Systematic Review of Randomized Controlled Trials Evaluating the Efficacy and Safety of Ginseng

Journal of Acupuncture and Meridian Studies - Tập 4 Số 2 - Trang 85-97 - 2011
Namhun Lee1, Chang‐Gue Son2
1Liver and Immunology Research Center, Daejeon Oriental Hospital of Daejeon University, Korea.
2Liver and Immunology Research Center, Daejeon Oriental Hospital of Daejeon University, Daejeon, Korea

Tóm tắt

Từ khóa


Tài liệu tham khảo

Chong, 1988, Ginseng-is there a use in clinical medicine?, Postgrad Med J, 64, 841, 10.1136/pgmj.64.757.841

Kiefer, 2003, Panax ginseng, Am Fam Physician, 68, 1539

Kaneko, 2004, Proof of the mysterious efficacy of ginseng: basic and clinical trials: clinical effects of medical ginseng, Korean red ginseng: specifically, its anti-stress action for prevention of disease, J Pharmacol Sci, 95, 158, 10.1254/jphs.FMJ04001X5

Coleman, 2003, The effects of Panax ginseng on quality of life, J Clin Pharm Ther, 28, 5, 10.1046/j.1365-2710.2003.00467.x

Angelova, 2008, Recent methodology in the phytochemical analysis of ginseng, Phytochem Anal, 19, 2, 10.1002/pca.1049

Attele, 1999, Ginseng pharmacology: multiple constituents and multiple actions, Biochem Pharmacol, 58, 1685, 10.1016/S0006-2952(99)00212-9

Levy, 2002, The risk-benefit profile of commonly used herbal therapies, Ann Intern Med, 137, 1008, 10.7326/0003-4819-137-12-200212170-00023

Kronenberg, 2002, Complementary and alternative medicine for menopausal symptoms: a review of randomized, controlled trials, Ann Intern Med, 137, 805, 10.7326/0003-4819-137-10-200211190-00009

Coon, 2002, Panax ginseng: a systematic review of adverse effects and drug interactions, Drug Safety, 25, 323, 10.2165/00002018-200225050-00003

Seely, 2008, Safety and efficacy of panax ginseng during pregnancy and lactation, Can J Clin Pharmacol, 15, e87

Firenzuoli, 2007, Herbal medicine today: clinical and research issues, Evid Based Complement Alternat Med, 4, 37, 10.1093/ecam/nem096

Ghosh, 2007, Clinical applications and update on evidence-based medicine, J Assoc Physicians India, 55, 787

Kulaputana, 2007, Ginseng supplementation does not change lactate threshold and physical performances in physically active Thai men, J Med Assoc Thai, 90, 1172

Engels, 2003, Effects of ginseng on secretory IgA, performance, and recovery from interval exercise, Med Sci Sports Exerc, 35, 690, 10.1249/01.MSS.0000058363.23986.D2

Jadad, 1996, Assessing the quality of reports of randomized clinical trials: is blinding necessary?, Control Clin Trials, 17, 1, 10.1016/0197-2456(95)00134-4

Slavin, 1995, Best evidence synthesis: an intelligent alternative to meta-analysis, J Clin Epidemiol, 48, 9, 10.1016/0895-4356(94)00097-A

van Tulder, 1999, The effectiveness of acupuncture in the management of acute and chronic low back pain. A systematic review within the framework of the Cochrane Collaboration Back Review Group, Spine (Phila Pa 1976), 24, 1113, 10.1097/00007632-199906010-00011

Vuksan, 2008, Korean red ginseng (Panax ginseng) improves glucose and insulin regulation in well-controlled, type 2 diabetes: results of a randomized, double-blind, placebo-controlled study of efficacy and safety, Nutr Metab Cardiovasc Dis, 18, 46, 10.1016/j.numecd.2006.04.003

