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NIS - libdoc.who.int - World Health Organization

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Radix Ginseng<br />

in rat (76), and rabbit testes, and increased the motility and survival of<br />

rabbit sperm outside the body (75).<br />

Intragastric or <strong>int</strong>radermal administration of an ethanol extract of the<br />

drug to rats decreased histamine-, pentagastrin-, carbachol- and vagal<br />

stimulation-induced gastric secretion, and inhibited gastric ulcers induced<br />

by stress or by pyloric ligation (77–79).<br />

Liver-protectant activity of ginseng has been demonstrated in vitro<br />

and in vivo (80, 81). Intraperitoneal administration of Radix Ginseng extracts<br />

to normal and dexamethasone-treated rats did not influence the<br />

blood chemistry of normal rats, but it decreased aspartate aminotransferase<br />

and alanine aminotransferase levels in dexamethasone-treated animals,<br />

thereby demonstrating a liver-protectant effect (81). However, another<br />

study demonstrated that an <strong>int</strong>raperitoneal injection of a methanol extract<br />

of Radix Ginseng had no protective activity against carbon tetrachlorideinduced<br />

hepatotoxicity in rats (82).<br />

Clinical pharmacology<br />

Antifatigue activity<br />

The results of clinical studies measuring increased performance and antifatigue<br />

effects of ginseng extracts are conflicting and, in general, most<br />

studies suffer from poor methodology, lack of proper controls, and no<br />

standardization of the ginseng extracts used. The influence of chronic Radix<br />

Ginseng administration (2 g/day orally for 4 weeks) on substrate utilization,<br />

hormone production, endurance, metabolism, and perception of<br />

effort during consecutive days of exhaustive exercise in 11 naval cadets<br />

was reported. No significant differences were observed between the control<br />

group and the group receiving the ginseng supplementation (83). Another<br />

clinical trial with eight participants reported no significant difference<br />

between placebo and ginseng administration during exhaustive<br />

exercise after 7 days of treatment (84). A randomized, double-blind,<br />

cross-over study sought the effects of ginseng on circulatory, respiratory,<br />

and metabolic functions during maximal exercise in 50 men (21–47 years<br />

old) (24). Total tolerated workload and maximal oxygen uptake were significantly<br />

higher following ginseng administration than with placebo. At<br />

the same workload, oxygen consumption, plasma lactate levels, ventilation,<br />

carbon dioxide production, and heart rate during exercise were all<br />

lower in the ginseng treatment group. The results indicated that the ginseng<br />

preparations effectively increased the work capacity of the participants<br />

by improving oxygen utilization (24). A placebo-controlled, crossover<br />

study determined the effects of ginseng on the physical fitness of<br />

43 male triathletes (25). The participants received 200 mg of a ginseng<br />

149

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