Ginseng (Panax)
Specifically for Multiple Sclerosis
0 up • 0 down
Why it works for Multiple Sclerosis:
Anti-inflammatory & neuroprotective actions (preclinical): Ginsenosides (e.g., Rb1, Rd, Re) reduce inflammatory signaling, protect the blood–brain barrier, and lessen demyelination in mouse EAE models of MS. These are mechanistic models—not people—but they’re the main biological rationale. ScienceDirect
Fatigue relief (general population): Asian ginseng shows small improvements for general (non-disease-specific) fatigue in meta-analyses, which is why it’s sometimes tried for MS fatigue; however, effects are inconsistent. NCCIH
Important context: Major MS authorities state there’s no definitive evidence that any dietary supplement (including ginseng) reduces MS relapses or reliably improves MS symptoms overall. Benefits—if any—are likely limited to fatigue in some individuals, and study results conflict. NCCIH
How to use for Multiple Sclerosis:
There is no established, MS-specific dosing for ginseng. If you and your clinician decide to try it for fatigue, the only dosing guidance comes from small trials and regulatory monographs:
Panax ginseng (Asian/Korean ginseng) extract:
- 250 mg twice daily for 12 weeks in a small RCT of women with MS fatigue (positive signal vs placebo on MFIS and quality of life). Product details in the paper weren’t standardized for broad use. Europe PMC
Panax quinquefolius (American ginseng) extract:
- Escalating 100→400 mg/day for 6 weeks in a crossover RCT in MS fatigue (no benefit vs placebo). Oregon Health & Science University
General product guidance (not MS-specific):
- The European Medicines Agency recognizes Panax ginseng root as a traditional herbal product “for symptoms of asthenia such as fatigue and weakness” in adults; products vary—follow the exact label and choose standardized, quality-assured brands. European Medicines Agency (EMA)
- NCCIH notes most trials are small/short; short-term use up to ~6 months appears acceptable for most adults, but long-term safety is uncertain. NCCIH
If you trial it with your clinician:
- Start low (e.g., 100–200 mg/day of a standardized extract) and titrate only if tolerated—given mixed evidence, a conservative approach is reasonable. (Derived from trial ranges above.) Europe PMC
- Track outcomes weekly (e.g., MFIS or Fatigue Severity Scale) and stop after 6–12 weeks if no clear improvement. (This mirrors study durations.) Europe PMC
- Avoid stimulant stacking (limit caffeine/energy products while testing ginseng). WebMD
Scientific Evidence for Multiple Sclerosis:
Mixed and low-certainty evidence, focused on fatigue:
- Positive pilot RCT (Asian ginseng): 60 women with MS; 250 mg twice daily for 3 months improved MFIS fatigue scores (p=0.046) and quality of life vs placebo; well tolerated; single-center; modest size; women only. Europe PMC
- Negative crossover RCT (American ginseng): 56 adults with MS; 100–400 mg/day for 6 weeks showed no difference vs placebo on Fatigue Severity Scale; no serious AEs. Oregon Health & Science University
Indirect evidence (not MS-specific):
- RCTs in cancer-related fatigue found benefit with 2,000 mg/day American ginseng (survivors), and large phase III trials are ongoing—useful for understanding fatigue biology but not proof for MS. OUP Academic
Specific Warnings for Multiple Sclerosis:
Possible immune stimulation: Asian ginseng can modulate immune function; some MS resources caution a theoretical risk of aggravating autoimmune disease. Monitor for symptom changes and discuss with your neurologist. msfocusmagazine.org
Blood-thinner interactions: Reports and pharmacology studies suggest ginseng may reduce warfarin’s anticoagulant effect; overall data are mixed—avoid or monitor INR closely if you use warfarin or other anticoagulants/antiplatelets. Drugs.com
Diabetes medicines: Ginseng can lower blood sugar—risk of hypoglycaemia with insulin or oral agents; monitor glucose and adjust meds with your clinician. WebMD
Stimulants/caffeine: Combining ginseng with caffeine may increase tachycardia, jitteriness, or hypertension—limit co-use. WebMD
Sleep & CNS effects: Insomnia is common; also reported are headache, rash, rare liver injury, and allergic reactions. Stop and seek care if you develop concerning symptoms. NCCIH
Pregnancy/breastfeeding & children: Avoid—safety is uncertain and some ginsenosides show adverse effects in animal data. NCCIH
Quality & labeling: Select products with independent testing (USP, NSF, ConsumerLab) to limit adulteration/variable ginsenoside content. (General supplement-quality advice from NIH.) NCCIH
General CAM caution for MS: Supplements can interact with DMTs and other meds; coordinate with your MS team. Veterans Affairs
General Information (All Ailments)
What It Is
Ginseng refers to the roots of plants belonging to the genus Panax, most notably Panax ginseng (Asian or Korean ginseng) and Panax quinquefolius (American ginseng). The term “Panax” is derived from the Greek word meaning “all-healing,” reflecting its long history as a revered medicinal herb in traditional Chinese medicine. Ginseng is characterized by its fleshy roots, which are harvested and dried to make powders, extracts, teas, or capsules. The key active components responsible for its biological activity are ginsenosides (also called panaxosides), which are unique triterpene saponins found in the plant.
How It Works
Ginseng’s effects on the body are largely attributed to its adaptogenic properties — meaning it helps the body adapt to stress, balance physiological functions, and enhance resilience. The mechanisms by which it works include:
- Regulation of the Hypothalamic-Pituitary-Adrenal (HPA) Axis: Ginseng modulates the body’s stress response by influencing the release of cortisol and other hormones, helping to reduce fatigue and improve mental alertness.