Reay, 2006, Effects of Panax ginseng, consumed with and without glucose, on blood glucose levels and cognitive performance during sustained ‘mentally demanding’ tasks, J Psychopharmacol, 20, 771, 10.1177/0269881106061516

Sievenpiper, 2006, Korean red ginseng rootlets decrease acute postprandial glycemia: results from sequential preparation-and dose-finding studies, J Am Coll Nutr, 25, 100, 10.1080/07315724.2006.10719519

Reay, 2006, The glycaemic effects of single doses of Panax ginseng in young healthy volunteers, Br J Nutr, 96, 639

Reay, 2005, Single doses of Panax ginseng (G115) reduce blood glucose levels and improve cognitive performance during sustained mental activity, J Psychopharmacol, 19, 357, 10.1177/0269881105053286

Sievenpiper, 2004, Decreasing, null and increasing effects of eight popular types of ginseng on acute postprandial glycemic indices in healthy humans: the role of ginsenosides, J Am Coll Nutr, 23, 248, 10.1080/07315724.2004.10719368

Sievenpiper, 2003, Null and opposing effects of Asian ginseng (Panax ginseng C.A. Meyer) on acute glycemia: results of two acute dose escalation studies, J Am Coll Nutr, 22, 524, 10.1080/07315724.2003.10719331

Sievenpiper, 2003, Variable effects of American ginseng: a batch of American ginseng (Panax quinquefolius L.) with a depressed ginsenoside profile does not affect postprandial glycemia, Eur J Clin Nutr, 57, 243, 10.1038/sj.ejcn.1601550

Vuksan, 2001, American ginseng (Panax quinquefolius L.) attenuates postprandial glycemia in a time-dependent but not dose-dependent manner in healthy individuals, Am J Clin Nutr, 73, 753, 10.1093/ajcn/73.4.753

Vuksan, 2000, American ginseng improves glycemia in individuals with normal glucose tolerance: effect of dose and time escalation, J Am Coll Nutr, 19, 738, 10.1080/07315724.2000.10718073

Vuksan, 2000, Similar postprandial glycemic reductions with escalation of dose and administration time of American ginseng in type 2 diabetes, Diabetes Care, 23, 1221, 10.2337/diacare.23.9.1221

Vuksan, 2000, American ginseng (Panax quinquefolius L) reduces postprandial glycemia in nondiabetic subjects and subjects with type 2 diabetes mellitus, Arch Intern Med, 160, 1009, 10.1001/archinte.160.7.1009

Yoon, 2008, Effects of red ginseng supplementation on aerobic, anaerobic performance, central and peripheral fatigue, J Ginseng Res, 32, 210, 10.5142/JGR.2008.32.3.210

Hsu, 2005, American ginseng supplementation attenuates creatine kinase level induced by submaximal exercise in human beings, World J Gastroenterol, 11, 5327, 10.3748/wjg.v11.i34.5327

Engels, 2001, Effects of ginseng supplementation on supramaximal exercise performance and short-term recovery, J Strength Cond Res, 15, 290

Allen, 1998, Ginseng supplementation does not enhance healthy young adults' peak aerobic exercise performance, J Am Coll Nutr, 17, 462, 10.1080/07315724.1998.10718795

Engels, 1997, No ergogenic effects of ginseng (Panax ginseng C.A. Meyer) during graded maximal aerobic exercise, J Am Diet Assoc, 97, 1110, 10.1016/S0002-8223(97)00271-X

Morris, 1996, No ergogenic effect of ginseng ingestion, Int J Sport Nutr, 6, 263, 10.1123/ijsn.6.3.263

Engels, 1996, Failure of chronic ginseng supplementation to affect work performance and energy metabolism in healthy adult females, Nutr Res, 16, 1295, 10.1016/0271-5317(96)00138-8

Lee, 2008, Panax ginseng enhances cognitive performance in Alzheimer disease, Alzheimer Dis Assoc Disord, 22, 222, 10.1097/WAD.0b013e31816c92e6

