
- Depression Symptoms: improves
- Insomnia Signs and Symptoms: improves
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 50 people | ||
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 1 study | 50 people | |||
| Fatigue Symptoms | Improves (the measure goes down) | 50 people |
Focus & Attention
- Attention: improves
- Processing Speed: improves
- Reaction Time: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Attention Small Improvement | Improves (the measure goes up) | Small effect | 1 study | 32 people | ||
| Processing Speed | Improves (the measure goes up) | 1 study | 32 people | |||
| Reaction Time | Improves (the measure goes up) | 1 study | 32 people |
Jumping Performance
- Creatine Kinase: improves
- Oxygen Uptake: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Creatine Kinase Moderate Decrease | Improves (the measure goes down) | Moderate effect | 1 study | 20 people | ||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 20 people |
Schizophrenia
- Depression Symptoms: improves
- Schizophrenia symptoms: improves
- Working Memory: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 64 people | ||
| Schizophrenia symptoms | Improves (the measure goes down) | 1 study | 64 people | |||
| Working Memory | Improves (the measure goes up) | 64 people |
Muscle Size & Strength
- Body Fat: improves
- Oxygen Uptake: improves
- Lactate Dehydrogenase: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Body Fat Small Decrease | Improves (the measure goes down) | Small effect | 74 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 41 people | |||
| Lactate Dehydrogenase | Improves (the measure goes up) | 1 study | 10 people | |||
| Testosterone | Improves (the measure goes up) | 1 study | 20 people | |||
| Body Mass Index (BMI) | Improves (the measure goes down) | 20 people | ||||
| Cortisol | Improves (the measure goes down) | 20 people | ||||
| Heart Rate | Improves (the measure goes down) | 41 people | ||||
| Muscle Soreness | Improves (the measure goes down) | 10 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 10 people | ||||
| Strength | Improves (the measure goes up) | 53 people | ||||
| Waist-Hip Ratio | Improves (the measure goes up) | 20 people | ||||
| Weight | Improves (the measure goes down) | 74 people |
Anaerobic Exercise Performance
- Body Fat: improves
- Oxygen Uptake: improves
- Exercise Recovery: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Body Fat Small Decrease | Improves (the measure goes down) | Small effect | 41 people | |||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 41 people | |||
| Exercise Recovery | Improves (the measure goes up) | 1 study | 24 people | |||
| Fatigue Symptoms | Improves (the measure goes down) | 24 people | ||||
| Heart Rate | Improves (the measure goes down) | 41 people | ||||
| Peak power output (PPO) | Improves (the measure goes up) | 24 people | ||||
| Weight | Improves (the measure goes down) | 41 people |
General Cancer Care and Prevention
- Colorectal Cancer Risk: improves
- Overall Cancer Risk: changes; see studies
- Ovarian Cancer Risk: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Colorectal Cancer Risk Moderate Improvement | Improves (the measure goes down) | Moderate effect | 3,974 people | |||
| Overall Cancer Risk | Changes; see studies | 2 studies | 4,617 people | |||
| Ovarian Cancer Risk | Changes; see studies | 3,974 people | ||||
| Pancreatic Cancer Risk | Changes; see studies | 3,974 people |
Attention Deficit Hyperactivity Disorder (ADHD)
- ADHD Symptoms: improves
- Serum DHEA: improves
- Cortisol: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| ADHD Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 70 people | |||
| Serum DHEA | Improves (the measure goes up) | 1 study | 70 people | |||
| Cortisol | Improves (the measure goes down) | 70 people |
Menopause
- C-Reactive Protein (CRP)
- Subjective Well-Being: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| C-Reactive Protein (CRP) No effect | NoneNo effect | 72 people | ||||
| Subjective Well-Being | Improves (the measure goes up) | 2 studies | 384 people | |||
| Depression Symptoms | Improves (the measure goes down) | 1 study | 384 people | |||
| Libido | Improves (the measure goes up) | 1 study | 28 people | |||
