Wednesday, September 11, 2019

Zingiber officinale Roscoe












 

HERBAL MEDICINES


Zingiber officinale

Roscoe (Zingiberaceae)



by 
Rettodwikart Thenu






ZINGIBER OFFICINALE 
Roscoe.


SUMMARY AND PHARMACEUTICAL COMMENT (Barnes, J et al.,  2007)
The chemistry of ginger is well documented with respect to the oleo-resin and volatile oil. Oleo-resin components are considered to be the main active principles in ginger and documented pharmacological actions generally support the traditional uses. In addition, a number of other pharmacological activities have been documented, including hypoglycaemic, antihypercholesterolaemic, anti-ulcer and inhibition of prostaglandin synthesis, all of which require further investigation. The use of ginger as a prophylactic remedy against motion sickness is contentious. It seems likely that ginger may act by a local action on the gastrointestinal tract, rather than by a centrally mediated mechanism.



SPECIES (FAMILY) (Barnes, J et al., 2007)
Zingiber officinale Roscoe (Zingiberaceae)

SYNONYM(S) (Barnes, J et al., 2007)
Gan Jiang, Zingiber

PART(S) USED (Barnes, J et al., 2007)
Rhizome

PHARMACOPOEIAL AND OTHER MONOGRAPHS (Barnes, J et al., 2007)
BHC 1992(G6)
BHP 1996(G9)
BP 2007(G84)
BPC 1973(G12)
ESCOP 2003(G76)
Martindale 35th edition(G85)
Ph Eur 2007(G81)
USP29/NF24(G86)
WHO 1999 Volume 1(G63)

LEGAL CATEGORY (LICENSED PRODUCTS) (Barnes, J et al., 2007)
GSL(G37)




BOTANICAL DESCRIPTION (Ross, I. A. 2005)
Zingiber officinale is a perennial herb belonging to the ZINGIBERACEAE family. The rhizome is horizontal, branched, fleshy, aromatic, white or yellowish to brown. Stem is leafy, thick, to 60 cm high. Leaves are pointed, narrowly or linear-lanceolate, approx 20 cm long and 1.5–2 cm wide, clasping the stem by long sheaths. The inflorescences, rarely produced by cultivated plants, are separate, approx 20 cm high, consisting of threefold flowers subtending with bracts and bracteoles. Bracts are ovate, approx 2.5 cm long, closely pressed against each other, pale green. Calyx is short, threelobed. Corolla has two yellow-green, pointed segments and shorter, an oblongovate, dark-purple lip spotted and striped with yellow. Each flower has only one shortstalked, fertile stamen and solitary stigma. The fruit, which is rarely formed, is a dehiscent capsule containing relatively large seeds.

BOTANICAL DESCRIPTION (Quave, C.L. 2013)
Zingiber officinale belongs to the tropical/sub-tropical family Zingiberaceae and the order Zingiberales. The specific origin of Z. officinale species is unknown, but it is most likely to have origins in tropical or sub-tropical India. Variants of the species are dependent on the environment and Z. officinale var. cholmondeleyi F. M. Bailey, Z. officinale var. Macrorhizonum Makino, Z. officinale var. rubens Makino, Z. officinale var. rubrum Theilade, and Z. officinale var. sichuanense Z. Y. Zhu et al. (Tropicos 2011).
Z. officinale is a perennial herb, making it useful as an aesthetic plant, and can attain a stem length of 1.5 m. Branching out  from the stem are smooth, pale green, lanceolate leaves that can grow to 5-30 cm long, 8-20 cm wide, and up to 2 cm thick.
A few shorter stems bear an ovate-oblong spiked flower: a purple anterior petaloid divided into three rounded lobes surrounds a tufted stigma and a fruit capsule with small arillate seeds (Figure 1). These branches extend horizontally from the stem of the plant, which projects vertically from the rhizome (WHO 2011).
The dried rhizome of Z. officinale is scientifically referred to as Zingiberis rhizoma (Figure 2). The subterranean rhizomes are thickly lobed and tuberous with a yellowish-brown to pale buff external surface with few scales. When the skin is peeled, the aromatic rhizomes show fine longitudinal striations in the pale yellow to white-colored flesh (Pakrashi 2003, 16-18).




Figure 1. The oblong flower of Z. officinale.

Figure 2. The knotted rhizome known as ginger is used in
food and medicine around the world. (Source: precision nutrition.com)

ORIGIN AND DISTRIBUTION (Ross, I. A. 2005)
Native to southern Asia, it is widely distributed through the tropics and subtropics. Requires a rather hot, moist climate and rich, well-drained soil. It is now cultivated in Indonesia, Jamaica, Sri Lanka, and China.

TRADITIONAL MEDICINAL USES (Ross, I. A. 2005)
Admiralty Islands. The rhizome is taken orally as a contraceptiveZO245. Brazil. Hot water extract of the dried root is used externally for bronchitis and rheumatismZO253.
China. Ash of the burned leaves of Pongamia pinnata, Citrullus colocynthis, Piper retrofractum, Plumbago zeylanica, Zingiber officinale, and Piper longum, mixed with molasses and rock salt, is taken orally to treat abdominal diseases, anemia, and phantom tumorsZO280. For choleric diarrhea and chronic fever, powdered Ferula asafoetida, Acorus calamus, Zingiber officinale, Cuminum, Terminalia chebula, Inula racemosa, and Saussurea lappa, are taken orallyZO280. The oils of Zingiber officinale, Saussurea lappa, Sansevieria roxburghiana, Curcuma longa, and Rubia cordifolia, mixed with salt buttermilk, and rice, are massaged on the patient for cold and coughZO280. For heaviness of the stomach, powdered Ferula asafoetida, Acorus calamus, Zingiber officinale, Cuminum cyminum, Terminalia chebula, Inula racemosa, and Saussurea lappa, are taken orally. For skin diseases, decoction of Tinospora cordifolia, Cyperus rotundus, and Zingiber officinale, mixed with equal quantity of decoction of Aconitum heterophyllum, is taken orallyZO280.
China. Decoction of the dried rhizome is taken orally as an antiemeticZO133. Hot water extract of the rhizome, in combination with Prunus persica (Sd), Carthamus tinctorius (Fl), Angelica sinensis (Rt), Saliva miltiorrhiza (Rt), Ligusticum wallichii (Rt, St), Gardenia jasminoides (Fr), Sanguisorba officinalis (Rt), Corydalis ambigua (Tu), Glycyrrhiza uralensis (Rt), Commiphora myrrha (resin), Boswellia carteri (resin), Cyperus rotundus (Rh), Citrus tangerina (fruit peel), Pyrola japonica (Lf), Agrimonia pilosa (Pl), Lonicera japonica (Pl), Panax sanchi (Rt), Codonopsis pilosula (Rt), Astragalus membranaceus (Rt), Atractylodes macrocephala (Rh), Curcumina aromatica (Rh), and Caesalpinia sappan (heartwood), and the scales of the Manis pentadactyla, is used to treat ectopic pregnancies.
Dosing for up to 8 days produced a pain relief, the tumors disappeared in 100% of the cases, and bleeding stopped in 100% of the casesZO355. Decoction of the fresh rhizome is taken orally for excruciating headache.
It is taken in combination with Evodia rutaecarpa, Zizyphus jujuba, and Panax ginsengZO174. Hot water extract of the rhizome is taken orally to suppress or retard the menstrual cycleZO165. The dried root, mixed with Campanumoea pilosula (Rt), Astragalus hiroshimanus (Rh), Araliacordata (Rt), and Paeonia albiflora (Rt), is administered intravaginally for leucorrhea with backache, fever, and weak pulse in patients with vaginal cancer. For menorrhagia in patients with vaginal cancer, the dried root, mixed with Typha species (pollen) and Agrimonia pilosa (twig), is administered intravaginallyZO299.
Cuba. Hot water extract of the rhizome is taken orally as an emmenagogue and for its stimulating and aphrodisiac properties by menZO354. The fresh rhizome is taken orally as an antispasmodicZO154.
East Africa. The fresh root, with scrapings of Ocimum suave, is taken orally for inflamed tonsils and anginaZO260.
Ecuador. Decoction of the rhizome is taken orally for migraines, diarrhea, and stomachacheZO152.
England. Dried rhizome is taken in combination with Mentha pulegium (essential oil), Aloe vera, Ipomoea purga, Glycyrrhiza glabra, and Canella alba for amenorrheaZO302. Infusion of the fresh rhizome is taken orally in Chinese herbal formulations to reduce nausea and vomiting during pregnancy. The peeled young ginger rhizome is simmered with sweet malt vinegar for several hoursZO297.
Europe. Hot water extract of the fresh rhizome is taken orally for delayed menstruation and for all forms of motion sicknessZO300.
Fiji. Dried root, ground with Vitex negundo leaves, is applied to the forehead for headache. For colds, seeds of Elettaria cardamomum, Zingiber officinale rhizome, and Piper nigrum seeds, are ground in water, mixed with honey, and taken orallyZO266. Fresh rhizome juice, together with the juice of Allium cepa, is taken orally to stop vomiting. The fresh juice is taken with honey or sugar for coughs, colds, stomachache, and asthmaZO266. Fresh root juice is administered as eardrop for earacheZO266.
Greece. Wine extract of the rhizome, with pomegranate and oak gall, is used as a vaginal spermicidal suppositoryZO065.
Guatemala. Decoction of the rhizome is taken orally for feverZO149.
Honduras. Decoction of the rhizome is taken orally for coldZO159.
India. Hot water extract of the dried rhizome is administered orally as a remedy for whooping coughZO242 and hemorrhoids in Ayurvedic medicineZO255. The rhizome, in combination with 25 g each of Prunus amygdalus and Pistacia vera, 10 g of Piper nigrum, 100 g of Hedychium spicatum, and 200 g of Elastrus paniculatus, is taken orally for rheumatism. For dysentery and stomachache, 250 g of dried rhizome is taken with 500 g dried stem bark of Holarrhena anti dysenterica and 100 g of dried Piper nigrum, powdered and mixed with butter oil into pills about the size of a pea. Two to three pills are taken dailyZO256. Hot water extract of the rhizome is taken orally for amenorrheaZO063. The decoction is taken orally for diabetesZO169, and paste mixed with salt is used externally as an antiveninZO148. The dried root with leaves of Adhatoda vasica and Piper nigrum and Piper longum, are powdered and administered orally to treat bronchitis.  The powder is sometimes mixed with honeyZO119. The fresh rhizome is taken orally with honey to treat ulcerative gingivitisZO119. Hot water extract of the fresh rhizome is administered subcutaneously to treat filariasisZO193. The fresh rhizome juice is administered to pregnant women just before childbirth to ease delivery. The fresh rhizome is eaten for tuberculosis and throat painZO246 and for stomachacheZO248. For anemia, Tinospora cordifolia, alone, or in combination with Strobilanthes auriculatus roots and the dried rhizome of Zingiber officinale, is made into a decoction and taken orallyZO248. For digestive complaints, the leaf juice of Piper betel and leaf juice of Zingiber officinale are taken orally. A decoction of Andrographis paniculata, Ocimum sanctum, and Zingiber officinale is taken orally for malaria. Rhizome, made into a paste, is applied to the forehead for headache. For toothache, black pepper and ginger are used as a tooth powder; combined with charcoal, freshens the mouth. For the common cold, a decoction of coffee prepared with black pepper and ginger is taken orally. To relieve swellings and boils, a paste of Zingiber officinale rhizome and Santalum album stem is applied to the affected areaZO248.
Indonesia. Hot water extract of the rhizome is taken orally to aid in childbirthZO071. As an abortifacient, the rhizome, in combination with cinnamon, Capsicum annuum, a piece of black cane stalk pound with half of an  unripe pineapple and rag (rice, garlic, and Alpinia galanga, aromatics, and spices such as cinnamon, ginger, Capsicum annuum), is diluted with water and taken twice daily. The rhizome juice is taken orally for colic and used externally in the form of a poultice for swelling of rheumatic areas and on snakebiteZO241.
Japan. Fresh rhizome is used externally to promote hair growthZO239.
Malaysia. The rhizome, mixed with Piper nigrum and honey, is taken orally as an abortifacientZO064. Hot water extract of the rhizome is administered orally after childbirth and as an abortifacientZO071.
Mauritius. Hot water extract of the dried root is taken orally as an emmenagogueZO223.
Mexico. Decoction of the entire plant is taken orally with honey as an emmenagogue and to soothe colicZO132. Hot water extract of the rhizome is taken orally for stomachacheZO228.
Morocco. Rhizome is taken orally as a calefacientZO160.
Nepal. Decoction of the rhizome, mixed with Artemisia dubia, is taken orally as an antipyretic. The juice is mixed with butter\ and massaged on the chest and throat to cure cough. The juice is taken orally for throat infectionZO168. Decoction of the rhizome, mixed with the Justicia adhatoda, is mixed in warm water and salt and then taken orally twice a day for 2–3 days to treat abdominal painZO155.
Nicaragua. Decoction of the root is taken orally by women during childbirth, as a digestive, and for coldsZO156. The rhizome is taken orally for belly pain, fever, and gasZO151.
Nigeria. The rhizome is taken orally as a blood purifier, febrifuge, carminative, and stimulant, and for malaria, stomachache, headache, and indigestionZO102. Water extract of the dried rhizome is taken orally to treat malariaZO097 and schistosomiasisZO224.
Oman. Infusion of the rhizome is taken orally as an expectorant and for bronchitis. The infusion is administered ophthalmically for cataractZO116.
Papua New Guinea. Fresh rhizome juice is taken orally for colds and cough. The fresh rhizome is chewed for malaria, stomach worms, and the temporary relief of toothacheZO191. The fresh rhizome is taken orally for pneumonia, tuberculosis, fever, and rheumatism and externally for topical ulcersZO254. Hot water extract of the dried root is taken orally for stomach complaintsZO254. The chewed rhizome and leaf are used externally to treat knee pain and swallowed to treat coughZO134. The dried rhizome is chewed, and the juice applied externally for migraine and to treat stingray stingsZO277. The juice is taken orally to treat vomiting and stomachache. For head lice, the rhizome is mixed with bark of Galbulimima belgraveana and leaves of Nicotiana tabacum and the juice is applied externallyZO294.
Peru. Hot water extract of the dried rhizome is taken orally as a carminativeZO288 and contraceptiveZO289.
Philippines. Hot water extract of the dried root is taken orally by pregnant women to minimize the pain of early laborZO261.
Rodrigues Islands. Decoction of the rhizome juice, mixed with Citrus aurantifolia, is taken orally for pulmonary disorders. The juice, mixed with lemon juice, honey, and hot water extract of Cymbopogon citratus, is taken orally for coldsZO153.
Saudi Arabia. Hot water extract of the dried rhizome is taken orally as a stomachic, a diuretic, a carminative, and an antiemeticZO178,ZO184 and used externally as an antiseptic, anesthetic, and astringentZO178.
South Korea. Hot water extract of the dried rhizome is taken orally as an abortifacientZO264. Hot water extract of the rhizome, together with Bupleurum falcatum, Scutellaria baicalensis, Panax ginseng, Glycyrrhiza glabra, Zizyphus jujuba, and Pinellia tuberosa, is taken orally for tonsillitis, otitis media, tuberculosis, common cold, liver disorders, chills, fevers, and chest painsZO267.
Sudan. Hot water extract of the dried rhizome is taken orally for colds, pneumonia, and rheumatismZO227.
Tanzania. Rhizome is pound with the root of Pteridium aquilinum, and the juice taken orally as an aphrodisiac. Hot water extract of the rhizome is taken orally as a galactagogueZO069, ZO070.
Thailand. Hot water extract of the dried rhizome is taken orally as a carminativeZO211, ZO212, an antiemetic, an anticolic, a hypnotic, a cardiotonicZO212, an emmenagogue, and a stomachicZO213. The fresh rhizome is taken orally as an antiemetic and a gastrointestinal sedativeZO158. Hot water extract of the fresh rhizome is taken orally for fever, headache, and diarrhea and as an emmenagogue, a carminativeZO215, and an aromatic stimulantZO216. The powdered fresh rhizome, together with cloves, are mixed with water and rubbed on the body for the relief of rheumatismZO216.
Trinidad. Hot water extract of the rhizome is taken orally for diabetesZO101,ZO103.
United States. Hot water extract of the dried rhizome is taken orally as a carminative in flatulent colic and when a warming effect is neededZO304. Wine extract of the dried rhizome, together with Viburnum opulus, Scutellaria lateriflora, Symplocarous foetidus, and Syzygium aromaticum, is taken as an antispasmodicZO304.
Venezuela. Hot water extract of the rhizome is taken orally to stimulate the menstrual flowZO090.
Vietnam. Hot water extract of the rhizome is taken orally as an emmenagogueZO066.
Yemen. Hot water extract of the rhizome is taken orally as an aphrodisiac and is used as  an aromatic stimulantZO234.