Heo, 2008, An open-label trial of Korean red ginseng as an adjuvant treatment for cognitive impairment in patients with Alzheimer's disease, Eur J Neurol, 15, 865, 10.1111/j.1468-1331.2008.02157.x

Sunram-Lea, 2005, The effect of acute administration of 400 mg of Panax ginseng on cognitive performance and mood in healthy young volunteers, Curr Top Nutraceutical Res, 3, 65

Scholey, 2002, Acute, dose-dependent cognitive effects of Ginkgo biloba, Panax ginseng and their combination in healthy young volunteers: differential interactions with cognitive demand, Hum Psychopharmacol, 17, 35, 10.1002/hup.352

Kennedy, 2002, Modulation of cognition and mood following administration of single doses of Ginkgo biloba, ginseng, and a ginkgo/ginseng combination to healthy young adults, Physiol Behav, 75, 739, 10.1016/S0031-9384(02)00665-0

Kennedy, 2001, Dose dependent changes in cognitive performance and mood following acute administration of Ginseng to healthy young volunteers, Nutr Neurosci, 4, 295, 10.1080/1028415X.2001.11747370

Cardinal, 2001, Ginseng does not enhance psychological well-being in healthy, young adults: results of a double-blind, placebo-controlled, randomized clinical trial, J Am Diet Assoc, 101, 655, 10.1016/S0002-8223(01)00165-1

Ziemba, 1999, Ginseng treatment improves psychomotor performance at rest and during graded exercise in young athletes, Int J Sport Nutr, 9, 371, 10.1123/ijsn.9.4.371

de Andrade, 2007, Study of the efficacy of Korean Red Ginseng in the treatment of erectile dysfunction, Asian J Androl, 9, 241, 10.1111/j.1745-7262.2007.00210.x

Choi, 2003, Penile blood change after oral medication of Korean red ginseng in erectile dysfunction patients, J Ginseng Res, 27, 165, 10.5142/JGR.2003.27.4.165

Hong, 2002, A double-blind crossover study evaluating the efficacy of Korean red ginseng in patients with erectile dysfunction: a preliminary report, J Urol, 168, 2070, 10.1016/S0022-5347(05)64298-X

Choi, 2001, Evaluation of clinical efficacy of Korea red ginseng for erectile dysfunction by international index of erectile function, J Ginseng Res, 25, 112

Kim, 1999, Clinical efficacy of Korean red ginseng on vasculogenic impotent patients, Korean J Androl, 17, 23

Choi, 1999, Effectiveness of Korea red ginseng in erectile dysfunction-multi-national approach, J Ginseng Res, 23, 247

Choi, 1995, Effectiveness for erectile dysfunction after the administration of Korean red ginseng, J Ginseng Res, 19, 17

Stavro, 2005, North American ginseng exerts a neutral effect on blood pressure in individuals with hypertension, Hypertension, 46, 406, 10.1161/01.HYP.0000173424.77483.1e

Stavro, 2006, Long-term intake of North American ginseng has no effect on 24-hour blood pressure and renal function, Hypertension, 47, 791, 10.1161/01.HYP.0000205150.43169.2c

Caron, 2002, Electrocardiographic and hemodynamic effects of Panax ginseng, Ann Pharmacother, 36, 758, 10.1345/aph.1A411

Ding, 1995, Effects of red ginseng on the congestive heart failure and its mechanism, Zhongguo Zhong Xi Yi Jie He Za Zhi, 15, 325

Zhao, 1990, Antisenility effect of ginseng-rhizome saponin, Zhong Xi Yi Jie He Za Zhi, 10, 586

Zhan, 1994, Protective effects of ginsenoside on myocardiac ischemic and reperfusion injuries, Zhonghua Yi Xue Za Zhi, 74, 626