| Menopausal Symptoms | Improves (the measure goes down) | 1 study | 72 people | |||
| Estrogen | Changes; see studies | 72 people | ||||
| Hot Flash Symptoms | Improves (the measure goes down) | 384 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 72 people | ||||
| Total cholesterol | Improves (the measure goes down) | 72 people |
Immune Health
- Adiponectin
- Immunoglobulin A: improves
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Adiponectin No effect | NoneNo effect | 80 people | ||||
| Immunoglobulin A | Improves (the measure goes up) | 1 study | 38 people | |||
| Fatigue Symptoms | Improves (the measure goes down) | 80 people | ||||
| Liver Enzymes | Changes; see studies | 80 people | ||||
| Peak power output (PPO) | Improves (the measure goes up) | 38 people |
Nonalcoholic Fatty Liver Disease (NAFLD)
- Adiponectin
- Fatigue Symptoms: improves
- Liver Enzymes: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Adiponectin No effect | NoneNo effect | 80 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 80 people | ||||
| Liver Enzymes | Changes; see studies | 80 people |
Body Composition
- Body Mass Index (BMI)
- Testosterone: improves
- Cortisol: improves
Cycling Performance
- Lactate Threshold
- Oxygen Uptake: improves
- Reaction Time: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Lactate Threshold No effect | NoneNo effect | 15 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 15 people | |||
| Reaction Time | Improves (the measure goes up) | 1 study | 15 people |
Running Performance
- Anaerobic Capacity
- Blood glucose: improves
- Blood Lactate (Exercise): changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anaerobic Capacity No effect | NoneNo effect | 9 people | ||||
| Blood glucose | Improves (the measure goes down) | 3 studies | 9 people | |||
| Blood Lactate (Exercise) | Changes; see studies | 2 studies | 9 people | |||
| Fat Oxidation | Improves (the measure goes up) | 9 people | ||||
| Heart Rate | Improves (the measure goes down) | 9 people | ||||
| Oxygen Cost of Exercise | Improves (the measure goes up) | 9 people | ||||
| Rating of Perceived Exertion | Improves (the measure goes up) | 9 people |
Soccer Performance
- Lactate Threshold
- Oxygen Uptake: improves
- Reaction Time: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Lactate Threshold No effect | NoneNo effect | 15 people | ||||
| Oxygen Uptake | Improves (the measure goes up) | 2 studies | 15 people | |||
| Reaction Time | Improves (the measure goes up) | 1 study | 15 people |
Erectile Dysfunction
- Erections: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Erections | Improves (the measure goes up) | 4 studies | 86 people |
Cardiovascular Disease
- Blood Flow: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Flow | Improves (the measure goes up) | 2 studies | 50 people |
Common Cold
- Vaccine Augmentation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Vaccine Augmentation | Improves (the measure goes up) | 1 study | 227 people |
Flu
- Vaccine Augmentation: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Vaccine Augmentation | Improves (the measure goes up) | 1 study | 227 people |
Infertility
- Testosterone: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Testosterone | Improves (the measure goes up) | 1 study | 66 people |
Sexual Health
- Libido: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Libido | Improves (the measure goes up) | 1 study | 28 people |
Sleep Health
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sleep Quality | Improves (the measure goes up) | 1 study | 16 people |
Fatigue
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Fatigue Symptoms | Improves (the measure goes down) | 232 people |
What the published studies found
9 automated readings
LDL cholesterol
Mixed or unclear: two readings of the studies disagreed. One reading found mixed results for LDL cholesterol, the other an improvement. The question is open.
7 studies counted of 8 read: 6 reviews and 1 trial (40 people in the trials).
- Meta-analysis, 2024; 45 studies: improves (the review the verdict rests on). Effects of Ginseng Consumption on Cardiovascular Health Biomarkers in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Meta-analysis, 2024; 29 studies; individuals with different health conditions: no clear difference.