CHEMICAL CONSTITUENTS (Ross, I. A. 2005)
(ppm unless otherwise indicated)



Acetaldehyde: RhZO305
Acetic acid: RhZO295
Acetone: RhZO305
Aframodial: Sd 0.04%ZO082
Angelicoidenol-2-O-􀁅-D-glucopyranoside:
Rh 14ZO084
Arginine: TuZO247
Aromadendrene: Rh EOZO195
Aromadendrene, allo: Rh EO 0.14%ZO290
Asparagine: Rh 0.05%ZO308
Aspartic acid: Aer, TuZO247
Benzaldehyde: RhZO295
Benzaldehyde, 3-phenyl: Rh EOZO195
Benzaldehyde, 4-phenyl: Rh EOZO195
Bisabolene: Rh EOZO068
Bisabolene, 􀁅: Rh 17.2-30.0ZO131,ZO079, Rh EO
10.51%ZO140
Bisabolene, 􀁊: Rh EO 2.5%ZO122
Bisabolol, 􀁅: Rh EO 0.59%ZO290
Borneol: Rh EO 1.8%ZO290
Borneol acetate: Rh EO 0.21%ZO290
Borneol methyl ethyl: RhZO144
Borneol, (+): Rh EOZO306
Borneol, 5-hydroxy-O-􀁅-D-glucopyranoside:
Rh 8.5ZO170
Borneol, iso: RhZO144
Butyraldehyde, N: RhZO305
Cadinene, 􀁄: Rh EOZO195
Cadinene, 􀁇: Rh EO 0.13%ZO290
Cadinol, 􀁄: Rh EOZO195
Caffeic acid: RhZO226
Calamenene: Rh EOZO195
Camphene: Rh EO 12.6%ZO290
Camphene hydrate: RhZO144
Camphor: Rh EO 0.12%ZO290
Caprylic acid: Rh EOZO306
Capsaicin: RhZO311
Car-3-ene: Rh EOZO219
Caryophyllene: EOZO068
Caryophyllene, 􀁅: Rh EO 0.09%ZO290
Cedorol: Rh EOZO195
Cedrol, 􀁄: Rh EOZO121
Chavicol: Rh EOZO306
Chrysanthemin: RhZO129
Cineol, 1-8: Rh EO 2.6-10%ZO290,ZO229
Cineol, 1-8, 2-hydroxy: RhZO295
Citral: Rh EO 13.0%ZO067
Citronellal: Rh EO 0.29%ZO290
Citronellol: Rh EO 0.3-13.0%ZO290,ZO067
Citronellol acetate: Rh EOZO121
Citronellyl acetate: Rh EOZO195
Copaene, 􀁄: Rh EOZO293
Coumaric acid, para: Rh 19ZO226
Cubebene, 􀁄: Rh EOZO121
Curcumene, 􀁄: Rh EO 1.94%ZO140
Curcumin: RhZO130
Curcumin, hexahydro: Rh 21.3ZO109
Curcumin, hexahydrodemethyl: RhZO179
Cyclobutane, cis-1-2-bis-(trans-3-4-dimethoxy
styryl): Rh 13.9ZO081
Cyclohexene, cis-3-(3-4-dimethoxy phenyl)-
4-(trans-3-4-dimethoxy styryl): Rh 50.6ZO081
Cyclohexene, trans-3-(2-4-5-trimethoxy
phenyl)-4-(trans-3-4-dimethoxy styryl):
Rh 13.9ZO081
Cyclohexene, trans-3-(3-4-dimethoxy phenyl)-
4-(trans-3-4-dimethoxy styryl): Rh 55.8ZO081
Cymen-8-ol, para: Rh EO 0.07%ZO290
Cymene, para: Rh EO 2.6%ZO290
Cysteine: AerZO247
Dec-trans-2-en-1-al: RhZO144
Deca-3-5-diene, 3-6-epoxy-1-(hydroxy-3-
methoxy phenyl): RhZO080
Decan-1-al: RhZO144
Decane, 3(R)-5(S)-diacetoxy-1-(3-4-dimethoxy
phenyl): RhZO077
Decane, 3(R)-5(S)-diacetoxy-1-(4-hydroxy-
3-methoxy phenyl): Rh 41.8ZO077
Decane, 3(R)-acetoxy-5(S)-hydroxy-1-(4-
hydroxy-3-methoxy phenyl): Rh 53.1ZO077
Decane, 5(S)-acetoxy-3(R)-hydroxy-1-(4-
hydroxy-3-methoxy phenyl): Rh 15.8ZO077
Diethyl sulfide: RhZO305
Dodec-trans-2-en-1-al: RhZO144
Elemene, 􀁅: Rh EO 0.3%ZO290
Elemol: Rh EO 0.38%ZO290
Essential oil: Rh 0.08–0.21%ZO229
Ethyl acetate: RhZO305
Ethyl myristate: Rh EOZO195
Eudesmol, 􀁅: Rh EO 0.93%ZO290
Eudesmol, 􀁊: Rh EO 0.23%ZO290
Eugenol: Rh EOZO121
Eugenol, iso: RhZO144
Eugenol, iso methyl ether: Rh EO 0.08%ZO290
Farnesal: Rh EO 0.20%ZO290
Farnesene: EOZO068
Farnesene, 􀁄: Rh EO 2.5%ZO290
Farnesene, 􀁄 trans-trans: RhZO201
Farnesene, 􀁅: Rt EOZO225
Farnesene, 􀁅 trans: Rh EO 0.12%ZO290
Farnesol: Rh EOZO121
Fluoride: Rh 7.9ZO291
Furan, 2-(2-3-epoxy-3-methyl-butyl)-3-
methyl: RhZO144
Furan, 2-(3-methyl-2-butenyl)-3-methyl:
RhZO144
Furanogermenone: RhZO279
Furfural: Rh EOZO290
Galanolactone: RhZO117
Geranial: Rh EO 15.9-40.0% ZO290,ZO229
Geranic acid, cis: RhZO295
Geranic acid, trans: RhZO295
Geraniol: Rh EO 0.69%ZO290
Geraniol acetate: Rh EO 0.20%ZO290
Geraniol, 􀁅-D-glucopyranoside: Rh 15ZO170
Geranium: Rh 87-169ZO232,ZO236
Gingediol, 10: RhZO313
Gingediol, 12: RhZO098
Gingediol, 12, methyl: RhZO098
Gingediol, 6: Rh 21-30ZO109,ZO079
Gingediol, 6, diacetate: Rh 3.3ZO109
Gingediol, 6, diacetate methyl ether: RhZO313
Gingediol, 6, methyl ether: RhZO313
Gingediol, 8: RhZO313
Gingerdiol, 6: RhZO130
Gingerdione, 10-dihydro: Rh 6.3ZO109
Gingerdione, 10: Rh 11ZO109
Gingerdione, 10, dehydro: RhZO180
Gingerdione, 6-10-dehydro: RtZO214
Gingerdione, 6-10: RtZO214
Gingerdione, 6: Rh 3.3-10ZO109,ZO079
Gingerdione, 6, dehydro: Rh 25.3ZO109,ZO124
Gingerdione, 6, dihydro: RhZO180
Gingerenone A: Rh 118-136ZO074,ZO075
Gingerenone B: Rh 4.7ZO074
Gingerenone B, iso: Rh 4.7ZO074
Gingerenone C: Rh 14.2ZO074
Gingerglycolipid A: Rh 13ZO078,ZO084
Gingerglycolipid B: Rh 15ZO078
Gingerglycolipid C: Rh 14ZO078,ZO084
Gingerol: RhZO278
Gingerol methyl ether: RhZO313
Gingerol, 10: Rh 2.6-1862ZO109,ZO233
Gingerol, 10, methyl: RhZO271
Gingerol, 12: RhZO309
Gingerol, 12, methyl: RhZO271
Gingerol, 14: RhZO271
Gingerol, 16: RhZO309
Gingerol, 4: RhEOZO310
Gingerol, 6: Rh 0.04%-0.71%ZO147,ZO233
Gingerol, 6, (+): RtZO109
Gingerol, 6, (S)(+): PlZO107
Gingerol, 6, 5-methoxy: RhZO135
Gingerol, 6, acetyl: Rh 6.6ZO109
Gingerol, 6, methyl: RhZO271
Gingerol, 7: RhZO309
Gingerol, 8: Rh 110-1069ZO079, ZO233
Gingerol, 8, methyl: RhZO271
Gingerol, 9: RhZO309
Gingerol, dihydro: Rt EOZO225
Gingerol, methyl: EOZO068
Gingesulfonic acid, 6: Rh 13ZO084
Glanolactone: Rh 120ZO198
Glycine: Aer, TuZO247
Guaiol: Rh EOZO195
Hept-4-en-3-one, 7-(3-4-dihydroxy-phenyl)-
1-(4-hydroxy-3-methoxy-phenyl):
Rh 1.4ZO076
Hept-5-en-1-al, 2-6-dimethyl: RhZO144
Hept-5-en-2-ol, 6-methyl: RhZO295
Hept-5-en-2-one, 6-methyl: Rh EOZO195
Heptan-2-ol: Rh 0.27%ZO290
Heptan-2-ol-􀁅 - D-glucopyranoside:
Rh 71.6ZO170
Heptan-2-one: Rh EO ZO290
Heptan-3-one, 5-hydroxy-1-(4-hydroxy-3-
5-dimethoxy-phenyl)-7-(4-hydroxy-3-
methoxy-phenyl): Rh 0.52ZO076
Heptan-3-one, 5-hydroxy-7-(4-hydroxy-3-
5-dimethoxy-phenyl)-1-(4-hydroxy-3-
methoxy-phenyl): Rh 5.2ZO076
Heptan-3-one, 5-hydroxy-7-(4-hydroxyphenyl)-
1-(4-hydroxy-3-methoxy-phenyl):
Rh 5.2ZO076
Heptane, 1-5-epoxy-3-epi-hydroxy-1-3-4-
dihydroxy-5-methoxy-phenyl)-7-(4-hydroxy-
3-methoxy-phenyl): RhZO083
Heptane, 1-5-epoxy-3-hydroxy-1-(3-4-
dihydroxy-5-methoxy-phenyl)-7-(4-hydroxy-
3-methoxy-phenyl): RhZO083
Heptane, 1-5-epoxy-3- hydroxy-1- (4-dihydroxy-
3-5-dimethoxy-phenyl)-7-(4-hydroxy-
3-methoxy-phenyl): RhZO083
Heptane, 2(R)-5(S)-dihydroxy-1-7-bis- (4-hydroxy-
3-methoxy-phenyl): Rh 0.00056%ZO076
Heptane, 2-2-4-trimethyl: Rh EOZO195
Heptane, 3(S)-5(S)-diacetoxy-1-(4'-hydroxy-
3'-5'-dimethoxy-phenyl)-7-(4''-hydroxy-
3'-methoxy-phenyl): Rh 20ZO079
Heptane, 3(S)-5(S)-diacetoxy-1-7-bis-(3-4-
dihydroxy-phenyl): Rh 15.7ZO076
Heptane, 3(S)-5(S)-dihydroxy-1-(4'-hydroxy-
3'-5'-dimethoxy-phenyl)-7-(4'-hydroxy-
3'-methoxy-phenyl): Rh 2ZO079
Heptane, 3(S)-5(S)-dihydroxy-1-7-bis-(4-hydroxy-
3- methoxy-phenyl):Rh 0.00053%ZO076
Heptane, 3-5-diacetoxy-1-(4-hydroxy-3-5-
dimethoxy-henyl)-7-(4-hydroxy-3-
methoxy-phenyl): Rh 30.3ZO075
Heptane, 3-5-diacetoxy-1-7-bis-(4-hydroxy-
3-methoxy-phenyl, MeSO: Rh 40.8ZO075
Heptane, 3-5-diacetoxy-7-(3-4-dihydroxyphenyl)-
1-(4-hydroxy-3-methoxy-phenyl):
Rh 3.5ZO076
Heptane, 3-acetoxy-1-5-epoxy-1- (3-4-dihydroxy-
5-methoxy-phenyl)-7-(4-hydroxy-3-
methoxy-phenyl): RhZO083
Heptane, 3-epi-acetoxy-1-5-epoxy-1-(3-4-
dihydroxy-5-methoxy-phenyl)-7-(4-hydroxy-
3-methoxy-phenyl): RhZO083
Heptane, N: RhZO305
Heptane-3(S)-diol, 1-7-bis- (4-hydroxy-3-
methoxy-phenyl): Rh 4ZO079
Heptenone, methyl: Rh EOZO306
Hexan-1-al: Rh EO 700ZO290
Hexan-1-ol: RhZO295
Hexan-3-ol, cis: Rh EOZO195
Himachalene, 􀁅: Rh EOZO195
Humulene epoxide 1: RhZO145
Humulene epoxide 2: RhZO145
Ionone, 􀁅: Rh EOZO195
Juniper camphor: Rh EOZO195
Labda-trans-12-ene-15-16-dial, 8-􀁅-17-epoxy:
RhZO126
Labda-trans-6(17)-12-diene-15-16-dial:
RhZO135
Lauric acid: Rh EO 900ZO290
Leucine: TuZO247
Leucine, iso: TuZO247
Limonene: Rh EO 2.1%ZO290
Linalool: Rh EO 1–3%ZO229
Linalool, oxide: RhZO295
Linalool, propionate: Rh EOZO121
Linalool, trans, oxide: Rh EOZO195
Linalool-􀁅-D-glucopyranoside: Rh 11.6ZO170
Melatonin: RhZO295
Mentha-1-5-dien-7-ol, para: RhZO295
Mentha-2-8-dien-1-ol, para: RhZO295
Mentha-1-5-dien-8-ol, para: RhZO295
Menthan-3-ol, 1-8-epoxy-para-glucopyranoside:
Rh 5.8ZO170
Menthol acetate: Rh EOZO195
Metha-1-8-dien-7-ol, para: RhZO295
Methyl acetate: RhZO305
Methyl nonyl ketone: Rh EOZO195
Muurolene, 􀁄: Rh EOZO195
Muurolene, 􀁊: Rh EO 0.91%ZO290
Myrcene: RhZO175, Rh EO 1.9%ZO290
Myrcene, 􀁅: Rh EOZO195
Myrtenal: Rh EO 0.06%ZO290
Neral: Rh EO 8.10%-26.0%ZO290,ZO229
Nerol: Rh EOZO219
Nerol, oxide: RhZO295
Nerol-􀁅-D-glucopyranoside: Rh 0.2ZO170
Nerolidol: Rh EOZO121, RhZO295
Nerolidol, 9-oxo: Rh EOZO195
Nerolidol, cis: Rh EOZO140
Nerolidol, trans: Rh EO 0.70%ZO290
Nonal-1-al: RhZO144
Nonal-2-ol: RhZO295, Rh EO 0.2%ZO290
Nonane, N: RhZO305
Nonanol, N: RhZO305
Nonanone, N: Rh EOZO229
Nonyl aldehyde: Rh EOZO306
Octan-1-ol acetate: RhZO144
Oct-trans-2-en-1-al: RhZO144
Octa-2-6-diene-1-8-diol, 2-6-dimethyl: RhZO295
Octa-3-7-diene-1-6-diol, 2-6-dimethyl: RhZO295
Octa-3-cis-6-dien-1-al, 3-7-dimethyl: RhZO144
Octa-3-trans-6-dien-1-al, 3-7-dimethyl: RhZO144
Octa-trans-2-cis-6-dien-1-ol, 3-7-dimethyl-
8-hydroxy, 􀁅-D-glucopyranoside: Rh 5.2ZO170
Octa-trans-2-trans-6-dien-1-ol, 3-7-dimethyl-
8-hydroxy, 􀁅-D-glucopyranoside: Rh 10.1ZO170
Octan-1-al: Rh EO 800ZO290
Octan-2-ol: RhZO295
Octane, N: RhZO305
Octanol, N: RhZO295
Octen-2-al, trans: Rh EOZO195
Oxalic acid: Rt 0.50%ZO312
Paradol: RhZO313
Paradol, 6: RhZO177
Patchouli alcohol: Rh EOZO195
Pentan-2-ol: RhZO295
Perilla aldehyde: Rh EOZO140
Perillen: Rh EOZO195
Perillene: RH EOZO114
Phellandrene, 􀁄: Rh EO 0.40%ZO290
Phellandrene, 􀁅: Rh EO 5.70%ZO290
Pin-2-en-5-ol, RhZO144
Pinene, 􀁄: Rh EO 3.90%ZO290
Pinene, 􀁅: Rh EO 0.53%ZO290
Pipecolic acid: Rh 0.032%ZO308
Propanol, N: RhZO305
Propionaldehyde: RhZO305
Protease: RhZO125
Pulegole, iso, neo: Rh EOZO195
Rose oxide, cis: RhZO144
Rose oxide, trans: RhZO144
Rosefuran: Rh EO 0.18%ZO290
Sabinene: RhZO305
Santalol, 􀁅: Rh EO 16.20%ZO140
Selina-3-7(11)-diene: Rh EO 0.13%ZO290
Selinen-4-ol, cis: RhZO295
Selinene, 􀁄: Rh EOZO195
Selinene, 􀁅: Rh EOZO195
Serine: Aer, Tu ZO247
Sesquiabinene, cis, hydrate: Rh EOZO195
Sesquiphellandrene: Rh EOZO195
Sesquiphellandrene, 􀁅: Rh EOZO122
Sesquiphellandrol, 􀁅: RhZO175
Sesquiphellandrol, 􀁅, cis: Rh EOZO088
Sesquiphellandrol, 􀁅, trans: Rh EO 0.72%ZO290
Sesquisabinene, cis, hydrate: RhZO089
Sequiterpene hydrocarbon: Rh EOZO195
Sesquithujene: RhZO089
Shikimic acid: LfZO086
Shogaol: RhZO230
Shogaol, 10: Rh 73.5ZO147
Shogaol, 10, cis: RhZO269
Shogaol, 10, dehydro: Rh 0.031ZO085
Shogaol, 10, methyl, anti: RhZO269
Shogaol, 10, methyl, syn: RhZO269
Shogaol, 10, trans: RhZO269
Shogaol, 12, cis: RhZO269
Shogaol, 12, trans: RhZO269
Shogaol, 6: Rh 278.5-400ZO147,ZO198
Shogaol, 6, cis: RhZO269
Shogaol, 6, methyl: RhZO098
Shogaol, 6, methyl, anti: RhZO269
Shogaol, 6, methyl, syn: RhZO269
Shogaol, 6, trans: RhZO269
Shogaol, 8: Rh 48-130ZO147
Shogaol, 8, cis: RhZO269
Shogaol, 8, dehydro: Rh 0.046ZO085
Shogaol, 8, methyl, anti: RhZO269
Shogaol, 8, methyl, syn: RhZO269
Shogaol, 8, trans: RhZO269
Starch: Rh 12.3%ZO231
Sulfide, ethyl iso-propyl: RhZO305
Sulfide, methyl allyl: RhZO305
Terpine, 1-8, hydrate: RhZO295
Terpinen-4-ol: RhZO144
Terpinene, 􀁄: Rh EO 0.07%ZO290
Terpinene, 􀁊: Rh EOZO195
Terpineol, 4: RhZO295
Terpineol, 􀁄: Rh EO1.00%ZO290
Terpinolene: Rh EO 0.18%ZO290
Threonine: Aer, TuZO247
Thujone, 􀁅: Rh EOZO195
Tricyclene: Rh EO 0.23%ZO290
Undecan-2-ol: Rh EO 0.05%ZO290
Undecan-2-one: Rh EOZO121
Undecanone, N: Rh EOZO229
Uridine: Rh 11ZO084
Valeraldehyde, iso: RhZO305
Valine: Aer, TuZO247
Xanthorrhizol: Rh EO 0.10%ZO290
Ylangene, 􀁄: RhZO295
Zerumbodienone: RhZO145
Zingerberone: EOZO068
Zingerone: RhZO176, Rt EOZO225
Zingibenene, 􀁄: Rh EO 9.2%ZO290
Zingiberene: Rh 0.06%ZO181, Rt EOZO087
Zingiberene, 􀁄: Rh EO 44.26%ZO140
Zingiberenol: RhZO089
Zingiberine: RtZO173
Zingiberol: Rh EO 0.29%ZO140
Zingiberone: Rh 0.04%ZO307