Vohra, 2008, Safety and tolerability of North American ginseng extract in the treatment of pediatric upper respiratory tract infection: a phase II randomized, controlled trial of 2 dosing schedules, Pediatrics, 122, e402, 10.1542/peds.2007-2186

McElhaney, 2006, Efficacy of COLD-fX in the prevention of respiratory symptoms in community-dwelling adults: a randomized, double-blinded, placebo controlled trial, J Altern Complement Med, 12, 153, 10.1089/acm.2006.12.153

Predy, 2005, Efficacy of an extract of North American ginseng containing poly-furanosyl-pyranosyl-saccharides for preventing upper respiratory tract infections: a randomized controlled trial, CMAJ, 173, 1043, 10.1503/cmaj.1041470

McElhaney, 2004, A placebo-controlled trial of a proprietary extract of North American ginseng (CVT-E002) to prevent acute respiratory illness in institutionalized older adults, J Am Geriatr Soc, 52, 13, 10.1111/j.1532-5415.2004.52004.x

Gross, 2002, Ginseng improves pulmonary functions and exercise capacity in patients with COPD, Monaldi Arch Chest Dis, 57, 242

Scaglione, 2001, Effects of the standardised ginseng extract G115 in patients with chronic bronchitis: a nonblinded, randomised, comparative pilot study, Clin Drug Invest, 21, 41, 10.2165/00044011-200121010-00006

Jeong, 2006, Effects of Korean ginseng, Korean red ginseng and fermented Korean red ginseng on cerebral blood flow, cerebrovascular reactivity, systemic blood pressure and pulse rate in humans, J Korean Oriental Med, 27, 48

Kennedy, 2003, Electroencephalograph effects of single doses of Ginkgo biloba and Panax ginseng in healthy young volunteers, Pharmacol Biochem Behav, 75, 701, 10.1016/S0091-3057(03)00120-5

Biondo, 2008, A randomized controlled crossover trial of the effect of ginseng consumption on the immune response to moderate exercise in healthy sedentary men, Appl Physiol Nutr Metab, 33, 966, 10.1139/H08-080

Gaffney, 2001, The effects of Eleutherococcus senticosus and Panax ginseng on steroidal hormone indices of stress and lymphocyte subset numbers in endurance athletes, Life Sei, 70, 431, 10.1016/S0024-3205(01)01394-7

Lee, 2008, Interaction between warfarin and Panax ginseng in ischemic stroke patients, J Altern Complement Med, 14, 715, 10.1089/acm.2007.0799

Yuan, 2004, Brief communication: American ginseng reduces warfarin's effect in healthy patients: a randomized, controlled Trial, Ann Intern Med, 141, 23, 10.7326/0003-4819-141-1-200407060-00011

Seo, 2005, The effects of ginseng and American ginseng on general symptoms in Koreans and Chinese: double-blind randomized controlled trials, J Ginseng Res, 29, 27, 10.5142/JGR.2005.29.1.027

Ellis, 2002, Effects of Panax ginseng on quality of life, Ann Pharmacother, 36, 375, 10.1345/aph.1A245

Seo, 2003, Double-blind randomized controlled trials on superficial body temperature of Korean and American ginseng in Koreans and Chinese, Korean J Herbology, 18, 71

Forgo, 1981, Effect of a standardized ginseng extract on general well-being, reaction time, lung function and gonadal hormones, Med Welt, 32, 751

Chung, 2009, Sentence retrieval for abstracts of randomized controlled trials, BMC Med Inform Decis Mak, 9, 10, 10.1186/1472-6947-9-10

Ang-Lee, 2001, Herbal medicines and perioperative care, JAMA, 286, 208, 10.1001/jama.286.2.208

Jia, 2009, Current evaluation of the millennium phytomedicine-ginseng (I): etymology, pharmacognosy, phytochemistry, market and regulations, Curr Med Chem, 16, 2475, 10.2174/092986709788682146