LDL-C, and HDL-C did not show significant changes
The Effect of Ginseng Supplementation on Lipid Profile: GRADE-assessed Systematic Review and Dose-response Meta-analysis of Randomized Controlled Trials - Meta-analysis, 2022; 23 studies; healthy adults to those with metabolic diseases: improves.
low-density lipoprotein cholesterol were significantly reduced
Effects of Panax ginseng on hyperglycemia, hypertension, and hyperlipidemia: A systematic review and meta-analysis - Meta-analysis, 2020; 27 studies, 1,245 people: no clear difference. The efficacy of ginseng supplementation on plasma lipid concentration in adults: A systematic review and meta-analysis
- Meta-analysis, 2019; 10 studies; volunteers with metabolic syndrome parameters: improves.
reduction in total and LDL-cholesterol levels
Efficacy of Panax ginseng supplementation on blood lipid profile. A meta-analysis and systematic review of clinical randomized trials - Systematic review, 2006; 34 studies: unclear: evidence too weak to tell.
mixed results for an effect on lipids
Systematic review of the effects of ginseng on cardiovascular risk factors - Randomised trial, 2013; 40 people: no clear difference.
no significant differences between the two groups
The Effects of Panax Ginseng on Lipid Profile, Pro-oxidant: Antioxidant Status and High-sensitivity C Reactive Protein Levels in Hyperlipidemic Patients in Iran
Cardiovascular events
The best available review (2013, 17 studies, 1,747 people) found little or no difference in cardiovascular events. That review studied patients with coronary heart disease. The evidence is moderate.
1 study counted of 9 read: 1 review.
- Systematic review, 2013; 17 studies, 1,747 people; patients with coronary heart disease: no clear difference (the review the verdict rests on).
did not show significant effect on reducing cardiovascular events
Oral Panax notoginseng Preparation for Coronary Heart Disease: A Systematic Review of Randomized Controlled Trials
- Systematic review, 2013; 17 studies, 1,747 people; patients with coronary heart disease: no clear difference (the review the verdict rests on).
Memory
The studies disagree. A Cochrane review (2010, 5 studies) did not settle it for memory, while 4 of the 6 studies read found an improvement. The evidence is very weak.
6 studies counted of 10 read: 3 reviews and 3 trials (206 people in the trials).
- Meta-analysis, 2010; 5 studies: unclear: evidence too weak to tell (the review the verdict rests on).
suggested improvement of some aspects of cognitive function
Ginseng for cognition - Meta-analysis, 2025; 8 studies; individuals with cognitive or memory impairment: improves. Cognitive Benefits of Ginseng: A Systematic Review and Meta-Analysis of Changes in Mini-Mental State Examination and Alzheimer's Disease Assessment Scale-Cognitive Subscale Scores
- Meta-analysis, 2024; 15 studies, 671 people; healthy people, cognitive impairment, schizophrenia, Alzheimer's: improves.
significant effect on memory improvement (SMD = 0.19
Effects of Ginseng on Cognitive Function: A Systematic Review and Meta-Analysis - Randomised trial, 2024; 80 people; adults aged 55 to 75 with subjective memory impairment: improves. Efficacy and Safety of Panax ginseng Sprout Extract in Subjective Memory Impairment: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
- Randomised trial, 2022; 76 people: no clear difference.
no inter-group difference in the primary
Safety and efficacy of dietary supplement (gintonin-enriched fraction from ginseng) in subjective memory impairment: A randomized placebo-controlled trial - Crossover trial, 2020; 50 people: improves.
observed in the attention d2 and memory tests
Efficacy of Panax ginseng Meyer Herbal Preparation HRG80 in Preventing and Mitigating Stress-Induced Failure of Cognitive Functions in Healthy Subjects: A Pilot, Randomized, Double-Blind, Placebo-Controlled Crossover Trial
- Meta-analysis, 2010; 5 studies: unclear: evidence too weak to tell (the review the verdict rests on).
Mood
The best available review (2022) found an improvement in mood. That review studied patients with cancer. 3 of the 6 studies read agree; 2 found no clear difference, 1 found no clear answer. The evidence is limited.
6 studies counted of 11 read: 2 reviews and 4 trials (333 people in the trials).