CONSTITUENTS (Barnes, J. A et al., 2007)
The following is compiled from several sources, including Reference 1 and General References G2 and G6.
          Carbohydrates Starch (major constituent, up to 50%).
          Lipids 6–8%. Free fatty acids (e.g. palmitic acid, oleic acid, linoleic acid, caprylic acid, capric acid, lauric acid, myristic acid, pentadecanoic acid, heptadecanoic acid, stearic acid, linolenic acid, arachidic acid);(2) triglycerides, phosphatidic acid, lecithins; gingerglycolipids A, B and C.(3)
          Oleo-resin Gingerol homologues (major, about 33%) including derivatives with a methyl side-chain,(4) shogaol homologues (dehydration products of gingerols), zingerone (degradation product of gingerols), 1-dehydrogingerdione,(5) 6-gingesulfonic acid(3) and volatile oils.
          Volatile oils 1–3%. Complex, predominately hydrocarbons. b- Bisabolene and zingiberene (major); other sesquiterpenes include zingiberol, zingiberenol, ar-curcumene, b-sesquiphellandrene, bsesquiphellandrol (cis and trans); numerous monoterpene hydrocarbons, alcohols and aldehydes (e.g. phellandrene, camphene, geraniol, neral, linalool, d-nerol).
          Other constituents Amino acids (e.g. arginine, aspartic acid, cysteine, glycine, isoleucine, leucine, serine, threonine and valine), protein (about 9%), resins, diterpenes (galanolactone),(6) vitamins (especially nicotinic acid (niacin) and vitamin A), minerals.(2) The material contains not less than 4.5% of alcohol (90%)- soluble extractive and not less than 10% of water-soluble extractive.(G15)

PRODUCT AVAILABILITY (Linda, S R. 2010)
Capsules, dried root, extract, fresh root, powder, tablets, tea, tincture

DOSAGES (Linda, S R. 2010)
Ginger may be standardized to its volatile oil (4%) or essential oil (8%).
General Use
• Adult PO dried ginger capsules: 1 g/day (McCaleb et al, 2000)
• Adult PO dried root equivalent: 500 mg bid-qid (Mills, Bone, 2000)
• Adult PO fl uid extract: 0.7-2 ml/day (1:2 dilution) (Mills, Bone, 2000)
• Adult PO fresh root equivalent: 500-1000 mg tid (Mills, Bone, 2000)
• Adult PO tablets/caps: 500 mg bid-qid (Mills, Bone, 2000)
• Adult PO tincture: 1.7-5 ml/day (1:5 dilution) (Mills, Bone, 2000)
Migraine
• Adult PO dried ginger: 500 mg qid
• Adult PO extract: 100-200 mg, standardized to 20% ginerol and shogol
• Adult PO fresh ginger: 10 g/day (1⁄4-inch slice) (Murray, Pizzorno, 1998)
Motion Sickness and Morning Sickness Prevention
• Adult PO extract: 100-200 mg, standardized to 20% ginerol and shogol
• Adult PO powder: 1-2 g 1⁄2-1 hr before traveling or upon arising
• Adult PO tea, dried root: 11⁄2 tsp ground dried root in 1 cup water, boil 5-10 min, drink prn
• Adult PO tea, fresh root: 1 tsp fresh root in 1 cup water, infuse 5 min, drink prn
Rheumatoid Arthritis
• Adult PO extract: 100-200 mg, standardized to 20% ginerol and shogol (Murray, Pizzorno, 1998)
• Adult PO fresh ginger: 8-10 g/day (Murray, Pizzorno, 1998)
Sore Throat
• Adult PO fresh root tea: 1 tsp fresh root in 1 cup water, infuse 5 min, gargle prn (Murray, Pizzorno, 1998)
General Use (Pediatric)
• Child PO ginger root tea: 1⁄4-1 cup prn (Romm, 2000)
• Child PO tincture: 5-25 drops in water prn (Romm, 2000)

DOSAGE/PREPARATIONS (Longe, J. L. 2005)
Ginger is used in teas, ginger ale, ginger beer, capsules, broths, and as a spice when cooking Asian and Jamaican dishes. Ginger tea for coughs, nausea, digestion, and arthritis can be made by adding 2 tsp (10 ml) of freshly grated root or powdered root to 1 cup (250 ml) of boiling water and steeping for 10 minutes. A cup of the ginger tea, while still warm, should be sipped every 2- 2.5 hours.
A compress for arthritic pain can be made by grating an unpeeled ginger root in a clockwise direction, then tying it in a moistened muslin cloth, dropping it in a pot of boiling water, and letting it simmer. When the broth is removed from the stove, a cotton cloth is dipped into the broth and the excess moisture squeezed into the pot. While lying flat on the back, the person places the cloth on the aching body part. The broth can also be added to the bath for soaking.
Ginger comes in 250–500 mg capsules of dried ginger root. One to 2 grams of dry powered ginger equals about 1/3 oz of fresh ginger (10 g). A cup of ginger tea contains 250 mg; an 8 oz glass of ginger ale contains 1,000 mg, and a spiced dish contains 500 mg. To prevent motion sickness, German health authorities recommend 2–4 g of powdered ginger daily. Another recommended dose is 250 mg four to six times a day.
To bring more blood circulation to arthritic joints, one to two capsules (250 mg each) per day are recommended initially. If results are good, the amount can be increased to six per day, taken between meals.
Ginger can be taken with onions and garlic. These agents work in harmony to stimulate the pancreas and decrease cholesterol.
As a blood thinner, two 250 mg capsules of ginger can be taken between meals up to three times a day.

DOSAGE (Barnes, J et al., 2007)
Dosages for oral administration (adults) for traditional uses recommended in standard herbal reference texts are given below.
Anti-emetic
Powdered rhizome Single dose of 1–2 g,(G6) 30 minutes before travel for prevention of motion sickness,(G52) or 0.5 g, two to four times daily.(G63)
Other uses
Powdered rhizome 0.25–1 g, three times daily.(G6)
Tincture 1.5–3mL (1 : 5) three times daily,(G6) 1.7–5mL daily.(G50)

DOSAGE AND DURATION OF USE (Kraft and Hobbs. 2004 )
Internal use: Daily dose: 24 g dried or fresh rhizome.
          Tea: Simmer 0.51 g of the dried or fresh, sliced or coarsely powdered rhizome in a covered pot for 15 minutes, then pass through a tea strainer (1 teaspoon = ca. 3 g drug).
          As an antiemetic: Take 2 g of the freshly powdered rhizome in fluids.
          One dose equals 0.31.5 g herb.
External use: A compress of warm ginger tea for contusions and arthritis pain (see p. 309).

HERE IS WHAT I RECOMMEND (Al Sears. 2016)
Here are some ways to get your daily doses:
          Stir fry food with it: It’ll add an invigorating taste to any meat and vegetable dish. Sprinkle some grated ginger on top for even more great flavor.
          Supplement: Most pharmacies or health food stores sell ginger powder in pills or capsules. Look for an extract with 5% gingerols.
I like to take my ginger supplement in liquid form.
You can also:
          Use a ginger compress on painful areas: It’ll stimulate blood flow and ease achy joints.
          Use it to relieve heartburn: Add one-half teaspoon of freshly grated ginger root to a cup of hot water. Let the ginger steep for 10 minutes. Strain the ginger and drink.
          Soothe a stomach ache: Drink ginger tea, or ginger ale (made with real ginger), to sooth an upset stomach.
          Antiviral: Ginger is also an antiviral and can help you recover from viral infections.
Lelir makes a simple tea from ginger that’s helpful for your stomach and to cure a headache. It’s refreshing and easy to prepare.
          For each serving, peel about 1 inch of fresh ginger root.
          Crush the peeled root with a mortar and pestle.
          Place the crushed root in a cup and add 8 oz of hot water.
          Steep until cool enough to drink, then strain off the liquid.
          Drink hot or cold, adding honey to taste.
Here’s a ginger tea recipe I use:
          Boil 4 cups of water in a saucepan.
          Peel a 2-inch piece of fresh ginger root and slice it into thin slices.
          Add the ginger to the boiling water.
          Cover it, reduce the heat, and let it simmer for 15-20 minutes.
          Strain the tea. Add honey and lemon.

PHARMACOLOGICAL ACTIVITIES AND CLINICAL TRIALS (Ross, I. A. 2005)