- Neuroprotective and Cognitive Effects: Ginsenosides have been shown to improve neurotransmission, increase acetylcholine levels, and enhance synaptic plasticity, potentially improving memory, attention, and mood.
- Antioxidant and Anti-inflammatory Activity: Ginseng’s bioactive compounds neutralize free radicals and reduce inflammatory cytokines, protecting tissues and supporting immune health.
- Energy Metabolism Support: It enhances mitochondrial function and oxygen utilization, leading to improved physical endurance and reduced fatigue.
- Immune System Modulation: Ginseng strengthens immune defense by increasing the production and activity of certain immune cells, such as natural killer cells and macrophages.
Why It’s Important
Ginseng is significant in health and wellness because of its broad range of potential benefits that support both physical and mental well-being. Its importance can be summarized in several key aspects:
- Cognitive Health: It is used to enhance concentration, memory, and overall mental performance, especially during periods of fatigue or stress.
- Stress and Fatigue Reduction: As an adaptogen, it helps the body maintain homeostasis under stressful conditions, supporting vitality and endurance.
- Immune Support: Regular use is believed to boost immune function and may reduce the severity or duration of colds and infections.
- Metabolic and Cardiovascular Benefits: Some studies suggest that ginseng helps regulate blood sugar, improve lipid profiles, and support healthy blood circulation.
- Sexual Health: Traditionally, ginseng has been used to improve libido and sexual performance, possibly through improved blood flow and hormonal balance.
Considerations
While ginseng is generally safe for most people when taken in appropriate doses, certain considerations are important:
- Potential Side Effects: Overuse can lead to symptoms such as insomnia, nervousness, headaches, or gastrointestinal upset. Rarely, it may cause allergic reactions.
- Interactions with Medications: Ginseng may interact with blood-thinning drugs (like warfarin), diabetes medications, antidepressants, and stimulants, altering their effects.
- Hormonal Effects: Because of its mild estrogenic activity, it should be used cautiously in individuals with hormone-sensitive conditions such as breast or uterine cancer.
- Pregnancy and Lactation: There is limited research on safety during pregnancy or breastfeeding, so it is generally recommended to avoid it during these times.
- Quality and Purity: The potency and effects of ginseng products vary widely depending on species, preparation, and standardization. Using certified, high-quality extracts with quantified ginsenoside content ensures efficacy and safety.
- Duration of Use: Many herbalists recommend using ginseng cyclically (e.g., several weeks on, followed by a break) to prevent overstimulation and maintain effectiveness.
Helps with these conditions
Ginseng (Panax) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Menopause
Possible estrogen-like activity (but weak/inconsistent in humans). Several lab studies suggest certain ginsenosides (e.g., Rb1, Rh1) can activate estr...
Erectile Dysfunction
Boosts nitric-oxide (NO) signalling in penile tissue. Ginsenosides (notably Rg1/Rg3) can increase endothelial NO synthase activity and cGMP signalling...
Type 2 Diabetes
Active compounds & pathways. Ginseng’s ginsenosides appear to (a) improve insulin sensitivity, (b) promote glucose uptake via GLUT4, and (c) activ...
Hair Loss
Mechanisms supported mostly by lab and animal work (and a few small human studies):Wnt/β-catenin hair-cycle activation: Several ginsenosides (e.g., Rg...
Brain Fog
Acute pro-cognitive effects: Standardized Panax extracts can produce small, short-term improvements in attention and working memory in healthy adults,...
Low Testosterone
Improves erectile physiology (not the same as raising T): Ginsenosides (esp. Rg1/Rg3/Re) increase nitric-oxide (NO) signalling in penile tissue, relax...
Chronic Fatigue Syndrome
Panax ginseng contains active compounds called ginsenosides and other constituents that act as adaptogens (supporting stress resilience) and have anti...
COPD
Anti-inflammatory & antioxidant actions. Ginsenosides (e.g., Rg1, Rg3, Rb1, compound K) suppress pro-inflammatory cytokines (TNF-α, IL-1β, IL-6),...
Low Sperm Count
Low sperm count is often linked to oxidative stress and impaired testicular/epididymal function. Ginseng’s main actives—ginsenosides—appear to:Reduce...
Multiple Sclerosis
Anti-inflammatory & neuroprotective actions (preclinical): Ginsenosides (e.g., Rb1, Rd, Re) reduce inflammatory signaling, protect the blood–brain...
Narcolepsy
There is biological plausibility and some small clinical evidence that Panax (Asian/Korean) ginseng can improve wakefulness, reduce fatigue, and help...
Raynaud’s Disease
Physiology that maps to Raynaud’s: Raynaud’s attacks are driven by cold- or stress-triggered vasospasm and endothelial dysfunction. Ginseng’s major ac...
Attention-deficit Hyperactivity Disorder (ADHD)
There is some clinical and preclinical evidence that Panax ginseng (Korean/Asian ginseng) and related Panax species (including American ginseng, Panax...
Community Discussion
Share results, tips, and questions about Ginseng (Panax).
Loading discussion...
No comments yet. Be the first to start the conversation!
Discussion for Multiple Sclerosis
Talk specifically about using Ginseng (Panax) for Multiple Sclerosis.
Loading discussion...
No comments yet. Be the first to start the conversation!
Remedy Statistics
Helps With These Conditions
Recommended Products
No recommended products added yet.