- Systematic review, 2022; patients with cancer: improves (the review the verdict rests on).
resulted in improved quality of life and mood
Panax ginseng and aging related disorders: A systematic review - Systematic review, 2003; 9 studies; various populations with underlying morbidity: unclear: evidence too weak to tell.
demonstrated some degree of QoL improvement
The effects of Panax ginseng on quality of life - Randomised trial, 2025; 149 people; moderately stressed adults: improves.
decreases in the PSS and negative affect score
Effect of Hydroponically Grown Red Panax Ginseng on Perceived Stress Level, Emotional Processing, and Cognitive Functions in Moderately Stressed Adults: A Randomized, Double-Blind, Placebo-Controlled Study - Randomised trial, 2017; 112 people; patients with advanced cancer and cancer-related fatigue: no clear difference. A Double-Blind, Randomized, Placebo-Controlled Trial of Panax Ginseng for Cancer-Related Fatigue in Patients With Advanced Cancer
- Crossover trial, 2015; 52 people; healthy middle-age adults: no clear difference.
There were no significant effects on mood or blood glucose levels.
Improved working memory performance following administration of a single dose of American ginseng (Panax quinquefolius L.) to healthy middle-age adults - Crossover trial, 2001; 20 people; healthy young adult volunteers: improves. Dose dependent changes in cognitive performance and mood following acute administration of Ginseng to healthy young volunteers
- Systematic review, 2022; patients with cancer: improves (the review the verdict rests on).
Muscle soreness
The best available review (2024, 53 studies) found an improvement in muscle soreness. That review studied people with exercise-induced muscle damage. 3 of the 6 studies read agree; 3 found no clear difference. The evidence is moderate.
6 studies counted of 7 read: 3 reviews and 3 trials (49 people in the trials).
- Systematic review, 2024; 53 studies; people with exercise-induced muscle damage: improves (the review the verdict rests on).
l-carnitine, curcumin, ginseng, polyphenols, and anthocyanins for reducing muscle soreness, all with moderate certainty of …
Nutritional interventions for exercise-induced muscle damage: an umbrella review of systematic reviews and meta-analyses of randomized trials - Systematic review, 2024; 6 studies; humans consuming Panax ginseng: no clear difference.
Panax ginseng does not attenuate markers of EIMD
The effect of Panax ginseng supplementation on markers of resistance exercise-induced muscle damage: a systematic review - Meta-analysis, 2022; 25 studies, 353 people: improves.
significantly lower levels of indirect muscle damage markers
Selected root plant supplementation reduces indices of exercise-induced muscle damage: A systematic review and meta-analysis - Crossover trial, 2022; 10 people; male track and field athletes: no clear difference.
No significant effect of Panax ginseng on LDH, CK, and DOMS was observed
Panax ginseng Supplementation Increases Muscle Recruitment, Attenuates Perceived Effort, and Accelerates Muscle Force Recovery After an Eccentric-Based Exercise in Athletes - Crossover trial, 2018; 19 people; 19 healthy men and women: improves. The Effects of a Korean Ginseng, GINST15, on Perceptual Effort, Psychomotor Performance, and Physical Performance in Men and Women
- Randomised trial, 2013; 20 people; well-trained male volunteers: no clear difference.
No other significant differences were identified between the groups
The effects of Panax notoginseng on delayed onset muscle soreness and muscle damage in well-trained males: a double blind randomised controlled trial
- Systematic review, 2024; 53 studies; people with exercise-induced muscle damage: improves (the review the verdict rests on).
Muscle strength
The studies read are too weak to tell whether Panax Ginseng (Korean Ginseng) changes muscle strength. The evidence is very weak.
4 studies counted of 11 read: 4 trials (170 people in the trials).
- Crossover trial, 2022; 10 people; male track and field athletes: improves.
significantly higher in the Panax ginseng
Panax ginseng Supplementation Increases Muscle Recruitment, Attenuates Perceived Effort, and Accelerates Muscle Force Recovery After an Eccentric-Based Exercise in Athletes - Randomised trial, 2021; 20 people; healthy female college students: improves. Six weeks of Jilin ginseng root supplementation attenuates drop jump-related muscle injury markers in healthy female college students
- Randomised trial, 2018; 117 people; sedentary healthy adults: no clear difference.
no differences in muscular strength during exercise training
Effect of high-dose ginsenoside complex (UG0712) supplementation on physical performance of healthy adults during a 12-week supervised exercise program: A randomized placebo-controlled clinical trial - Randomised trial, 2016; 23 people; middle-aged and older adults: no clear difference. Panax ginseng and Salvia miltiorrhiza supplementation during eccentric resistance training in middle-aged and older adults: A double-blind randomized control trial
- Crossover trial, 2022; 10 people; male track and field athletes: improves.