Adrenocorticotropic hormone induction. Dried rhizome, in a mixture of 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Zizyphus inermis, 3 g Panax ginseng, and 2 g Glycyrrhiza glabra, increased plasma adrenocorticotropic hormone (ACTH) level in plasma relative to controls. The increase was not found in adrenalectomized or dexamethasone-treated animalsZO283.
Acyl-coenzyme A cholesterol acyltransferase inhibition. Decoction of the dried rhizome, administered intragastrically to mice at a dose of 1.2 g/kg, inhibited the incorporation of oleic acid into cholesteryl oleate. The study was conducted with prescription know as shosaikoto, which consists of Bupleurum falcatum Bupleurum falcatum (Rt), Scutellaria baicalensis Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO111.
Alanine aminotransferase inhibition. Decoction of dried rhizome, taken orally by human adults of both sexes at a dose of 7.5 g/day for 6 months, was active on 80 patients with hepatitis B antigen-positive chronic hepatitis. The study was conducted with a prescription that consists of B.upleurum falcatum Bupleurum falcatum (Rt), Scutellaria baicalensis Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO123.
Allergenic effect. A food industry worker developed asthma in inhalation of dust from spices. Skin prick test from ginger was strongly positive. With radioallergosorbent test (RAST), specific immunoglobulin (Ig) E antibodies could be demonstrated in the serum. Leukocytes from a normal donor, after passive sensitization with serum from the patient, released a substantial (􀁴50%) amount of histamine on challenge with ginger indicating an IgE-mediated allergy toward gingerZO058.
Analgesic activity. Ethanol (80%) extract of the rhizome, administered intragastrically to rats at a dose of 100 mg/kg, was inactive vs writhing-induced by acetic acid injectionZO292. Hydroalcoholic extract of the dried rhizome, administered intragastrically to mice at a dose of 200 mg/kg, was active vs hot-plate method, tail flick response to radiant heat, and capsaicin-induced algesia and produced weak activity vs acetic acidinduced writhing and formalin-induced algesiaZO093. Rhizome juice, administered intragastrically to mice at a dose of 199.8 mg/animal, was active vs tail flick response to radiant heat. The activity produced was equivalent to 10 mg/kg body weight of aspirinZO110. Decoction of the dried rhizome, administered intragastrically to mice at a dose of 1.2 g/kg on days 1–7, was active vs hot-plate method. A dose of 300 mg/kg on days 1–8 was active vs cold stress-induced hyperalgesia, and a dose of 100 mg/kg on days 1–22 was active vs adjuvant-induced hyperalgesia. A mixture of Cinnamomum cassia (Bk), Zingiber officinale (Rz), Glycyrrhiza glabra (Rt), Zizyphus jujuba (Fr), Ephedra sinica (St), Asarum species (Rt), and Aconitum species (Rt) was usedZO199. Methanol (50%) extract of the rhizome, administered subcutaneously to mice at a dose of 10 g/kg, was active vs inhibition of acetic acidinduced writhing and inactive vs hot-plate method. A dose of 3 g/kg was inactive vs inhibition of acetic acid-induced writhingZO237. Water extract of the dried rhizome, in combination with Bupleurum falcatum, Scutellaria baicalensis, Paeonia alba, Rheum tanguticum, Citrus aurantium, Pinellia ternata, and Zizyphus inermis, administered by gastric intubation to mice at a dose of 200 mg/kg, was active vs acetic acid-induced writhing and pressure pain threshold testZO323.
Anesthetic activity. Hot water extract of the rhizome, at a concentration of 1%, was active on the sciatic nerveZO220.
Angiotensin-ll inhibition. Methanol extract of the rhizome, at a concentration of 200 􀁐g/mL, was inactive on rat liver membraneZO324.
Anthelmintic activity. Saline extract of the dried rhizome, at a concentration of 2.5%, was 100% effective on Anisakis species larvaeZO143.
Anti-5-hydroxytryptamine effects. Galanolactone, a diterpenoid and one of the active constituents of ginger, was investigated on the guinea pig ileum, rat stomach fundus, and rabbit aortic strips. In the guinea pig ileum, galanolactone inhibited contractile responses to 5-hydroxytryptamine with a pIC50 value of 4.93. The concentrationresponse curve of 5-hydroxytryptamine was shown as a biphasic curve, and galanolactone produced a selective shift to the right of the second phase. In the same preparations, the pIC50 value of galanolactone against the response to carbamylcholine was 4.45. The inhibitory effect of galanolactone on the 5-hydroxytryptamine responses in the stomach fundus and aortic strips was less than that in the ileum. In addition, in the thoracic aorta precontracted with 50 mM K+, the relaxing effect of galanolactone was approx 10% of that of papaverineZO039.
Anti-allergenic activity. Hot water extract of the of the dried rhizome, administered by gastric intubation to mice at a dose of 100 mg/kg, was inactive vs type IV reaction with contact dermatitis induced by picryl chloride and type I reaction induced by antidinitrophenylated ascaris-IgE serum in 48 hours homologous PCA in rats. Dosing was immediately before and 16 hours after challenge. The extract, in a mixture of Pinellia ternata (Tu), Bupleurum falcatum (Rt), Pachyma hoelen (Rt), Scutellaria baicalensis (Rt), Panax ginseng (Rt), Glycyrrhiza glabra (Rt), Zizyphus vulgaris (Fr), Magnolia officinalis (Bk), and Perilla frutescens (Pl) in ratios 9:4:3:2:1.5:1.5:1.5:1.5:1.5:1, was active vs type IV reaction with contact dermatitis induced by picryl chloride and inactive vs type I reaction induced by antidinitrophenylated ascaris-IgE serum in 48 hours homologous passive cutaneous anaphylaxis (PCA) in rats. The results were significant to p < 0.05 level. A mixture of Bupleurum falcatum (Rt), Pinellia ternata (Tu), Scutellaria baicalensis (Rt), Panax ginseng (Rt), Glycyrrhiza glabra (Rt), Zizyphus vulgaris (Fr), and Zizyphus bulgaris (Rh) (8:8:3:3:3:3:1), was inactive vs type IV reaction with contact dermatitis induced by picryl chloride and active vs type I reaction induced by antidinitrophenylated ascaris- IgE serum in 48 hours homologous PCA in ratsZO240.
Anti-amoebic activity. Ethanol (80%) extract of the dried rhizome was inactive on Entamoeba histolytica, minimum inhibitory concentration (MIC) greater than 1 mg/ mLZO136. The extract, administered intragastrically to male hamsters at a dose of 800 mg/kg, was active vs experimentally induced hepatic amebiasisZO105. A dose of 250 mg/kg, administered intragastrically to rats on days 1–5, produced weak activity and a dose of 500 mg/kg was activeZO136.
Anti-atherosclerotic activity. Ethanol (50%) extract of the dried rhizome, administered intragastrically to male rabbits at a dose of 500 mg/kg, reduced atherogenic index from 4.7 to 1.2 on the aortaZO091.
Antibacterial activity. Decoction of the dried entire plant, on agar plate, was inactive on Proteus vulgaris, Staphylococcus aureus, and Staphylococcus epidermidis; MIC 125 mg/mL. Bacillus subtilis, Bordetella bronchiseptica, Sarcina lutea, and Pseudomonas aeruginosa; MIC 250 mg/mL. The decoction produced weak activity on Bacillus cereus and Micrococcus flavus; MIC 31.25 mg/mLZO287. The essential oil, on agar plate at room temperature, was active on Lactobacillus acidophilus and inactive at 37􀁱C. The treatment was inactive on Bacillus cereus. No difference was observed in antibacterial activity at room temperature (25–30oC) or at 37oC. Acetone extract of the dried leaf, on agar plate, was active on Escherichia coli, Pseudomonas aeruginosa, Salmonella B, Salmonella typhi, Sarcina lutea, and Shigella flexneri and inactive on Salmonella newport, Serratia marcescens, Staphylococcus albus, and Staphylococcus aureus. Ethanol (95%) extract of the dried leaf on agar plate was inactive on Escherichia coli, Pseudomonas aeruginosa, Salmonella B, Salmonella newport, Salmonella typhi, Sarcina lutea, Serratia marcescens, Shigella flexneri, Staphylococcus albus, and Staphylococcus aureus. The water extract was active on Escherichia coli, Pseudomonas aeruginosa, and Shigella flexneri and inactive on Salmonella B, Salmonella newport, Salmonella typhi, Sarcinia lutea, Serratia marcescens, Staphylococcus albus, and Staphylococcus aureusZO296. The leaf essential oil was active on Staphylococcus aureus and inactive on Escherichia coli and Pseudomonas aeruginosaZO222. Ethanol (80%) extract of the rhizome, on agar plate at a concentration of 50 􀁐g/disc was active on Bacillus anthracis, Bacillus subtilis, Escherichia coli (strains 7075 and BB), Proteus mirabilis, Pseudomonas aeruginosa, Salmonella typhi (strain H), Staphylococcus aureus, Staphylococcus epidermidis, and Staphylococcus haemolyticusZO292. Decoction of the rhizome, on agar plate, was inactive on Streptococcus mutans, MIC 250 mg/mLZO189. Water extract of the rhizome, on agar plate at a concentration of 5 mg/mL, was inactive on Helicobacter pyloriZO167. Powdered-dried rhizome, in broth culture at a concentration of 4.5%, was inactive on Yersinia enteroliticaZO325. Ethanol (90%) extract of the dried rhizome, on agar plate at a concentration of 500 mg/disc, produced weak activity on Bacillus subtilis, Escherichia coli, Streptococcus aureus, and Streptococcus faecalisZO318. Hot water extract of the dried rhizome, on agar plate at a concentration of 50 mg/disc, was inactive on Salmonella typhimurium TA100 and TA98ZO326.
Antibody formation enhancement. Decoction of the dried rhizome, in cell culture at a concentration of 100 􀁐g/mL, was active. Peripheral lymphocytes from eight patients with chronic active hepatitis, four with hepatits B e antigen (HbeAg) and four with anti-Hbe, were cultured. Anti-hepatits B cove (HBc) and anti-Hbe  antibodies produced by HbcAg stimulation were enhanced by the treatment, which consisted of Zingiber officinale (Rh), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), P. ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO108. The decoction was also active on peripheral blood monocytes from healthy adults treated with pokeweed mitogen. The treatment enhanced plaque cell formation in response to sheep red blood cellsZO123.
Anticathartic effect. Acetone extract of ginger, administered orally to rats at a dose of 75 mg/kg, significantly inhibited 5-hydroxytryptamine- induced diarrhea. To clarify the active constituents responsible, extract was fractionated into four fractions by silica gel chromatography. Fractions two and three, which were effective,were further purified and [6]-shogaol, [6]-dehydrogingerdione, and [8]- and [10]-gingerol had an anticathartic action. [6]-shogaol was more potent than [6]-dehydrogingerdione and [8]- and [10]-gingerolZO041.
Anticholesterolemic activity. Ginger, administered orally to rats, significantly elevated the activity of hepatic cholesterol-7􀁄-hydroxylase, the rate-limiting enzyme of bile acid biosynthesis. The results indicated that ginger could stimulate the conversion of cholesterol to bile acids, an important pathway of elimination of cholesterol from the bodyZO040. Standardized ginger extracts were evaluated for their effects on the development of atherosclerosis in apolipoprotein E (apo E)-deficient mice, in relation to plasma cholesterol levels and resistance of the low-density lipoprotein (LDL) to oxidation and aggregation. Sixty apo E-deficient mice, 6 weeks of age, were divided into three groups of 20 each and administered via the drinking water the following treatment for 10 weeks: group 1, placebo (control group); 1.1% alcohol; group 2, 25 􀁐g of ginger extract in 1.1% alcohol; and group 3, 250 􀁐g of ginger extract in 1.1% alcohol. Aortic atherosclerotic lesion areas were reduced 44% (p < 0.01) in mice that consumed 250 􀁐g of extract/day. It also resulted in reductions (p < 0.01) in plasma triglycerides and cholesterol by 27 and 29%, respectively, in very low-density lipoprotein (VLDL) by 36 and 53%, respectively, and in LDL by 58 and 33%, respectively. These results were associated with a 76% reduction in cellular cholesterol biosynthesis rate in peritoneal macrophages derived from the apo E-deficient mice that consumed the high dose. Peritoneal macrophages harvested from apo E-deficient mice after consumption of 25 or 250 􀁐g of the extract daily had a lower (p < 0.01) capacity to oxidize LDL (45 and 60%, respectively) and to take up and degrade oxidized LDL (43 and 47%, respectively). Consumption of 250 􀁐g of ginger also reduced (p < 0.01) the basal level of LDL-associated lipid peroxides by 62%. In parallel, a 33% inhibition (p < 0.01) in LDL aggregation (induced by vortexing) was obtainedZO015. Ethanol (50%) extract of the dried rhizome, administered intragastrically to male rabbits at a dose of 500 mg/kg, reduced total cholesterol and LDL cholesterol in cholesterol-fed animalsZO091.
Anticonvulsant activity. Hot water extract of the rhizome, at a concentration of 0.15%, was active vs inhibition of Metrazol-induced bursting of snail neuronsZO218. Decoction of the dried rhizome, taken orally by human adults at a concentration of 4 g/person, was active. The study involved 24 patients with frequent uncontrollable epileptic seizures. The treatment resulted in six cases that were well controlled (no seizure 10 months), 13 that were improved (marked decrease or grand mal was eliminated), and three that showed no effect. No patients had their condition worsen. The treatment also contained Bulleurum falcatum (Rt), Cinnamomum cassia (Bk), Paeonia albiflora (Rt), Glycyrrhiza glabra var. glandulifera (Rt), Panax ginseng (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), and Zizyphus jujuba (Fr)ZO249. Water extract of the dried rhizome, administered by gastric intubation to mice at a dose of 4 g/kg, was active vs supramaximal electroshock-induced convulsions and audiogenic seizures and inactive vs strychnine- and pentlenetetrazide-induced convulsions. The results significant were at p < 0.05 level. The extract was used in combination with Glycyrrhiza glabra, Panax ginseng, Scutellaria baicalensis, Zizyphus jujuba, Pinellia ternata, Bulleurum falcatum, Cinnamomum cassia, and Paeonia albifloraZO250. Decoction of Zingiber officinale, Glycyrrhiza glabra, Panax ginseng, Scutellaria baicalensis, Zizyphus jujuba, Pinellia ternata, Bupleurum falcatum, Cinnamomum cassia, and Paeonia albiflora, administered intragastrically to mice at a dose of 1 mg/kgZO208 and intravenously to rats at a dose of 1 mg/kgZO210, was active vs metrazole-induced convulsions. Water extract of Bupleurum falcatum, Scutellaria baicalensis, Paeonia alba, Rheum tanguticum, Citrus aurantium, Pinellia ternata, Zingiber officinale, and Zizyphus inermis, administered by gastric intubation to mice at a dose of 800 mg/kg, was inactive vs strychnine-and picrotoxin-induced convulsions and active vs caffeine-induced convulsionsZO323.
Anticrustacean activity. Ethanol (95%) extract of the dried rhizome was active on Artemia salina, lethal dose (LD)50 100 􀁐g/mLZO327.
Antidiarrheal activity. Decoction of the dried rhizome, taken orally by children, was active. Infantile diarrhea was treated with kexieding capsule composed of 5 plant materials, including roasted ginger, clove, and fruit peel of Punica granatum. Of the 234 infants and 71 children treated, 281 (92%) were cured in 1–3 days and 9 (3%) were significantly improved. The total effective rate was 95%ZO206. Water extract of the dried rhizome, administered by gastric intubation to mice at a dose of 0.5 mg/g, was active vs castor oil-induced diarrheaZO328.
Anti-edema activity. Methanol extract of the rhizome, applied topically to mice at a dose of 2 mg/ear, was active vs 12-Otetradecanoyl- 13-acetate-induced ear inflammation. The inhibition ratio was nineZO118.
Anti-emetic effect. Patients scheduled to have gynecological diagnostic laparoscopy as day cases were randomly allocated into placebo, droperidol, ginger, and ginger plus droperidol groups to receive either 2 g of ginger or 1.25 mg droperidol or both. There were no significant differences in the incidences of postoperative nausea, which were 32, 20, 22, and 33%; and vomiting, which were 35, 15, 25, and 25% in the four groups, respectivelyZO025. In a double-blind, randomized, controlled trial in 108 ASA 1 or 2 patients undergoing gynecological laparoscopic surgery under general anesthesia, the efficacy of ginger for the prevention of postoperative nausea and vomiting was studied. The patients received oral placebo, ginger BP 0.5 g, or ginger BP 1 g, all with oral diazepam premedication, 1 hour before surgery and were assessed at 3 hours postoperatively. The incidence of nausea and vomiting increased slightly but not significantly with increasing dose of ginger. The incidence of moderate or severe nausea was 22, 33, and 36%, whereas the incidence of vomiting was 17, 14, and 31% in groups receiving 0.5 and 1 g ginger, respectivelyZO028. Water extract of the dried rhizome, administered intragastrically to male rats at a dose of 50 mg/kg, was active. The dose blocked the lithium chloride-induced conditioned place aversion, indicating antiemetic activity comparable with metoclopramide. A mixture of 50% ginger, 20% gingko, and 30% water was usedZO142. Powdered-dried rhizome, taken orally by human adults at a dose of 1 g/person, was active in a double-blind, placebocontrolled study on nausea in 120 patients undergoing gynecological laparoscopic same-day surgeryZO120. Rhizome, administered orally to female human adults at a dose of 1 g/day, was active in a crossover study in 27 women suffering from hyperemesis gravidarum. The patients received 250 mg of ginger powder or placebo four times daily for 4 days. Sickness was assessed using a symptom score. The results suggested a significantly (p < 0.05) greater symptomatic benefit after administration of ginger compared with placebo. In a randomized, double-blind controlled clinical study, 60 women received 1 g of rhizome per day. The patients were allocated randomly to receive ginger, 10 mg metoclopramide, or placebo as a single dose given with preoperative medication. The severity of postoperative nausea was assessed on a four-point scale. The incidence of nausea during the first 24 hours after surgery was 28%, 30%, and 51% in the ginger, metoclopramide, and placebo, respectively. A statistically significant (p < 0.05) difference in favor of ginger compared with placebo was reported for the total number of incidents of nausea. In a study of 120 patients, the rhizome, metoclopramide, and placebo were given 1 hour before surgery and the incidence of nausea and vomiting was 21%, 27%, and 41% in the ginger, metoclopramide, and placebo groups, respectively. Significantly fewer patients with nausea were reported in the ginger group compared with the placebo groupZO072. The rhizome, taken orally by pregnant human adults at a dose of 1 g/day in a double-blind randomized, crossover study, was more effective than placebo in diminishing or eliminating emesis during pregnancyZO329. Acetone extract of the dried rhizome, administered intragastrically to dogs of both sexes at a dose of 200 mg/kg, was active vs cisplatin-induced emesis and inactive vs apomorphine-induced emesis. The water extract was inactive vs cisplatin-induced emesisZO330.
