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NIS - libdoc.who.int - World Health Organization

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Radix Ginseng<br />

Estrogenic-like side-effects have been reported in both premenopausal<br />

and postmenopausal women following the use of ginseng. Seven<br />

cases of mastalgia (98–100) and one case of vaginal bleeding in a postmenopausal<br />

woman (101) were reported after ingestion of unspecified<br />

ginseng products. An increased libido in premenopausal women has also<br />

been reported (100). Specific studies on the possible hormonal side-effects<br />

of ginseng have been carried out with a standardized ginseng extract<br />

(102–104). Under physiological conditions, there is no <strong>int</strong>eraction<br />

of the ginseng extract with either cytosolic estrogen receptors isolated<br />

from mature rat uterus or progesterone receptors from human myometrium<br />

(102). Furthermore, clinical studies have demonstrated that a standardized<br />

ginseng extract does not cause a change in male and female hormonal<br />

status (103, 104).<br />

Posology<br />

Unless otherwise prescribed, daily dose (taken in the morning): dried<br />

root 0.5–2 g by decoction; doses of other preparations should be calculated<br />

accordingly (21, 23, 89).<br />

References<br />

1. Pharmacopoeia of the People’s Republic of China (English ed.). Guangzhou,<br />

Guangdong Science and Technology Press, 1992.<br />

2. The pharmacopoeia of Japan XII. Tokyo, The Society of Japanese Pharmacopoeia,<br />

1991.<br />

3. Pharmacopée française. Paris, Adrapharm, 1996.<br />

4. Deutsches Arzneibuch 1996. Stuttgart, Deutscher Apotheker Verlag, 1996.<br />

5. Pharmacopoeia helvetica VII. Berne, Département fédéral de l’<strong>int</strong>érieur,<br />

1994.<br />

6. Shibata S et al. Chemistry and pharmacology of Panax. In: Wagner H, Farnsworth<br />

NR, Hikino H, eds. Economic and medicinal plants research, Vol. 1.<br />

London, Academic Press, 1985.<br />

7. Bruneton J. Pharmacognosy, phytochemistry, medicinal plants. Paris,<br />

Lavoisier, 1995.<br />

8. Medicinal plants in China. Manila, <strong>World</strong> <strong>Health</strong> <strong>Organization</strong>, 1989 (WHO<br />

Regional Publications, Western Pacific Series, No. 2).<br />

9. Hsu HY. Oriental materia medica, a concise guide. Long Beach, CA, Oriental<br />

Healing Arts Institute, 1986.<br />

10. Farnsworth NR, ed. NAPRALERT database. Chicago, University of Illinois<br />

at Chicago, IL, August 8, 1995 production (an on-line database available<br />

directly through the University of Illinois at Chicago or through the<br />

Scientific and Technical Network (STN) of Chemical Abstracts Services).<br />

153

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