Respiratory infections
The best available review (2021, 39 studies, 16,797 people) found an improvement in respiratory infections. 3 of the 7 studies read agree; 2 found no clear answer, 2 found no clear difference. The evidence is moderate.
7 studies counted of 11 read: 3 reviews and 4 trials (1,582 people in the trials).
- Systematic review, 2021; 39 studies, 16,797 people: improves (the review the verdict rests on). Effects of select dietary supplements on the prevention and treatment of viral respiratory tract infections: a systematic review of randomized controlled trials
- Meta-analysis, 2020; 10 studies; healthy adults: unclear: evidence too weak to tell.
significant effect on SAURIs incidence (RR = 0.69
Ginseng integrative supplementation for seasonal acute upper respiratory infections: A systematic review and meta-analysis - Systematic review, 2011; 5 studies, 747 people; healthy adults: unclear: evidence too weak to tell.
tendency toward a lower incidence of having at least one common cold
North American (Panax quinquefolius) and Asian Ginseng (Panax ginseng) Preparations for Prevention of the Common Cold in Healthy Adults: A Systematic Review - Randomised trial, 2012; 293 people; patients with early-stage, untreated chronic lymphocytic leukemia: no clear difference.
no significant differences of the 2 a priori primary end points
A randomized, controlled trial of Panax quinquefolius extract (CVT-E002) to reduce respiratory infection in patients with chronic lymphocytic leukemia - Randomised trial, 2011; 783 people; influenza-vaccinated community-dwelling adults: no clear difference.
incidence of LCCUs in the ITT group was 5.5%, 5.2%, and 4.6%
Efficacy and Safety of CVT-E002, a Proprietary Extract of Panax quinquefolius in the Prevention of Respiratory Infections in Influenza-Vaccinated Community-Dwelling Adults: A Multicenter, Randomized, Double-Blind, and Placebo-Controlled Trial - Randomised trial, 2005; 279 people; adults with history of at least 2 colds: improves.
mean number of colds per person was lower
Efficacy of an extract of North American ginseng containing poly-furanosyl-pyranosyl-saccharides for preventing upper respiratory tract infections: a randomized controlled trial - Randomised trial, 1996; 227 people; 227 volunteers visiting private practices in Milan: improves.
frequency of influenza or common cold between weeks 4 and 12 was 42 cases in …
Efficacy and safety of the standardised Ginseng extract G115 for potentiating vaccination against the influenza syndrome and protection against the common cold [corrected]
Sleep quality
The studies read are too weak to tell whether Panax Ginseng (Korean Ginseng) changes sleep quality. The evidence is very weak.
3 studies counted of 8 read: 3 trials (103 people in the trials).
- Randomised trial, 2020; 50 people: no clear difference.
no significant differences in the secondary outcome measurements
Efficacy of Korean red ginseng (Panax ginseng) for middle-aged and moderate level of chronic fatigue patients: A randomized, double-blind, placebo-controlled trial - Randomised trial, 2013; 38 people; patients with fibromyalgia: no clear difference.
improvement in sleep (p < .001)
Effects of Panax ginseng extract in patients with fibromyalgia: a 12-week, randomized, double-blind, placebo-controlled trial - Crossover trial, 2013; 15 people; young male healthy volunteers: improves.
Total wake time (TWT) was significantly reduced (P<0.05) and SE was increased (P<0.05), although slow …
Effects of red ginseng extract on sleeping behaviors in human volunteers
- Randomised trial, 2020; 50 people: no clear difference.
Stress
Mixed or unclear: two readings of the studies disagreed. One reading found evidence too weak to tell for stress, the other an improvement. The question is open.