Antifungal activity. 6-Dehydrozingerone isolated by steam distillation from fresh rhizome exhibited antifungal activity against Rhizoctonia solani, effective concentration (EC)50 86.49 mg/LZO005. The essential oil, on agar plate, was active on Aspergillus niger at 37oC and inactive at room temperature. The undiluted essential oil was active on Alternaria species, Aspergillus candidus, Aspergillus flavus, Aspergillus fumigatus, Aspergillus nidulans, Aspergillus niger, Cladosporium herbarium, Cunninghamella echinulata, Helminthosporium sacchari, Microsporum gypseum, Mucor mucedo, Penicillium digitatum, Rhizopus nigricans, Trichophyton rubrum, and Trichothecium roseum and inactive on Fusarium oxysporumZO113. Acetone and ethanol (95%) extracts of the dried leaf, on agar plate at a concentration of 50%, were active on Neurospora crassa. The water extract, at a concentration of 50%, was inactiveZO252.
Antigen expression. Decoction of the rhizome, in cell culture at a concentration of 100 􀁐g/mL, was active on lymphocytes from patients who were human immunodeficiency virus (HIV)-positive asymptomatic and had acquired immunodeficiency syndrome (AIDS). The study was conducted with a prescription that contained  Bupleurum falcatum (Rt), Zingiber officinale (Rh), Scutellaria baicalensis (Rt), Pinellia ternata(Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO204.
Antihepatotoxic activity. Hot water extract of the rhizome, administered by gastric intubation to rats at dosages of 100 and 400 mg/kg, was active vs CCl4-induced hepatotoxicity. Methionine (100 mg/kg) was added to the 100 mg/kg dose. The treatment also consisted of Bupleurum falcatum (Rt), Scutellaria baicalensis(Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO267. Ethanol (50%) and water extracts of the dried rhizome, in cell culture at a concentration of 1 mg/mL, were inactive on hepatocytes vs complement-mediated cytotoxicityZO190. Hot water extract of the dried rhizome, administered intragastrically to mice for 1 month, was active vs CCl4-induced hepatotoxicity. The test agent consisted of 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 2 g Glycyrrhiza glabra, 1 g Zingiber officinale, 3 g Panax ginseng, and 3 g Zizyphus jujuba in 100 mL waterZO185. Hot water extract of the dried rhizome, administered intraperitoneally to rats at a dose of 200 mg/kg, was active vs D-galactosamineinduced hepatotoxicity. A mixture of 5 g Bupleurum falcatum, 4 g Pinellia ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Zizyphus inermis, 3 g Paeonia albiflora, 2 g Citrus aurantium, and 1 g Rheum species was used. A mixture of 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Zizyphus inermis, 3 g Panax ginseng, and 2 g Glycyrrhiza glabra, suppressed hyaline degeneration of liver induced by D-galactosamineZO282. Methanol extract of a mixture of Machilus and Alisma species, Amomum xanthiodes, Bulboschoenus maritimus, Artemisia iwayomogis, Atractylodes japonica, Crataegus cuneata, Hordeum vulgare, Citrus sinensis, Polyporus umbellatus, Agastache rugosa, Raphanus sativus, Poncirus trifoliatus, Curcuma zedoaria, Citrus aurantium, Saussurea lappa, Glycyrrhiza glabra, and Zingiber officinale, administered by gastric intubation to rabbits at a dose of 0.5 g/kg, was active vs CCl4-induced hepatoxicityZO331.
Antihypercholesterolemic activity. Oleoresin, administered orally to rats, was active vs cholesterol-primed animalsZO217. Ethanol (95%) extract of the dried rhizome, administered intragastrically to male rabbits at a dose of 200 mg/kg, was active vs cholesterolfed animalsZO104.
Antihyperglycemic activity. Rhizome ash, administered intragastrically to albino rats at doses of 90 and 250 mg/kg, was inactive vs glucose tolerance tests (GTT)ZO169.
Antihypothermic effect. Acetone extract of ginger, administered orally to rats at a dose of 100 mg/kg, inhibited 5-hydroxytryptamine-induced hypothermia. The active constituent of the extract was further examined. Four fractions were isolated by column chromatography. Fractions 1 and 2 produced significant activity. When fraction 2 was further purified, [6]-shogaol was obtained. A dose of 10 mg/kg, administered orally, also produced inhibition of 5-hydroxytryptamine-induced hypothermiaZO041.
Anti-inflammatory effect. Powdered ginger was evaluated in 56 patients (28 with rheumatoid arthritis, 18 with osteoarthritis, and 10 with muscular discomfort). Among the patients with arthritis, more than 75% experienced, to varying degrees, relief in pain and swelling. All the patients with muscular discomfort experienced relief i pain. None of the patients reported adverse effects during the period of ginger consumption that ranged from 3 months to 2.5 yearsZO036. Ethanol (80%) extract of the rhizome, administered intragastrically to rats at a dose of 50 mg/kg, was active vs edema-induced in the paw by carrageenan injectionZO292. Water extract of the rhizome, administered intragastrically to rats at a dose of 2 g/kg was active vs formalin-induced pedal edemaZO150. Hot water extract of the dried rhizome, administered by gastric intubation to rats at a dose of 1 g/kg, was active vs carrageenan-induced pedal edema and cotton pellet granuloma. A mixture of 8 g Bupleurum species, 3 g Glycyrrhiza glabra, 3 g Zizyphus jujuba, 1 g Zingiber officinale, 3 g Panax ginseng, 8 g Pinellia ternata, and 3 g Scutellaria baicalensis was usedZO259. Dried rhizome in combination with Commiphora mukul, taken orally by 24 patients with rheumatoid arthritis, produced complete relief in 8 patients and partial relief in 7 patientsZO243. Decoction of the dried rhizome, administered intragastrically to rats at a dose of 100 mg/kg on days 1–22, was inactive vs adjuvant-induced arthritis. The decoction was used in combination with Cinnamomum cassia (Bk), Glycyrrhiza glabra (Rt), Zizyphus jujuba (Fr), Ephedra sinica (St), Asiasarum species (Rt), and Aconitum species (Rt)ZO199. Ethyl acetate extract of the dried rhizome, applied externally to the mouse at a dose of 20 􀁐L/animal, produced weak activity vs tetradecanoyl phorbol acetate-induced acetate phospholipid synthesis and 12-O-tetradecanoylphorbol-13-acetate-induced ear inflammation. The hexane extract was equivocalZO095. Hot water extract of the dried rhizome, at variable concentrations, was inactive on the rat red blood cell (RBC) vs resistance of heatinduced hemolysis. A mixture of 6 g Bupleurum falcatum, 4.7 g Pinellia ternata, 2.7 g Scutellaria baicalensis, 3.3 g Zingiber officinale, and 2.7 g Zizyphus inermis was used. The extract, administered by gastric intubation to rats at a concentration of 500 mg/kg for 30 days, reduced swelling 23.2% on day 24 vs adjuvant-induced arthritis. Dosing at 1 hour before and 1 and 2 hours after was inactive vs carrageenan- and dextran-induced pedal edema and inflammation induced by paw immersion in hot water. A mixture of 6 g Bupleurum falcatum, 4 g Pinellia ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Zizyphus inermis, 3 g Paeonia albiflora, 2 g Citrus aurantium, and 1 g Rheum species, administered by gastric intubation at a dose of 500 mg/kg for 30 days, reduced swelling 36% on day 24 vs adjuvant-induced arthritis. When administered 1 hour before and 1 and 2 hours after immersion, reduced swelling by 12.5% vs inflammation induced by paw immersion in hot water, reduced swelling 22.1% after 5 hours after dextran injection vs dextran-induced pedal edema, and was active vs carrageenan- induced pedal edema. A mixture of 5 g Bupleurum falcatum, 1.5 g Glycyrrhiza glabra, 2 g Zizyphus inermis, 2 g Zingiber officinale, 2 g Panax ginseng, 4 g Pinellia ternata, 2 g Cinnamomum cassia, 2 g Paeonia albiflora, and 2 g Scutellaria baicalensis, administered by gastric intubation at a dose of 500 mg/kg 1 hour before and 1 and 2 hours after injection of dextran, reduced swelling 25.5% at 5 hours vs dextran-induced pedal edema and 32.5% on day 24 vs adjuvant-induced arthritis. The treatment was inactive vs inflammation induced by paw immersion in hot water and carrageenan-induced pedal edema. A mixture of 7 g Bupleurum falcatum, 2 g Glycyrrhiza glabra, 3 g Zizyphus inermis, 4 g Zingiber officinale, 3 g Panax ginseng, 5 g Pinellia ternata, and 3 g Scutellaria baicalensis, administered by gastric intubation to rats at a dose of 500 mg/kg, was inactive vs adjuvant-induced arthritis, dextran- and carrageenan-induced pedal edema, and inflammation induced by paw immersion in hot waterZO332. Hot water extract of the dried rhizome, administered intraperitoneally to rats at doses of 100 and 200 mg/kg, were active vs carrageenan-induced pedal edema. The effect was not seen in adrenalectomized ratsZO333. Methanol extract of the dried rhizome, applied topically to mice at a dose of 20 􀁐L/animal, was active vs tetradecanoyl phorbol acetate-induced acetate phospholipid synthesis and 12-O-tetradecanoylphorbol- 13-acetate-induced ear inflammationZO095.
Antimotion sickness effect. Ginger and other medications were compared with scopolamine and d-amphetamine for effectiveness in prevention of motion sickness. The subjects were given the medications 2 hours before they were rotated in a chair until a symptom total short of vomiting was reached. The three doses of ginger administered were all at the placebo level of efficacy. Amitriptyline, ethopropazine, and trihexyphenidyl increased the tolerated head movements, but the increase was not statistically significant. Significant levels of protection were produced by dimenhydrinate, promethazine, scopolamine, and Damphetamine. Efficacy was greatest, as the dose was increasedZO003. Powdered rhizome, taken orally by human adults at a dose of 1 g/person, was active vs seasicknessZO284. A dose of 940 mg/kg was active vs motion sickness in 36 susceptible volunteersZO141. The ground rhizome, taken orally by 80 male adults at a dose of 1 g/day, was active. Those who received the powder suffered less seasickness compared with those who received placebo. The difference was statistically significant, p < 0.05, 4 hours after receiving the treatmentZO072.
Antimutagenic activity. Aqueous highspeed supernatant of the plant juice, on agar plate at a concentration of 0.1 mL/plate, was active on Salmonella typhimurium TA98 vs tryptophan pyrolysate mutagenicity. S9 mix was addedZO273. Infusion of the rhizome, on agar plate at a concentration of 100 􀁐L/disc was inactive on Salmonella typhimurium TA100 and TA98 vs ethyl methanesulfonate and 2-amino-anthracene-induced mutagenicity, respectively. Metabolic activation was not required for activityZO161.
Anti-nauseant effect. The rhizome, taken orally by pregnant women at a dose of 250 mg/person for 4 days, was active. Thirty women participated in the double-blind randomized crossover study of the efficacy of the powdered rhizome in hyperemesis gravidarum. Each participant swallowed a 250 mg capsule containing ginger or lactose four times daily for the first 4 days of treatment. This was interrupted by a 2-day washout period, and the alternative medication was given in the second 4-day period. Two scoring systems evaluated the severity and relief of the symptoms before and after each period. The scores indicated that 70.4% of the participants indicated preference to the period in which ginger was givenZO298.
Anti-nematodal activity. Water extract of the rhizome, at a concentration of 10 mg/mL, was inactive on Toxocara canis. The methanol extract, at a concentration of 1 mg/mL, was activeZO209.
Anti-neurotoxic activity. Hot water extract of the dried rhizome at a concentration of 75 􀁐g/mL, was active vs cytochalasin B-induced neurite distortionZO281.
Anti-osteoarthritic effect. Ginger extract was compared to placebo and ibuprofen in patients with osteoarthritis of the hip and knee in a controlled, double-blind, doubledummy, crossover study with a washout period of 1 week followed by three treatment periods in a randomized sequence, each of 3 weeks’ duration. The ranking of efficacy of the three treatment periods were ibuprofen more than ginger extract greater than placebo for visual analogue scale of pain (Friedman test: 24.65, p < 0.00001) and the Lequesne-index (Friedman test: 20.76, p < 0.00005). In the crossover study, no significant difference between placebo and ginger extract could be demonstrated (Siegel- Castellan test), whereas explorative tests of differences in the first treatment period showed a better effect of both ibuprofen and ginger extract than placebo (p < 0.05). There were no serious adverse events reported during the periods with active medicationsZO020.
Antioxidant effect. Alcohol (50%) extract of the ginger produced significant effect on enzymatic lipid peroxidation. The extract dose-dependently inhibited oxidation of fatty acid and linoleic acid in the presence of soybean lipoxygenase. Ginger, onion and ginger, and garlic and ginger produced cumulative inhibition of lipid peroxidation this exhibiting their synergistic antioxidant activity. The antioxidant activity of the extract were retained even after boiling for 30 minutes at 100􀁱C, indicating that the constituents were resistant to thermal denaturationZO016. The effect of ginger (1%,w/w) on exposure of rats to subchronic malathion (O,O-dimethyl-S-1,2,bisethoxycarbonyl-ethyl phosphorodithioate) was evaluated. Administration of malathion (20 ppm) for 4 weeks increased the malondialdehyde levels in serum, activities of superoxide dismutase, catalase, and glutathione peroxidase in erythrocytes and glutathione reductase and glutathione S-transferase in serum. It decreased the glutathione level in whole blood. Concomitant dietary feeding of ginger significantly attenuated malathion-induced lipid peroxidation and oxidative stress in the rats. The results indicated the possible involvement of free radicals in organophosphate-induced toxicity and highlighted the protective action of gingerZO017. Ginger (1% w/w) significantly lowered lipid peroxidation by maintaining the activities of the antioxidant enzymes superoxide dismutase, catalase, and glutathione peroxidase in rats. The blood glutathione content was significantly increased in ginger-fed rats. Similar effects were also observed after natural antioxidant ascor-bic acid (100 mg/kg, body weight) treatmentZO010. The glucosides, 1-(4-O-􀁅-D-glucopyranosyl-3-methoxyphenyl)-3,5-dihydroxydecane and 5-O-􀁅-D-glucopyranosyl- 3-hydroxy-1-(4-hydroxy-3-methoxyphenyl) decane, incubated with acetone, were hydrolyzed to 6-gingerdiol. Their antioxidative activities were investigated and compared to that of their aglycon, 6- gingerdiol, by a linoleic acid model system and by their 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical-scavenging ability. 1-(4-O 􀁅-D-glucopyranosyl-3-methoxyphenyl)-3,5- dihydroxydecane did not indicate any activity, 5-O-􀁅-D-glucopyranosyl-3-hydroxy- 1-(4-hydroxy-3-methoxyphenyl)decane had as strong activity as the aglycon in both measurementsZO019. Amrita Bindu, a saltspice mixture, with pepper and ginger being the main ingredients, was investigated for its effect in maintaining antioxidant defense systems in blood and liver when exposed to a carcinogenic nitrosamine, N-methyl-N'-nitrosoguanidine (MNNG). The mixture prevented MNNG-induced depletion of the antioxidant enzymes and the scavenger antioxidants glutathione and vitamins A, C, and E. It provides protection against free radical- and reactive oxygen speciesinduced tissue lipid peroxidation and the resultant tissue degenerationZO030. Polyunsaturated fatty acids are vulnerable to peroxidative attack. Protecting from peroxidation is essential to use their beneficial effects in health and in preventing disease. The antioxidants vitamin E, t-butylhydroxy toluene, and t-butylhydroxy anisole inhibited ascorbate/Fe2+-induced lipid peroxidation in rat liver microsomes. Zingerone from ginger-inhibited lipid peroxidation at high concentrations (>150 􀁐M). The inhibition was not affected by the addition of high Fe2+ concentrationZO037. Aqueous high-speed supernatant of the rhizome, at a concentration of 0.04 mL and hot water extract and juice at concentration of 0.02 mL, was activeZO073. Methanol extract of the rhizome, administered intragastrically to mice at a dose of 0.16 g/kg, was active vs ethanol-induced lipid peroxidation in the mouse liverZO182.
Antioxytocic effect. Water extract of the dried rhizome, at a concentration of 0.01 g/ mL, produced weak activity on the rat uterus vs oxytocin-induced contractionsZO328.
Antipyretic activity. Ethanol (80%) extract of the rhizome, administered intragastrically to rats at a dose of 100 mg/kg, was active vs hyperthermia induced by yeast injectionZO292. Water extract of a mixture of Bupleurum falcatum, Scutellaria baicalensis, Paeonia alba, Rheum tanguticum, Citrus aurantium, Pinellia ternata, Zingiber officinale, and Zizyphus inermis, administered by gastric intubation to mice and rabbits at a dose of 200 mg/kg, was active vs typhoid vaccineinduced pyrexiaZO323.
Anti-radiation effect. Methanol extract of the dried rhizome, administered intraperitoneally to mice at a dose of 400 mg/kg, was inactive vs soft X-ray irradiation at lethal doseZO334.
Anti-rheumatic effect. Ginger oil, administered orally at a dose of 33 mg/kg to male Sprague–Dawley rats with arthritis induced in the knee and paw by injecting 0.05 mL of fine suspension of dead Mycobacterium tuberculosis bacilli in liquid paraffin (5 mg/mL, produced a significant suppression of both paw and joint swellingZO029. Hot water extract of the dried rhizome, administered intragastrically to female mice at a dose of 20 mg/mL, was active in influenza virus-infected animalsZO099.
Antischistosomal activity. Hot water extract of the dried rhizome, taken orally by human adults at variable dosage levels, was active. A mixture of Rehmannia glutinosa (Rt), Dioscorea batatas (Tu), Dolichos lablab (Sd), Glycyrrhiza uralensis (Rt), Zingiber officinale (Rh), Evodiarutae carpa (Fr), Atractylodes macrocephala (Rh), and Panax ginseng (Rt) was usedZO301.
Antispasmodic activity. Ethanol (95%) extract of the dried rhizome, at a concentration of 200 􀁐g/mL, was active on the guinea pig ileum vs histamine- and barium-induced contractions. The water extract was active vs barium-induced contractions and inactive vs histamine-induced contractionsZO335. The hot water extract, at a concentration of 1 mg/mL, was active vs barium- and acetylcholine (ACh)-induced contractions. A concentration of 3 mg/mL was active vs histamine- induced contractions and on the vas deferens vs norepinephrine-induced contractionsZO336. Water extract of the dried rhizome, in combination with Pinellia ternata, Citrus aurantium, Pachyma hoelen, and Glycyrrhiza glabra, at a concentration of 0.01 g/mL, was active on the guinea pig ileum and rabbit small intestine vs ACh- and barium-induced contractionsZO328. Water extract of a mixture of Bupleurum falcatum, Scutellaria baicalensis, Paeonia alba, Rheum tanguticum, Citrus aurantium, Pinellia ternata, Zingiber officinale, and Zizyphus inermis, administered to mice at a concentration of 1–5 mg/mL, was active vs histamine-induced contractions. A concentration of 10 mg/mL was active vs barium- and Achinduced contractionsZO323.