Choi, 2008, Botanical characteristics, pharmacological effects and medicinal components of Korean Panax ginseng C A Meyer, Acta Pharmacol Sin, 29, 1109, 10.1111/j.1745-7254.2008.00869.x

Yun, 2001, Panax ginseng-a non-organ-specific cancer preventive?, Lancet Oncol, 2, 49, 10.1016/S1470-2045(00)00196-0

Jin, 2010, American ginseng suppresses colitis through p53-mediated apoptosis of inflammatory cells, Cancer Prev Res (Phila Pa), 3, 339, 10.1158/1940-6207.CAPR-09-0116

Luo, 2006, American ginseng stimulates insulin production and prevents apoptosis through regulation of uncoupling protein-2 in cultured beta cells, Evid Based Complement Alternat Med, 3, 365, 10.1093/ecam/nel026

Lee, 2006, Increase of insulin secretion by ginsenoside Rh2 to lower plasma glucose in Wistar rats, Clin Exp Pharmacol Physiol, 33, 27, 10.1111/j.1440-1681.2006.04319.x

Kim, 2008, Korean red ginseng stimulates insulin release from isolated rat pancreatic islets, J Ethnopharmacol, 120, 190, 10.1016/j.jep.2008.08.006

Van Kampen, 2003, Neuroprotective actions of the ginseng extract G115 in two rodent models of Parkinson's disease, Exp Neurol, 184, 521, 10.1016/j.expneurol.2003.08.002

Yamaguchi, 1996, Effects of ginsenosides on impaired performance caused by scopolamine in rats, Eur J Pharmacol, 312, 149, 10.1016/0014-2999(96)00597-3

Mook-Jung, 2001, Ginsenoside Rb1 and Rg1 improve spatial learning and increase hippocampal synaptophysin level in mice, J Neurosci Res, 63, 509, 10.1002/jnr.1045

Song, 1997, Ginseng treatment enhances bacterial clearance and decreases lung pathology in athymic rats with chronic P. aeruginosa pneumonia, APMIS, 105, 438, 10.1111/j.1699-0463.1997.tb00591.x

Song, 2003, Cytokine modulating effect of ginseng treatment in a mouse model of Pseudomonas aeruginosa lung infection, J Cyst Fibros, 2, 112, 10.1016/S1569-1993(03)00065-1

Jang, 2008, Red ginseng for treating erectile dysfunction: a systematic review, Br J Clin Pharmacol, 66, 444, 10.1111/j.1365-2125.2008.03236.x

Jeon, 2000, Effect of Korean red ginseng on blood pressure and nitric oxide production, Acta Pharmacol Sin, 21, 1095

Kim, 1994, Ginsenosides evoke endothelium-dependent vascular relaxation in rat aorta, Gen Pharmacol, 25, 1071, 10.1016/0306-3623(94)90121-X

Vogler, 1999, The efficacy of ginseng. A systematic review of randomised clinical trials, Eur J Clin Pharmacol, 55, 567, 10.1007/s002280050674

Bucci, 2000, Selected herbals and human exercise performance, Am J Clin Nutr, 72, 624S, 10.1093/ajcn/72.2.624S

Schulz, 1995, Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials, JAMA, 273, 408, 10.1001/jama.1995.03520290060030

Jones, 1995, Meta-analysis: weighing the evidence, Stat Med, 14, 137, 10.1002/sim.4780140206

Shader, 1985, Phenelzine and the dream machine-ramblings and reflections, J Clin Psychopharmacol, 5, 65, 10.1097/00004714-198504000-00001

Jones, 1987, Interaction of ginseng with phenelzine, J Clin Psychopharmacol, 7, 201, 10.1097/00004714-198706000-00030

Hu, 2005, Herb-drug interactions: a literature review, Drugs, 65, 1239, 10.2165/00003495-200565090-00005

Izzo, 2001, Interactions between herbal medicines and prescribed drugs: a systematic review, Drugs, 61, 2163, 10.2165/00003495-200161150-00002