Possible harm: 1 study read reported a worse result for stress with Panax Ginseng (Korean Ginseng). One abstract says: "These data suggest that chronic American ginseng supplementation at the given dose can cause an oxidative stress in postmenopausal women" Check the studies below, and ask a doctor or pharmacist if this applies to you.
2 studies counted of 11 read: 2 trials (90 people in the trials).
- Randomised trial, 2017; 65 people; healthy medical school students: improves.
Panax Ginseng led to significant reduction in MDA serum levels
Eustress and Malondialdehyde (MDA): Role of Panax Ginseng: Randomized Placebo Controlled Study - Randomised trial, 2009; 25 people; postmenopausal women: worsens.
The ginseng supplemented group displayed a higher resting plasma glutathione disulfide (GSSG) concentration and lower …
American ginseng supplementation induces an oxidative stress in postmenopausal women
- Randomised trial, 2017; 65 people; healthy medical school students: improves.
Key findings
- ErectionsImproves (the measure goes up)
- Blood glucoseImproves (the measure goes down)
- Blood Lactate (Exercise)Improves (the measure goes down)
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- Grade B
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Studies cited
59 studies from PubMed
- Modulation of cognition and mood following administration of single doses of Ginkgo biloba, ginseng, and a ginkgo/ginseng combination to healthy young adults
- Acute, dose-dependent cognitive effects of Ginkgo biloba, Panax ginseng and their combination in healthy young volunteers: differential interactions with cognitive demand
- No ergogenic effect of ginseng ingestion
- No ergogenic effects of ginseng (Panax ginseng C.A. Meyer) during graded maximal aerobic exercise
- Ginseng supplementation does not enhance healthy young adults' peak aerobic exercise performance
- Effects of ginseng supplementation on supramaximal exercise performance and short-term recovery
- Panax ginseng Supplementation Increases Muscle Recruitment, Attenuates Perceived Effort, and Accelerates Muscle Force Recovery After an Eccentric-Based Exercise in Athletes
- Effects of ginseng on secretory IgA, performance, and recovery from interval exercise
- Effects of Panax ginseng, consumed with and without glucose, on blood glucose levels and cognitive performance during sustained 'mentally demanding' tasks
- Improvement of cognitive deficit in Alzheimer's disease patients by long term treatment with korean red ginseng
- Effects of Korean Red Ginseng on Cognitive and Motor Function: A Double-blind, Randomized, Placebo-controlled Trial
- Panax ginseng (G115) improves aspects of working memory performance and subjective ratings of calmness in healthy young adults
- Single doses of Panax ginseng (G115) reduce blood glucose levels and improve cognitive performance during sustained mental activity
- Panax ginseng enhances cognitive performance in Alzheimer disease
- Effects of Korean red ginseng on human gray matter volume and cognitive function: A voxel-based morphometry study
- Ginseng and Ginkgo Biloba Effects on Cognition as Modulated by Cardiovascular Reactivity: A Randomised Trial
- A double-blind, placebo-controlled clinical study on the effect of a standardized ginseng extract on psychomotor performance in healthy volunteers
- An open-label trial of Korean red ginseng as an adjuvant treatment for cognitive impairment in patients with Alzheimer's disease
- Improved cognitive performance in human volunteers following administration of guarana (Paullinia cupana) extract: comparison and interaction with Panax ginseng
- Efficacy of Panax ginseng Meyer Herbal Preparation HRG80 in Preventing and Mitigating Stress-Induced Failure of Cognitive Functions in Healthy Subjects: A Pilot, Randomized, Double-Blind, Placebo-Controlled Crossover Trial
- Anti-inflammatory and antifatigue effect of Korean Red Ginseng in patients with nonalcoholic fatty liver disease
- Effects of Korean Red Ginseng on Cardiovascular Risks in Subjects with Metabolic Syndrome: a Double-blind Randomized Controlled Study
- A double-blind crossover study evaluating the efficacy of korean red ginseng in patients with erectile dysfunction: a preliminary report
- Clinical efficacy of Korean red ginseng for erectile dysfunction
- Study of the efficacy of Korean Red Ginseng in the treatment of erectile dysfunction
- Effects of Panax ginseng on hyperglycemia, hypertension, and hyperlipidemia: A systematic review and meta-analysis.