Anti-tumor activity. Ginger rhizome was investigated for antitumor promoter activity using the short-term assay of inhibition of 12-O-tetradecanoyl phorbol-13-acetate (TPA)-induced Epstein-Barr virus early antigen (EBV-EA) in Raji cells. The inhibition of TPA-induced EBV-EA was detected using the indirect immunofluorescence assay (IFA) and Western blot technique. The indirect IFA detected the expression/inhibition of EBV-EA-D (diffused EA), whereas the Western blot technique detected the expression/inhibition of both EBV-EA-D and EA-R (restricted EA). The rhizome possesses inhibitory activity toward EBV activation, induced by TPA. The cytotoxicity assay was conducted to determine the toxicity of the rhizome extractZO023. Water extract of Zingiber officinale, Bupleurum falcatum, Pinellia ternata, Scutellaria baicalensis, Zizyphus jujuba, Panax ginseng, and Glycyrrhiza glabra, administered by gastric intubation to mice at a dose of 300 mg/kg, was active on Leuk-L1210. Cytarabine or 5-fluorouracil was also administered. Water extract of the dried rhizome, administered intraperitoneally at doses of 100 and 300 mg/kg, in combination with Bupleurum falcatum, Pinellia ternata, Scutellaria baicalensis, Zizyphus jujuba, Panax ginseng, and Glycyrrhiza glabra on days 1 to 10, were inactiveZO268. Ethanol (95%) extract of the dried rhizome, administered intraperitoneally to mice at a dose of 100 mg/kg, was inactive on Sarcoma 180 (ASC)ZO194. Ethanol (90%) extract of the dried rhizome, administered intraperitoneally to mice at a dose of 500 mg/kg, was inactive on CAEhrlich ascites, Sarcoma 180 (ASC), and Leuk-SN36ZO318.
Anti-ulcer effect. Acetone extract of ginger, administered orally to rats with HCl/ethanol-induced gastric ulcers at a dose of 1 g/kg, significantly inhibited gastric lesions by 97.5%. Zingiberene and 6-gingerol, at a dose of 100 mg/kg, also inhibited gastric lesions by 53.6 and 54.5%, respectivelyZO050. Decoctions of dried and roasted ginger were investigated on four experimental gastric ulcer models. The decoction was administered orally at a dose of 4.5 g/kg to rats. The roasted ginger had a significant inhibiting tendency on three gastric ulcer models, except the indomethacin-induced model. The dried ginger had no such effectsZO042. The rhizome, administered to rats at a dose of 150 mg/kg, produced 57.5% inhibition of gastric ulcers induced by HCl and ethanol. The acetone/ethanol extract, at a dose of 500 mg/kg, produced 91.9% inhibition. Butanol extract, at a dose of 285 mg/kg, produced 12.4% inhibition and water extract at a dose of 640 mg/kg, produced 45.8% inhibitionZO079. Acetone and methanol extracts of the dried rhizome, administered intragastrically to rats at a dose of 1 g/kg, were active vs HCl/ethanol-induced ulcers. Chromatographic fraction of the dried rhizome, administered intragastrically to rats at a dose of 40 mg/kg, was active vs HCl/ethanol- induced ulcersZO181. Hot water extract of the dried rhizome, administered by gastric intubation to mice at a dose of 1.766 g/kg, was inactive vs stress induced ulcersZO337. Methanol (50%) extract of the dried rhi zome, administered by gastric intubation to mice at a dose of 10 g/kg, was inactive vs stress-induced (restraint) ulcersZO237. Water extract of the dried rhizome, administered intraperitoneally to rats at a dose of 1 mg/g, was active vs Shay ulcers. The results were significant at p < 0.001 levelZO328. Ethanol (95%) extract of the dried rhizome, administered by gastric intubation to rats at a dose of 500 mg/kg, significantly lowered ulcer index of necrotizing agents (80% ethanol, 0.6% HCl, 0.2 M NaOH, and 25% NaCl), and was active vs aspirin-, indomethacin-, and cold stress-induced ulcers. The extract was inactive vs reserpine- and Shay-induced ulcersZO184. Water extract of the dried rhizome in a preparation containing Atractylodes macrocephala, Amomum species, Magnolia officinalis, Citrus aurantium ssp. nobilis, Pachyma hoelen, Elettaria cardamomum, Panax ginseng, Saussurea lappa, Glycyrrhiza species, and Zizyphus vulgaris, administered intraduodenally to rats at a dose of 1 g/kg, was active vs aspirin-, histamine-, stress- (water immersion), and pylorus ligation-induced ulcersZO338.
Antivertigo effect. Powdered rhizome, administered orally to human adults at a dose of 1 g/person, was active vs seasicknessZO284. Rhizome, administered orally to adults of both sexes at a dose of 1 g/person, was inactive. The treatment was administered 2 hours before the subjects were rotated in a chair making head movement until a symptom short of vomiting was reachedZO183.
Antiviral activity. Aqueous low-speed supernatant of the rhizome, at a concentration of 1% and the rhizome juice, produced strong activity on virus-top necrosisZO172. Decoction of the rhizome together with c at a concentration of 250 􀁐g/mL, was active on HIV-1 and Rauscher murine leukemia viruses. Reverse transcriptase activity was inhibitedZO209. Water extract of the rhizome, in cell culture at a concentration of 10%, was inactive on herpes virus type 2, A2-Virus (Manheim 57), poliovirus II, vaccinia virusZO257, and LPPI virusZO274. Hot water extract of the dried rhizome, in cell culture at a concentration of 500 􀁐g/mL, was inactive on herpes simplex I virus. A dose of 300 mg/ kg, administered intragastrically to female mice, was active on herpes simplex I virusZO138. Hexane extract of the dried rhizome, in cell culture, was active on rhinovirus type 1-B virusZO131. Hot water extract of the dried rhizome, in cell culture at a concentration of 0.5 mg/mL, was inactive on herpes simplex I virus, measles virus, and poliovirus IZO339.
Anti-yeast activity. The essential oil, on agar plate, was inactive on Saccharomyces cervisiaeZO127. Ethanol (95%) extract of the dried rhizome, in broth culture at a concentration of 10%, was inactive on Candida albicans, Candida glabrata, and Candida tropicalisZO340. Ethanol (90%) extract of the dried rhizome, on agar plate at a concentration of 500 mg/disc, was inactive on Candida albicansZO318.
Arachidonate metabolism inhibition. Decoction of the dried rhizome, at a concentration of 0.3 mg/plate, was active on sheep vesicular gland microsomal fractionZO315. Decoction of the dried rhizome, administered intraperitoneally to rats at a dose of 0.74 g/animal, was inactive. Serum from rats fed the decoction was added to sheep vesicular gland microsomal fraction. Arachidonic acid metabolism in gland enzyme mixture was measured. The system was not affected by rat serum lipidsZO315. Hot water extract of the dried rhizome in a mixture containing 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 3 g Panax ginseng, 4 g Zingiber officinale, 3 g Zizyphus vulgaris, and 2 g Glycyrrhiza glabra in 700 mL water, administered intragastrically to mice on days 1–3, was activeZO341. A mixture of Zingiber officinale (Rh), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh), in cell culture, was active on macrophagesZO123.
Aspartate transaminase effect. Decoction of the dried rhizome, taken orally by 80 adults of both sexes with hepatitis B antigen- positive chronic hepatitis at a dose of 7.5 g/day for 6 months, was activeZO123. The treatment consisted of Zingiber officinale (Rh), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO123.
Bacterial stimulant activity. Powdered rhizome, in broth culture at a concentration of 2 g/L, was active on Lactobacillus plantarumZO285.
Barbiturate potentiation. Ethanol (95%) and methanol (75%) extracts of the rhizome, administered intraperitoneally to male mice at a dose of 500 mg/kg, were inactiveZO221. Methanol extract of the rhizome, administered intraperitoneally to mice at a dose of 500 mg/kg on days 1–3, was inactiveZO265. Water extract of the dried rhizome, administered by gastric intubation to mice at a dose of 4 g/kg, was active. A mixture of Zingiber officinale, Glycyrrhiza glabra, Panax ginseng, Scutellaria baicalensis, Zizyphus jujuba, Pinellia ternata, Bupleurum falcatum, Cinnamomum cassia, and Paeonia albiflora was usedZO250. Hot water extract of the dried rhizome, administered by gastric intubation to male mice at a dose of 1 g/kg, was inactive. A mixture of Pinellia ternata (Tu), Magnolia obovata (Bk), Perilla frutescens (Aer), Zibngiber officinale (Rh), and Poria cocos (Fr) (6, 3, 2, 1, and 5 g, respectively) was used. A dose of 2 g/kg was activeZO342. Hot water extract of the dried rhizome, administered by gastric intubation to male mice at a dose of 4 g/kg, was inactiveZO342. Methanol (50%) extract of the dried rhizome, administered subcutaneously to mice at a dose of 10 g/kg, was active and a dose of 3 g/kg was inactiveZO237.
Capillary permeability. Methanol (50%) extract of the dried rhizome, administered subcutaneously to mice at a dose of 10.0 g/ kg, had no effectZO237.
Carcinogenesis inhibition. Decoction of the dried rhizome, in the ration of rats at a concentration of 20% of the diet, was equivocal vs azoxymethane-induced aberrant crypt fociZO343.
Cardiac depressant activity. Hot water extract of the dried rhizome, at a concentration of 3 mg/mL, was active on the guinea pigZO336.
Cardiotonic activity. Gingerol, a constituent of ginger, tested in the guinea pig isolated atrial cells at a concentration of 3 􀁵 10–6 M, produced an increase in the degree and the rate of longitudinal contractions. In the guinea pig left atria, gingerol produced little influence on the action potential, although it increased the contractile force of the atria. The whole-cell patch-clamp experiments showed that the slow inward current was little affected by gingerol in the voltage-clamped guinea pig cardiac myocytes. The measurement of extravesicular Ca2+ uptake of fragmented sarcoplasmic reticulum prepared from canine cardiac muscle in a concentration-dependent mannerZO049. Gingerol, isolated from the rhizome, stimulated the Ca2+-pumping activity of fragmented sarcoplasmic reticulum prepared from the rabbit skeletal and dog cardiac muscles. The extravesicular Ca2+ concentrations of the heavy fraction of the fragmented sarcoplasmic reticulum were measured directly with a Ca2+ electrode to examine the effect. Gingerol, at a concentration of 3–30 􀁐M, accelerated the Ca2+-pumping rate of skeletal and cardiac sarcoplasmic reticulum in a concentrationdependent manner. Gingerol also activated Ca2+-adenosine triphosphatase (ATPase) activities of skeletal and cardiac sarcoplasmic reticulum (EC50, 4 􀁐M). The activation of the Ca2+-ATPase activity was completely reversed by 100-fold dilution with the fresh saline solution. Kinetic analysis of the acti vating effects of gingerol suggests that the activation of sarcoplasmic reticulum Ca2+-ATPase is uncompetitive and competitive regarding Mg. Adenosine triphosphate (ATP) at concentrations of 0.2–0.5 mM and above 1 mM, respectively. Kinetic analysis also suggested that the activation by gingerol in mixed-type with respect to free Ca2+ and this enzyme is activated probably resulting from the acceleration of enzymesubstrate complex breakdown. Gingerol had no significant effect on sarcolemma Ca2+-ATPase, myosin Ca2+-ATPase, actin-activated myosin ATPase and cyclic adenosine monophosphate (cAMP)-phosphodiesterase activitiesZO051.
Cardiovascular effect. [6]-shogaol, administered intravenously to rats at a dose of 0.5 mg/kg, produced a rapid fall in blood pressure, bradycardia, and apnea. There was a marked pressure pressor response in blood pressure that occurred after the rapid fall. A dose of 3.6 􀁐M produced inotropic and chronotropic actions on isolated atria in rats. The effect disappeared by repeated injections or pretreatment of 100 mg/kg administered subcutaneouslyZO054. Intravenous doses of 0.1 to 0.5 􀁐g produced a pressor response in a dose dependent manner. The response was markedly reduced by spinal destruction at the sacral cord level. Norepinephrine (10 􀁐g/kg, intravenously) induced pressor response that was not affected by spinal destruction. In rats in which the spinal cord was destroyed at the thoracic cord level, [6]-shogaol-induced pressor response was reduced by hexamethonium (10 mg/kg, intravenously) and phentolamine (10 mg/ kg, intravenously). When the spinal cord was destroyed at the sacral level, the pressor response was not affected by these blockades. In the hindquarters of rats that were perfused with rat’s blood, [6]-shogaol produced two pressor responses on the perfusion pressure. The first was accompanied by a rise in systemic blood pressure, was reduced by hexamethonium but was not entirely eliminated by phentolamine. The pressure response disappeared with spinal destruction at the sacral cord level. The second response that occurred when the systemic blood pressure regained its original pressure was not affected by hexamethonium, phentolamine, or spinal destruction. Pressor response induced by the injection of [6]-shogaol (10 􀁐g) into the perfusion circuit was not affected by phentolamine and spinal destructionZO056. Ethanol (95%) extract of the rhizome, administered by iv infusion to dogs at a dose of 5 mL/animal at a rate of 1 mL/minute, increased the heart rateZO314.
Cell proliferation inhibition. The rhizome, in cell culture at a concentration of 3.75%, was active on human fibroblastZO096. Decoction of the dried rhizome, at a concentration of 50 􀁐g/mL, produced weak activity on the mouse mesangial cellsZO139.
Chemopreventitive effect. The antitumor promotional activity of [6]-gingerol, a major pungent principle of the rhizome, was investigated using a two-stage mouse skin carcinogenesis model. Topical application of the extract onto shaven backs of female mice before each topical dose of 12-Otetradecanoylphorbol-13-acetate significantly inhibited 7,12-dimethylbenz[a]-anthracene-induced skin papilloma genesis. The extract also suppressed TPA-induced epidermal ornithine decarboxylase activity and inflammationZO024.
Cholagogic effect. The effect of ginger on bile secretion was examined to clarify the stomachic action of ginger and to investigate its active constituents. The results indicated that the acetone extracts, which contain the essential oils and pungent principles, produced an increase in the bile secretion. Further analyses for the active constituents of the acetone extracts through column chromatography indicated that [6]- gingerol and [10]-gingerol, which are the pungent principles, are mainly responsible for the cholagogic effectZO059.
Choleretic activity. Acetone extract of the dried rhizome, administered intraduodenally to rats at a dose of 500 mg/kg, was active. The water extract was inactive, and the chromatographic fraction, at a dose of 150 mg/kg, was activeZO344.
Cholesterol absorption inhibition. Oleoresin, administered orally to rats, was active on cholesterol-primed animalsZO217.
Cholesterol ester formation. Decoction of the dried rhizome, administered intragastrically to mice at a dose of 1.2 g/kg, produced no effect. The study was conducted with a mixture of Zingiber officinale (Rh), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO111.
Choline acetyltransferase induction. Water extract of the rhizome, in cell culture at a concentration of 200 􀁐g/mL and a dose of 500 mg/kg administered intragastrically to male rats, were active on astroglial cells. The extract was used in combination with dried Pinellia ternata, Citrus aurantium, Poria cocos, Citrus unshiu, Glycyrrhiza glabra, Polygala tenuifolia, Scrophularia ningpoensis, Panax ginseng, Rhemannia glutinosa, and Zizyphus jujubaZO106.
Circulation stimulation. Hot water extract of the dried rhizome, administered intravenously to rabbits at a dose of 4.5 mg/kg, was equivocalZO345.
Clastogenic effect. Crude aqueous extract of the rhizome, administered by gavage at doses of 0.5, 1, 2, 5, and 10 g/kg body weight and ginger oil, administered intraperitoneally at doses of 1.25 and 2.50 mL/kg body weight, were evaluated in mice. Attention was drawn to the weakness of the clastogenic activity expressed by ginger extract. In comparison, ginger oil produced a higher frequency of chromosomal aberrationsZO013.
CNS effects. Water extract of the rhizome, administered to mice by gastric intubation at a dose of 4 g/kg, produced no change in the electroencephalogram (EEG), behavior, or active and resting cycles. A mixture of Zingiber officinale, Glycyrrhiza glabra, Panax ginseng, Scutellaria baicalensis, Zizyphus jujuba, Pinellia ternata, Bupleurum falcatum, Cinnamomum cassia, and Paeonia albiflora was usedZO250. Ethanol (95%) extract of the rhizome, administered intraperitoneally to male mice at a dose of 500 mg/kg, did not produce any depressant activityZO221. Ethanol (95%) extract of the rhizome, administered intravenously to rabbits at a dose of 1.5 mL/ animal, produced a stimulating activityZO314.
Coagulation effect. The decoction, ether extraction and suspension liquid of roasted ginger and charcoal of ginger, had markedly shortened the blood coagulation time in mice. The decoction, ether extraction of fresh ginger and dried ginger, did not have any effect. The decoction of ginger charcoal has stronger effect than roasted ginger in shortening the blood coagulation time in mice. The effect of the decoction of ginger charcoal on blood coagulation time increases when the dosage is increasedZO035.
Corticosterone induction. Hot water extract of the rhizome, administered by gastric intubation to rats at a dose of 1.1 g/kg, was active. The dose also increased the plasma level of prednisolone. A mixture of 8 g Bupleurum species, 3 g Glycyrrhiza glabra, 3 g Zizyphus jujuba, 1 g Zingiber officinale, 3 g Panax ginseng, 8 g Pinellia ternata, and 3 g Scutellaria baicalensis was used. Results were significant at p < 0.01 levelZO259. Hot water extract of a mixture of 7 g Bupleurum falcatum, 2 g Glycyrrhiza glabra, 3 g Zizyphus inermis, 4 g Zingiber officinale, 3 g Panax ginseng, 5 g Pinellia ternata, and 3 g Scutellaria baicalensis, administered intraperitoneally to rats at a dose of 200 mg/kg, produced an increase in serum adrenal corticosterone vs carrageenan-induced pedal edema. The mixture, at a concentration of 0.1 mg/mL, was inactive on the adrenal gland vs basal and ACTH-induced corticosterone release from rat adrenal gland slicesZO283.
cAMP stimulation. A mixture of 7 g Bupleurum falcatum, 2 g Glycyrrhiza glabra, 3 g Zizyphus inermis, 4 g Zingiber officinale, 3 g Panax ginseng, 5 g Pinellia ternata, and 3 g Scutellaria baicalensis, administered intraperitoneally to rats at a dose of 200 mg/kg, increased cAMP levels in pituitary and adrenal gland but not in the hypothalamus. The increases were inhibited by dexamethasoneZO283.
Cyclo-oxygenase-2 inhibition. Seventeen pungent oleoresins of ginger and synthetic analogs were evaluated for inhibition on cyclooxygenase-2 enzyme activity in the intact cell. The compounds exhibited a concentration and structure dependent inhibition of the enzyme, with IC50 values in the range of 1–25 􀁐M. Ginger constituents, 8-paradol and 8-shogaol, as well as two synthetic analogs, 3-hydroxy-1-(4-hydroxy-3-methoxyphenyl)decane and 5-hydroxy-1-(4-hydroxy-3-methoxyphenyl)dodecane, showed strong inhibitory effects on cyclooxygenase enzyme activity. The SAR analysis of these compounds revealed that the features that affect cyclooxygenase inhibition are lipophilicity of the alkyl side chain, substitution pattern of hydroxy and carbonyl groups on the side chain, and substitution pattern of hydroxy and methoxy groups on the aromatic moietyZO006.
Cytotoxic activity. Water extract of the rhizome, in cell culture at a concentration of 10% was inactive on HeLa cellsZO257. Ethanol (95%), petroleum ether, and methyl chloride extracts of the dried rhizome, at a concentration of 320 􀁐g/mL, were inactive on Raji cellsZO319.
Degranulation inhibition. Hot water extract of the rhizome, in cell culture at a concentration of 0.1 mg/mL, was active vs compound 48/40-induced degranulation of mast cells. A mixture of Bupleurum falcatum,Pinellia ternata, Poria cocos, Scutellaria baicalensis, Zizyphus vulgaris, Panax ginseng, Magnolia obovata, Glycyrrhiza glabra, and Perilla frutescens was usedZO259.
Desmutagenic activity. Aqueous highspeed supernatant of the fresh fruit juice, on agar plate at a concentration of 0.5 mL/ plate, was active on Salmonella typhimurium TA98 vs mutagenicity of l-tryptophane pyrolysis products. The assay was done in the presence of S9 mixZO275. Fresh fruit juice, at a concentration of 0.5 mL/plate, was active on Salmonella typhimurium TA98ZO276.
Digestive effect. The fresh rhizome, administered orally to rats at a dose of 50 mg%, significantly enhanced intestinal lipase activity and also the disaccharidases sucrase and maltaseZO027.
Diuretic activity. Ethanol (50%) extract of the dried aerial parts, administered intraperitoneally to rats at a dose of 45 mg/kg, was activeZO262. Methanol (50%) extract of the dried rhizome, administered subcutaneously to mice at a dose of 10 g/kg, was inactiveZO237.
DNA polymerase inhibition. Decoction of the rhizome, at a concentration of 500 􀁐g/ mL, was active on 􀁄 and 􀁅 inhibition and inactive on gamma inhibition. This study was conducted with a mixture of Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO203. Water extract of the mixture, at a concentration of 500 􀁐g/mL, was active on 􀁄, 􀁅, and 􀁊 inhibition when reverse transcriptase activity from HIV was assayedZO203.
Enzymatic activity. A reductive metabolism of S-(+)-[6]-gingerol [1-(4'-hydroxy-3'-methoxyphenyl)-5-hydroxydecan-3-one], was investigated in vitro with phenobarbital-induced rat liver 10,000g supernatant containing the NADPH-generating system. The ethyl acetate-extractable products were isolated and two metabolites were identified as disatereomers of [6]-gingerdiol by gas chromatography/mass spectrometry. The ratio of the two isomers formed was about 1:5, suggesting the stereospecific reduction of S-(+)-[6]-gingerol by carbonyl reductase activity present in the postmitochondrial supernatant fraction of rat liverZO031. Ginger oil, administered orally to Swiss albino mice at a dose of 10 􀁐L/day for 14 days, significantly elevated aryl hydrocarbon hydroxylase and glutathione S-transferase activities. There was no significant effect on cytochrome P450 and acid soluble sulfhydryl glutathione S-transferaseZO033.
Epstein–Barr virus early antigen activation. Ether extract and the decoction, in cell culture at a concentration of 5 􀁐g/mL, inhibited antigen activationZO346.
Fibrinolytic activity. The administration of 50 g of fat to 30 healthy adult volunteers decreased fibrinolytic activity from a mean of 64.20 to 52.10 units (p < 0.001). Supplementation of 5 g of ginger powder with the fatty meal not only prevented the fall in fibrinolytic activity but actually increased it significantly (p < 0.001)ZO004.
Gastric exfoliation effect. DNA content of gastric aspirates was determined after intragastric infusions of 2, 4, and 6 g of ginger daily. The mean changes of DNA-p/ minute in the gastric aspirates after the 2- and 4-g doses were 1.37 􀁲 2.3 and 6.74 􀁲 3.06, respectively. Doses of 0.6 g or more produced a significant increase in exfoliation of gastric surface epithelial cells in human subjectsZO043.
Gastric secretory inhibition. Water extract of the entire plant, administered by gastric intubation to rabbits at a dose of 169 mg/kg, was active. The methanol extract at a concentration of 114 mg/kg was also activeZO187.
Gastrointestinal effect. Ginger root, in combination with ginseng, Zanthoxylum fruit, and malt sugar, administered orally to guinea pigs at a concentration of 10–300 mg/kg, significantly improved carbachol-accelerated small intestinal transit in a dosedependent mannerZO001. Dai-Kenchu-To, used as the treatment of paralytic ileus, was investigated in vitro. A dose of 30–300 􀁐g/ mL produced a significant inhibition on carbachol-induced contraction in a concentration dependent manner of the rat distal colon. The treatment contained 20% Zanthoxylum fruit, 30% ginseng root, and 50% ginger rhizome. Although each of them had no effect on carbachol-induced contraction, the combination of three ingredients produced significant inhibitionZO007. Acetone extract of the rhizome, administered intragastrically to mice at a dose of 75 mg/kg, increased gastric motilityZO192. Acetone extract of ginger, administered orally to mice at a dose of 75 mg/kg, [6]-shogaol at 2.5 mg/kg, or a [6]-, [8]- or [10]-gingerol at 5 mg/kg enhanced the transport of charcoal meal. The effects of these substances were similar to or slightly weaker than metoclopramide and donperidoneZO044. Dried rhizome, taken orally by adults at a dose of 1 g/person, did not reduce gastric motilityZO115. Dai-Kenchu- To and each ingredient were investigated on upper gastrointestinal motility and mechanism of action. Five dogs were equipped with four-strain gauge-force transducers on the gastric body, antrum, duodenum, and jejunum to measure contractile activity of the circular muscle. Dai-Kenchu- To (1.5 g) or the separate ingredients Zanthoxylum fruit, ginseng root, or dried ginger rhizome (1 g each) was administered by bolus into the gastric lumen. Zanthoxylum fruit elicited phasic contractions mainly in the duodenum and jejunum, whereas dried ginger rhizome induced phasic contractions in the antrum. Ginseng root had no effect. Phasic contractions induced by intragastric Dai-Kenchu-To were inhibited by atropine and hexamethonium at all sites, although ondansetron inhibited these contractions in the antrum and duodenumZO021. Ginger rhizome extract (2 􀁵 100 mg) was investigated in fasting and postprandial gastroduodenal motility with stationary manometry in 12 healthy volunteers. The interdigestive antral motility was significantly increased by ginger during phase III of the migrating motor complex. The volunteers also had a significantly increased motor response to a test meal in the corpus; a trend to an increased motor response during ginger treatment was seen in all other regions of interest. The treatment improved gastroduodenal motility in the fasting state and after the standard test mealZO022. Methanol (50%) extract of the dried rhizome, administered subcutaneously to mice at a dose of 10 g/kg, inhibited gastric secretion. The extract had no effect on gastric motilityZO237.
Glucose metabolism stimulation. Ethanol (95%) extract of the rhizome, administered in the drinking water of mice at a concentration of 5%, was active. The extract, in combination with Hordeum vulgare, Rhizoma zingiberis, Ligusticum chuanxiong, Lilium brownii, Nephelium longa, and Polygonum multiflorum, increased glucose oxidation in epididymal fat pads of obese C57BL/ 6J miceZO137.
Glucosidase inhibition. Ethanol extract of the dried rhizome produced 26% inhibition of 􀁄-glucosidase on the rat intestineZO100.
Glutamate oxaloacetate transaminase inhibition. Hot water extract of the rhizome, administered by gastric intubation to rats at dosages of 100 and 400 mg/kg, was active vs CCl4-induced hepatotoxicity. Methionine (100 mg/kg) was added to the 100 mg/kg dose. The results were significant at p < 0.01 level. The treatment also consisted of Bupleurum falcatum (Rt), Scutellaria baicalensis(Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO267. Hot water extract of a mixture of 7 g Bupleurum falcatum, 2 g Glycyrrhiza glabra, 3 g Zizyphus inermis, 4 g Zingiber officinale, 3 g Panax ginseng, 5 g Pinellia ternata, and 3 g Scutellaria baicalensis, administered intraperitoneally to rats at a dose of 200 mg/kg, suppressed increase in serum glutamate pyruvate transaminase (GPT) resulting from D-galactosamine- induced liver injuryZO282.
GPT inhibition. Hot water extract of the rhizome, administered by gastric intubation to rats at dosages of 100 and 400 mg/ kg, was active vs CCl4-induced hepatotoxicity. Methionine (100 mg/kg) was added to the 100 mg/kg dose. The results were significant at p < 0.01 level. The treatment also contained Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternataPinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO267. Hot water extract of the rhizome, administered intragastrically to mice for a period of 1 month, was active vs CCl4- and galactosamine-induced toxicity. The extract was used in combination with 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 2 g Glycyrrhiza glabra, 1 g Zingiber officinale, 3 g Panax ginseng, and 3 g Zizyphus jujuba in 700 mL waterZO185.
Hair-stimulant effect. Decoction of the rhizome, applied topically to human adults, was active. A mixture of Polygonum multiflorum, Allium sativum, Zingiber officinale, Panax ginseng, Carthamus tinctorius, Platycodon grandiflorum, Biota orientalis, Ligusticum wallichii, Salvia miltiorrhiza, Angelica sinensis, and Tetrapanax papyrifera. The biological activity has been patentedZO112.
Hepatic oxygenase activity. Ginger, administered orally to rats, significantly stimulated liver microsomal cytochrome P450-dependent aryl hydroxylase and cytochrome b5ZO045.
Hepatitis antigen expression. Decoction of mixture of Zingiber officinale (Rt), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh), taken orally by 80 patients with hepatitis B antigen-positive chronic hepatitis at a dose of 7.5 g/day for 6 months, produced seroconversion to antihepatitis B antibody in eight patients, 15 became seronegative, and 11 had a decrease of hepatitis B antigen levels of more than 50%ZO123.
Histamine-release inhibition. Hot water extract of the rhizome, in cell culture at a concentration of 0.1 mg/mL, was active vs compound 48/40-induced histamine release. A mixture of Bupleurum falcatum, Pinellia ternata, Poria cocos, Scutellaria baicalensis, Zizyphus vulgaris, Panax ginseng, Magnolia obovata, Glycyrrhiza glabra, and Perilla frutescens was usedZO205.
Hydrogen peroxide inhibition. The volatile oil, taken as a scavenger, inhibited the production of hydrogen peroxide in chondrocytes induced by fulvic acid from Kashin-Beck disease areaZO014.
Hypertensive activity. Ethanol (95%) extract of the rhizome, administered intravenously to dogs at a dose of 5 mL/animal and a rate of 1 mL per minute, was activeZO314.
Hyperthermic effect. Water extract of the rhizome, administered by gastric intubation to mice at a dose of 4 g/kg, was inactive. The extract was used in combination with Glycyrrhiza glabra, Panax ginseng, Scutellaria baicalensis, Zizyphus jujuba, Pinellia ternata, Bupleurum fatcatum, Cinnamomum cassia, and Paeonia albifloraZO250.
Hypoglycemic activity. Ethanol (50%) extract of the aerial parts, administered by gastric intubation to rats at a dose of 45 mg/ kg, was activeZO262. Ethanol (80%) extract of the rhizome, administered intragastrically to rabbits at a dose of 100 mg/kg, was activeZO292.
Hypotensive activity. Methanol (50%) extract of the dried rhizome, administered intravenously to rats at doses of 0.25 and 0.5 g/kg (dry weight of plant), was activeZO237.
Hypothermic activity. Hot water extract of a mixture of Pinellia ternata (Tu), Magnolia obovata (Bk), Perilla frutescens (Aer), Zingiber officinale (Rh), and Poria cocos (Fr) (6, 3, 2, 1, and 5 g, respectively), administered
by gastric intubation to male rats at a dose of 4 g/kg, was inactiveZO342.
Immunomodulatoy activity. Water extract of a mixture of Glycyrrhiza glabra (Rt), Panax ginseng (Rt), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Zingiber officinale (Rh), Angelica acutiloba (Rt), Atractylodes japonica (Rh), Astragalus membranaceus (Rt), Citrus unshiu (Pericarp), and Cimifuga simplex (Rh), administered to mice in the diet at a dose of 115.6 mg/kg, elevated the mitogenic activity of concavalin A (Con A), lipopolysaccharide, phorbol myristate acetate, and phytohemagglutinin. Water extract of Glycyrrhiza glabra (Rt), Panax ginseng (Rt), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Zingiber officinale (Rh), Pinellia ternata (Tu), and Zizyphus vulgaris (Fr), in the diet of mice at a dose of 178 mg/ kg, suppressed the mitogenic activity of phytohemagglutinin and phorbol myristate acetate. Water extract of Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Zingiber officinale (Rh), Paeonia albiflora (Rt), Pinellia ternata (Tu), Zizyphus vulgaris (Fr), Rheum tanguticum (Rh), and Citrus aurantium (Fr), in the diet of mice at a dose of 192.6 mg/kg, suppressed the mitogenic activity of phytohemagglutinin and phorbol myristate acetateZO347.
Immunostimulant activity. Hot water extract of the rhizome, administered intraperitoneally to mice at a dose of 2 mg/kg, was active. The extract was used in combination with Astragalus membranaceus, Atractylodes lancea, Panax ginseng, Angelica acutiloba, Glycyrrhiza glabra, Bupleurum falcatum, Zizyphus vulgaris, Citrus unshiu, and Cimicifuga simplexZO196. Ethanol (80%) extract of the dried rhizome, administered intragastrically to male rats at a dose of 800 mg/kg, was active vs sheep erythrocyte-induced hemagglutination and inactive vs sheep erythrocyteinduced B- and T-cell proliferationZO105.
Insect growth inhibition. 6-Dehydroshogaol isolated by steam distillation from fresh rhizome exhibited moderate insect growth regulatory and antifeedant activity against Spilosoma obliquaZO005.
Interferon-induction stimulation. Hot water extract of the rhizome, at a concentration of 6 􀁐g/mL, was active. A dose of 2 g/kg, administered intragastrically to mouse, was active, and 100 mg/kg, administered intraperitoneally to mice, was active vs polymyxin-B induced interferon secretion inhibition. The extract used was in combination with Bupleurum chinense, Pinellia ternata, Scutellaria baicalensis, Zizyphus jujuba, Panax ginseng, and Glycyrrhiza glabraZO197. Decoction of Zingiber officinale (Rh), Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh), in cell culture at a concentration of 100 􀁐g/mL, was active. Peripheral lymphocytes from eight patients with chronic active hepatitis, four with HbeAg and four with anti-Hbe were cultured. RHbeAg or HbeAg both stimulated interferon (IFN)-􀁊 production, which was enhancedZO108.
Interleukin-1-􀁄 release inhibition. Hot water extract of the rhizome, administered intragastrically to female mice at a dose of 20 mg/mL, was active vs influenza virus infected animals. Results significant at p < 0.001 levelZO099.
Intestinal absorption inhibition. Methanol extract of the dried rhizome at a concentration of 1% and water extract at a concentration of 0.01%, administered by perfusion on the rat, were active vs absorption of sulfaguanidineZO348.
Larvicidal activity. Water and acetone extracts of the rhizome were inactive on Aedes aegyptiZO303.
Leukocyte migration inhibition. Ethanol (80%) extract of the dried rhizome, administered intragastrically to rats at a dose of 800 mg/kg, was active vs sheep erythrocyteinduced leucocyte migrationZO105.
Lipid peroxide formation inhibition. Methylene chloride extract of the rhizome, at a concentration of 0.02%, was activeZO130.
Lipolytic effect. Ethanol (95%) extract of the rhizome, in the drinking water of obese mice at a concentration of 5%, was active. The extract was used in combination with Hordeum vulgare, Rhizoma zingiberis, Ligusticum chuanxiong, Lilium brownii, Nephelium longa, and Polygonum multiflorumZO137.
Lymphocyte blastogenesis stimulant. Water extract of the heartwood, administered intraperitoneally to mice at a dose of 250 mg/kg, induced an accumulation of B lymphocytes in the peritoneal cavity and spleen, and functional maturation of B cells was observed as indicated by antibody responsesZO349.
Macrophage cytotoxicity enhancement. Hot water extract of the rhizome, administered by gastric intubation to mice at a dose of 600 mg/kg, was inactive on LEUK-L1210. The preparation used also contained Bupleurum falcatum, Pinellia ternata, Scutellaria baicalensis, Zizyphus jujuba, Panax ginseng, and Glycyrrhiza glabraZO268.
Memory retention impairment. Acetone/ water extract of the rhizome, administered intragastrically to male rats at a dose of 1 mg/ kg, was inactive vs inhibitory avoidance conditioning and water maze performanceZO094.
Memory retention improvement. Decoction of the rhizome, administered intragastrically to male mice at a dose of 1 g/kg, produced amelioration of memory registration impairment induced by ethanol in step through and step down tests. The decoction was used in combination with Glycyrrhiza glabra (Rt), Saussurea lappa (Rt), Zizyphus jujuba (Fr), Zizyphus jujuba (Sd), and Euphoria longana (Aril)ZO202. The powdered rhizome, administered intragastrically to rats, increased passive avoidance test latency in aged animals. The rhizome was used in combination with Pinellia ternata, Phyllostachys nigra, Citrus aurantium, Poria cocos, Citrus unshiu, Glycyrrhiza glabra, Polygala tenuifolia, Scrophularia ningpoensis, Panax ginseng, Rhemannia glutinosa, and Zizyphus jujubaZO350.
Metabolism. Zingerone, 4-(4-hydroxy-3-methoxyphenyl) butan-2-one, a pungent principle of ginger, has been investigated in rats. Oral or intraperitoneal dosage of 100 mg/kg resulted in urinary excretion of most metabolites within 24 hours, mainly as glucuronide and/or sulphate conjugates. Although zingerone itself accounted for roughly 50–55% of the dose, reduction to the corresponding carbinol (11–13%) also occurred. Side chain oxidation took place at all three available sites and oxidation at the three-position, giving rise to C6-C2 metabolites, predominated. Appreciable biliary excretion occurred (40% in 12 hours). Biliary studies and studies in vitro using cecal microorganisms indicated that several Odemethylated metabolites found in the urine are of bacterial originZO062.
Mitogenic activity. Alcohol insoluble fraction and the water extract of rhizome, at a concentration of 200 􀁐g/mL, were inactive on the mouse thymus. The alcohol soluble fraction, at a concentration of 100 􀁐g/mL, was activeZO166.
Molluscicidal activity. Methanol extract of the dried rhizome, at a concentration of 100 ppm, produced 20% mortality on Bulinus globosusZO351.
Mutagenic activity. Ginger extract and the constituents gingerol, shogaol, and zingerone were tested in Salmonella typhimurium strains TA100, TA98, TA1535, and TA1538 in the presence of S9 mix. Gingerol and shogaol were mutagenic in metabolic activation in strains TA100 and TA1535. Zingerone was nonmutagenic in all of the four strains with or without S9 mix. When the mutagenicity of gingerol and shogaol was tested in the presence of different concentrations of zingerone, it was observed that zingerone suppressed the mutagenic activity in both of the compounds in a dose-dependent mannerZO052. Water extract of the rhizome, on agar plate at a concentration of 100 mg/mL, was inactive on Bacillus subtilis H-17(Rec+) and produced weak activity on Salmonella typhimurium TA100ZO244. The hot water extract, at a concentration of 12.5 mg of dried rhizome/disc, was active on Salmonella typhimurium TA100. A concentration of 50 mg/disc was inactive on Salmonella typhimurium TA98. Histidine was removed from the extract before testing and metabolic activation had no effect on the resultsZO238. Methanol extract of the rhizome, on agar plate at a concentration of 100 mg/ mL, was inactive on Bacillus subtilis H- 17(Rec+)ZO244. Ethanol (70%) extract of the rhizome, on agar plate at a concentration of 4 mg/mL, was inactive on Escherichia coli PQ37 when assayed by SOS Chromotest, and inactive on Salmonella typhimurium TA1535 when assayed by SOS UMU testZO207. Ethanol (95%) extract of the rhizome, on agar plate at a concentration of 100 􀁐g/plate, was active on Salmonella typhimurium TA100 and TA1535, and inactive on TA98 and TA1538ZO278. Ethanol (95%) extract of the dried rhizome, on agar plate at a concentration of 10 mg/plate, produced strong activity on Salmonella typhimurium TA102ZO327. Ethanol (70%), and water and chloroform extracts of the ethanol extract of the dried rhizome, on agar plate at a concentration of 50 mg/mL, were inactive on Escherichia coli PQ 37. Metabolic activation had no effect on the resultsZO352. Hot water extract of the dried rhizome, on agar plate at a concentration of 50 mg/disc, was inactive on Salmonella typhimurium TA100 and TA98ZO326.