- Panax ginseng has no effect on indices of glucose regulation following acute or chronic ingestion in healthy volunteers
- Antioxidant effects of Panax ginseng C.A. Meyer in healthy subjects: a randomized, placebo-controlled clinical trial
- Beneficial effects of Korean red ginseng on lymphocyte DNA damage, antioxidant enzyme activity, and LDL oxidation in healthy participants: a randomized, double-blind, placebo-controlled trial
- Effects of Panax ginseng supplementation on muscle damage and inflammation after uphill treadmill running in humans
- Korean red ginseng (Panax ginseng C.A. Meyer) root fractions: differential effects on postprandial glycemia in healthy individuals
- Ginseng and ginsenoside Re do not improve β-cell function or insulin sensitivity in overweight and obese subjects with impaired glucose tolerance or diabetes
- Ginseng therapy in non-insulin-dependent diabetic patients
- Red ginseng for type 2 diabetes mellitus: a systematic review of randomized controlled trials.
- Effects of red ginseng supplementation on menopausal symptoms and cardiovascular risk factors in postmenopausal women: a double-blind randomized controlled trial
- Effects of a standardized ginseng extract on quality of life and physiological parameters in symptomatic postmenopausal women: a double-blind, placebo-controlled trial. Swedish Alternative Medicine Group
- Effects of Korean red ginseng on sexual arousal in menopausal women: placebo-controlled, double-blind crossover clinical study
- Ginseng treatment improves psychomotor performance at rest and during graded exercise in young athletes
- Six weeks of Jilin ginseng root supplementation attenuates drop jump-related muscle injury markers in healthy female college students
- Effect of Korean red ginseng on arterial stiffness in subjects with hypertension
- Heat-processed ginseng enhances the cognitive function in patients with moderately severe Alzheimer's disease
- Preventive effect of ginseng intake against various human cancers: a case-control study on 1987 pairs
- Non-organ-specific preventive effect of long-term administration of Korean red ginseng extract on incidence of human cancers
- Effects of tissue-cultured mountain ginseng (Panax ginseng CA Meyer) extract on male patients with erectile dysfunction
- Effects of acute supplementation of Panax ginseng on endurance running in a hot & humid environment
- Effects of Panax Ginseng C.A. Meyer saponins on male fertility
- Effects of Korean red ginseng extract on behavior in children with symptoms of inattention and hyperactivity/impulsivity: a double-blind randomized placebo-controlled trial
- Effects of Korean red ginseng (Panax ginseng C.A. Mayer) and its isolated ginsenosides and polysaccharides on arterial stiffness in healthy individuals
- Red ginseng extract improves coronary flow reserve and increases absolute numbers of various circulating angiogenic cells in patients with first ST-segment elevation acute myocardial infarction
- Efficacy and safety of the standardised Ginseng extract G115 for potentiating vaccination against the influenza syndrome and protection against the common cold corrected
- Efficacy of Korean red ginseng (Panax ginseng) for middle-aged and moderate level of chronic fatigue patients: A randomized, double-blind, placebo-controlled trial
- HT1001, a proprietary North American ginseng extract, improves working memory in schizophrenia: a double-blind, placebo-controlled study
- Ginseng does not enhance psychological well-being in healthy, young adults: results of a double-blind, placebo-controlled, randomized clinical trial
- Effects of Panax ginseng on quality of life
- Ginseng in the treatment of fatigue in multiple sclerosis: a randomized, placebo-controlled, double-blind pilot study
- Fermented ginseng improves the first-night effect in humans
- Cognition enhancing effect of panax ginseng in Korean volunteers with mild cognitive impairment: a randomized, double-blind, placebo-controlled clinical trial
- Anti-Fatigue Effects of Enzyme-Modified Ginseng Extract: A Randomized, Double-Blind, Placebo-Controlled Trial
- Safety and antifatigue effect of Korean Red Ginseng: a randomized, double-blind, and placebo-controlled clinical trial