Natural-killer cell enhancement. Polysaccharide fraction of the rhizome, administered intragastrically to female mice at a dose of 1 g/kg, produced weak activity vs mononuclear cell incubated with YAC-1 cellsZO092.
Nausea inhibitory effect. Women with nausea and vomiting during pregnancy were treated within a randomized double-masked design to receive either 1 g of ginger per day or an identical placebo for 4 days. During the 5-month period, 70 women participated. They were graded by the severity of their nausea using visual analog scales and recording the number of vomiting episodes in the previous 24 hours before treatment and again during 4 consecutive days while taking the treatment. The visual analog scores of posttherapy minus baseline nausea decreased significantly in the ginger group (2.1 compared with 0.9, p = 0.14). The number of vomiting episodes also decreased significantly in the ginger group (1.4) compared with the placebo group (0.3, p <0.001). Likert scales showed that 28 of 32 in the ginger group had improvement in nausea symptoms compared with 10 of 35 in the placebo group (p < 0.001). No adverse effect of ginger on pregnancy outcome was detectedZO008.
Nematocidal activity. Decoction of the rhizome, at a concentration of 10 mg/mL, was inactive on Toxocara canisZO200. Water extract of the rhizome, in cell culture at a concentration of 10 mg/mL was inactive on Toxacara canis. The methanol extract at a concentration of 1 mg/mL was activeZO157.
Nerve growth factor stimulation. Powdered rhizome, administered intragastrically to rats, was active on the brain. A Kampo medicine “Kami-Untan-To,” with Pinellia ternata, Phykllostachys nigra, Citrus aurantium, Poria cocos, Citrus unshiu, Glycyrrhiza glabra, Polygala tenuifolia, Scrophularia ningpoensis, Panax ginseng, Rhemannia glutinosa, Zizyphus jujuba, and Zingiber officinale was usedZO350.
Neuromuscular blocking activity. Decoction of the dried rhizome, taken orally by human adults of both sexes at a dose of 4.6 g/person, was active on 25 patients with spastic facial paralysis. The patients were treated with a mixture of Piper longum, Zingiber officinale, Piper cubeba, Curcuma zedoaria, Juniperus communis, Cichorium intybus, Mentha arvensis, Commiphora mukul, and Sesamum indicum given in divided doses of 4.6 g in 24 hours. Six g of a decoction of Lavandula stoechas was also given in some cases. Seventy-six percent of the patients were cured, 16% showed a partial response, and 8% did not show any improvementZO263.
Pancreatic effect. Ginger (50 mg%), administered orally to rats, significantly enhanced pancreatic lipase activity and significantly stimulated trypsin and chymotrypsin. The stimulatory influence was not observed when the treatment was restricted to a single doseZO018.
Passive cutaneous anaphylaxis inhibition. Acetone extract of the dried rhizome, administered intragastrically to rats at a dose of 200 mg/kg, was active vs IgE-sensitized animalsZO353.
Pepsin inhibition. Water extract of the rhizome, administered by gastric intubation to rabbits at a dose of 125 mg/kg, was active. Results significant at p < 0.05 level. The extract also contained Pinellia ternata (Rh), Atractylis species (Rh), Citrus aurantium (Pl), Pachyma hoelen fruit body, Panax ginseng (Rt), Glycyrrhiza glabra (Rt), Zingiber officinale (Rh), and Zizyphus jujuba (Fr)ZO258.
Phagocytosis activity. Ethanol (80%) extract of the rhizome, in cell culture at a concentration of 500 􀁐g/mL, did not decrease the rate of activity on mouse spleen lymphocytes (DBA/2)ZO292.
Pharmacokinetics. [6]-Gingerol, the pungent constituent of ginger, was studied after bolus intravenous injection at a dose of 3 mg/kg to rats. Quantitative analysis with high reproducibility was achieved over the
concentration range of 0.2–40 􀁐g/mL. A two-compartment open model described the plasma concentration-time curve. [6]-Gingerol was rapidly cleared from plasma with a terminal half-life of 7.23 minutes and a total body clearance of 16.8 mL/minutes/ kg. Serum protein binding of [6]-gingerol was 92.4%ZO038.
Phosphodiesterase inhibition. Hot water extract of the rhizome, at a concentration of 1 mg/mL, was inactiveZO163.
Plaque formation suppressant. Water extract of the rhizome was inactive on Streptococcus mutans. The methanol and methanol/ water extracts were active; IC50 were greater than 1000, 60, and 230 􀁐g/mL, respectivelyZO272.
Platelet aggregation inhibition. Gingerol was evaluated for its ability to inhibit human platelet activation, as compared to aspirin, by measuring the effect on arachidonic acid-induced platelet serotonin release and aggregation in vitro. The IC50 for arachidonic acid-induced (at EC50 was 0.75mM) serotonin release by aspirin was 23.4 􀁐M. Gingerol inhibited the arachidonic acid-induced platelet reaction in a similar dose range as aspirin, with IC50 values between 45.3 and 82.6 􀁐M. The analogues (G1-G7), were also effective inhibitors of arachidonic acid-induced platelet aggregation. Maximum inhibitory values of 10.5 and 10.4 􀁐M for G3 and G4, respectively, were approximately twofold greater than aspirin (ICmax 6 􀁐M). The other analogues maximally inhibited arachidonic acid-induced platelet aggregation at approx 20–25 􀁐MZO002. Aqueous extract of ginger was found to inhibit aggregation induced by ADP, epinephrine, collagen, and arachidonate in a dose-dependent manner in vitro. A correlation was found between the amounts of ginger extract needed to inhibit platelet aggregation and those to inhibit platelet thromboxane synthesis. The extract reduced platelet prostaglandin-endoperoxides. A dose-related inhibition of platelet thromboxane and prostaglandin (PGF2-􀁄, PGE2 and PGD2) synthesis was affected by ginger extract. The extract inhibited biosynthesis of prostacyclin in rat aorta from labeled arachidonate. It mildly inhibited the synthesis of prostacyclin from endogenous pool of AA in the rat aortaZO060. The extract inhibited platelet aggregation induced by several aggregation agents, including arachidonate, in a dose-dependent manner. It inhibited the platelet cyclooxygenase products, and this effect correlated well with its inhibitory effects on platelet aggregation induced by the agents. The effects were dose-dependent. Although it inhibited the biosynthesis of 6-keto-F1-􀁄 in rat aortic rings from labeled arachidonate, it did not reduce prostacyclin production from endogenous arachidonate pool in aortic rings. The extract was further extracted into three organic solvents in order of increasing polarity (N-hexane, chloroform, and ethyl acetate). An analysis of the N-hexane extract revealed at least three clearly separated TLC bands containing constituents that inhibited platelet thromboxane generation simultaneously increasing lipoxygenase productsZO061. Chloroform, N-hexane, and ethyl acetate extracts of the rhizome reduced platelet thromboxane formation from exogenous arachidonate and inhibited platelet aggregation induced by arachidonate, epinephrine, ADP, and collagen. The aqueous extract reduced the formation of thromboxane from arachidonate-labeled platelets without showing effects on platelet phospholipase activity. Thromboxane formation in labeled platelets on activation with calcium ionophore A23187 was reduced by ginger components isolated from 2 TLC bands, in a dose-dependent manner. At the higher dose, lipoxygenase products were also reduced. The incorporation of arachidonate into platelet phospholipids increased in platelets treated with aqueous ginger extractZO053. [6]-Shogaol, extracted from semidried ginger inhibited carrageenan-induced swelling of the hind paw in rats and arachidonic acid-induced platelet aggregation in rabbits; it prevented PGI 2 release from the aorta of rats when tested as an inhibitor of platelet aggregation. The results indicated that shogaol might have an inhibitory action on cyclo-oxygenase in both platelets and aorta. Investigation of the effects of shogaol on cyclo-oxygenases in rabbit platelets and microsome fractions of rat aorta indicated that shogaol inhibited cyclo-oxygenase activities of both tissues in a concentration-dependent manner. The effect of shogaol on 5-lipoxygenase from RBL-1 cells indicated that shogaol produced an inhibitory action on 5-lipoxygenase activityZO055. Dried ginger was investigated in eight healthy male volunteers in a randomized double-blind study of the effects of 2 g dried ginger or placebo capsules. Bleeding time, platelet count, thromboelastography, and whole blood platelet aggregometry were performed 3 hours and 24 hours after the treatment. There were no differences between ginger and placebo in any of the variables measured. The effect of ginger on thromboxane synthetase activity is dose dependent, or only occurs with fresh ginger, and that up to 2 g of dried ginger is unlikely to cause platelet dysfunction when used therapeuticallyZO032. Dried ginger, administered orally in two doses of 2.5 g each to male volunteers who consumed 100 g of butter in 7 days, significantly (p < 0.001) inhibited the platelet aggregation induced by ADP and epinephrine. Serum lipids, however, remained unchanged in both ginger treated and control groupsZO034. Powdered rhizome, administered orally to human adults at a dose of 5 g/person, was active vs ADP- and epinephrine-induced aggregationsZO162. The rhizome, taken orally by human adults at a dose of 2 g/person, was inactiveZO032. Water extract of the dried rhizome, at a concentration of 5 mg/mL, was active vs arachidonic acid-, collagen-, and ADP-induced aggregationZO322.
PG inhibition. Ethanol (80%) extract of the rhizome, in cell culture at a concentration of 100 􀁐g/mL, was active on leukocytesZO292. Hot water extract of the rhizome, at a concentration of 750 􀁐g/mL, produced weak activity on the rabbit microsomesZO251. Decoction of the dried rhizome, administered intraperitoneally to rats at a dose of 0.74 g/animal, was inactive. Serum from rats fed the decoction was added to sheep vesicular gland microsomal fraction and the proportion of PGH2 in arachidonic acid metabolites measured. The system was not affected by rat serum lipidsZO315.
Proteolytic activity. Hot water extract of the rhizome, at a concentration of 1 mg/mL, was inactiveZO235.
Prothrombin time decrease. Hot water extract of the rhizome, administered intragastrically to mice for 1 month, was active. The extract was used in combination with 7 g Bupleurum falcatum, 5 g Pinellia ternata, 3 g Scutellaria baicalensis, 2 g Glycyrrhiza glabra, 1 g Zingiber officinale, 3 g Panax ginseng, and 3 g Zizyphus jujuba in 700 mL waterZO185.
Renal function improvement. Decoction of the dried rhizome, taken orally by 15 patients with chronic renal failure resulting from chronic glomerulonephritis, polycystic disease, tuberculosis, or diabetes, at variable dosage levels, was active. The patients were dosed three times daily for 3 months with a combination of Zingiber officinale and Panax ginseng. Improvements were seen in blood urea nitrogen, edema, fatigue, nausea, and constipation without effect on hematocrit or albumin. The effect decreased after 6 monthsZO316.
Respiratory stimulant effects. Ethanol (95%) extract of the rhizome, administered intravenously to dogs at a dose of 3 mL/animal, was activeZO314.
Reverse transcriptase activity. Water extract of Zingiber officinale (Rh), Bupleurum falcatum, Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh), at a concentration of 200 􀁐g/mL, was active on Moloney murine leukemia virus and HIVZO203.
Reverse transcriptase inhibition. Decoction of the rhizome, in cell culture, was active on Rauscher murine leukemia virus. The study was conducted with a prescription consisted of Bupleurum falcatum (Rt), Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh)ZO203.
Serotonin antagonist activity. Acetone extract of the rhizome, at a concentration of 25 􀁐g/mL, was active on the guinea pig ileum vs serotonin-induced contractionsZO186.
Smooth muscle relaxant activity. The essential oil was active on the guinea pig trachea and ileum, ED50 171 and 36 mg/L, respectivelyZO270.
Superoxide dismutase stimulation. Ethanol (95%) extract of the fresh aerial parts, administered intraperitoneally to mice at a dose of 0.5 g/kg, was inactiveZO164.
Tachyphylactic activity. Zingerone, a natural pungent-tasting compound in ginger, was evaluated by whole cell patchclamp studies performed on rat trigeminal ganglion. The inward currents activated by zingerone (30 mM) had peak times of approx 2 seconds, and all currents exhibited marked desensitization. Capsaicin (1 􀁐M) activated a variety of inward currents having peak times ranging from 2 to 46 seconds that desensitized to various extents ranging from 0 to 100%. The inward currents activated by piperine (100 􀁐M) had peak times of approx 25 seconds, and all exhibited a small desensitization. Piperine- and zingerone-induced currents were found only in cells that could be activated by capsaicin. Capsazepine (10 􀁐M), an established antagonist of capsaicin-induced currents, inhibited the current evoked by piperine and zingerone, suggesting that all three compounds activate vanilloid receptors. Doseresponse relationships for capsaicin, piperine, and zingerone obtained at a holding potential of 60 mV had threshold and apparent dissociation constants of 0.1 and 0.68 􀁐M, 3 and 35 􀁐M, and 1 and 15 mM, respectively. After seven 30-second applications of 1 􀁐M capsaicin or 100 􀁐M piperine (in a buffer with 2 mM Ca2+), each interspersed with 2-minute 50-second washes, the peak currents were inhibited by approx 60 and 40%, respectively. In contrast, 30 mM zingerone failed to evoke a current after six applications. After complete tachyphylaxis produced by 30 mM zingerone, 1 􀁐M capsaicin failed to evoke a current, suggesting that these two compounds crossdesensitize. The physiological responses produced by these compounds can be rationalized, in part, by their different activation and sensitization kinetics, and perhaps by the existence of different subtypes of vanilloid receptorsZO026.
Taste-modifying effect. Water extract of the dried rhizome, administered intragastrically to male rats at a dose of 50 mg/mL, increased activity of vagal gastric nerve. The extract also blocked the suppression of vagal gastric nerve activity induced by Pinellia ternataZO317.
Teratogenic effect. A patented extract of garlic, administered by gavage to 22 pregnant rats at concentrations of 100, 333, and 1000 mg/kg from days 6 to 15 of gestation, produced no maternal or developmental toxicity. The rats were sacrificed on day 21 of gestation and examined for standard parameters of reproductive performance. The fetuses were examined for signs of teratogenic and toxic effects. No deaths or treatment related adverse effects were observedZO009. Ginger tea, administered to Sprague–Dawley rats from gestation day 6–15 at a dose of 20 or 50 g/L and then sacrificed at day 20, produced no maternal toxicity. However, embryonic loss in the treatment groups was two times that of controls (p < 0.05). No gross morphological malformations were seen in the treated fetuses. Fetuses exposed to the ginger tea were significantly heavier than controls, an effect that was greater in female fetuses and was not correlated with increased placental size. Treated fetuses also had more advanced skeletal development as determined by measurement or sternal and metacarpal ossification centersZO011.
Thermogenic activity. Chloroform extract of the dried rhizome, at concentrations of 5 and 50 􀁐g/mL administered by perfusion to the hind limb of rats, stimulated oxygen uptakeZO128.
Thromboxane A2 inhibition. Rhizome, taken orally by human adults at a dose of 70 g/person for 7 days, was activeZO188.
Thromboxane effect. The effect of raw ginger, taken orally by women at a dose of 5 g daily for 7 days, was investigated. Thromboxane determination was made in serum obtained after blood clotting. The values obtained were 782 􀁲 482 pmol/mL serum before ginger consumption and after consumption 498 􀁲 164 pmol/mLZO048.
Thromboxane synthetase inhibition. Ginger has been found to act as a potent inhibitor of thromboxane synthetase, raising levels of prostacyclin, without a concomitant rise in PGE2 or PGF2-􀁄ZO057.
Toxic effect. Decoctions of dried and roasted ginger were investigated on four experimental gastric ulcer models. The acute toxicity test has shown that the LD50 of the roasted ginger decoction administered orally was 170.6 􀁲 1.1 g/kg and the LD50 of the dried ginger decoction was over 250 g/kgZO042. Ethanol (80%) extract of the rhizome, administered intragastrically to mice at a dose of 3 g/kg, was activeZO292. Ether extract of the rhizome adulterated with phenol ester-triorthocresyl phosphate produced paralysis in human adults who ingested 1–20 ounces of the extract. The symptoms appeared 4–35 days after the ingestion. Four to 6 years after the onset of the paralysis, only three of the patients had recovered enough to walk without support. Most of the patients had made good improvement in the arms but very little in the legs. Four of the patients were unable to stand or walkZO320.
Toxicity assessment. Ethanol (50%) extract of the aerial parts, administered intraperitoneally to mice, produced LD50 178 mg/ kgZO262.
Toxicity assessment. Ethanol (90%) extract of the dried rhizome, administered intraperitoneally to mice, produced LD50 of 1 g/kgZO318.
Toxicological evaluation. The effect of a patented standardized ginger extract EV.EXT 33, was studied in rats. The extract had no significant effect on blood glucose levels at the doses used. It also had no significant effects on coagulation parameters or on warfarin-induced changes in blood coagulation, indicating that it did not interact with warfarin. It did not decrease systolic blood pressure or increase heart rate in the ratZO012.
Tryptophan pyrrolase stimulation. Hot water extract of 7 g Bupleurum falcatum, 5 g Pinellai ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Panax ginseng, 3 g Zizyphus inermis, and 2 g Glycyrrhiza glabra, administered intraperitoneally to rats at a dose of 200 mg/kg, suppressed decrease in hepatic tryptophan pyrrolase resulting from D-galactosamine-induced liver injuryZO282.
Tumor necrosis factor inhibition. Ethanol (95%) extract of the rhizome, in cell culture at a concentration of 100 􀁐g/mL, was inactive on macrophage cell line RAW 264.7 vs LPS induction of TNF-􀁄ZO171.
Tumor promotion inhibition. Ethyl acetate and methanol extracts of the dried rhizome, in cell culture at a concentration of 50 􀁐g/mL, produced weak activity on C3H/ 10T1/2 cells vs tetradecanoyl phorbol acetate-induced acetate phospholipid synthesis. The hexane extract was inactiveZO095. Ethanol (95%) and petroleum ether extracts of the dried rhizome, in cell culture at a concentration of 160 and 80 􀁐g/mL, reZINGIBER spectively, produced weak activity on Raji cells vs 12-O-tetradecanoylphorbol-13- acetate-induced EBV-EA activation. The methyl chloride extract, at a concentration of 40 􀁐g/mL, was activeZO319.
Tumor promotion inhibition. Methanol extract of the fresh aerial parts, in cell culture at a concentration of 200 􀁐g, was active on EBV vs 12-O-hexadecanoylphorbol-13- acetate-induced virus activationZO286.
Turgal stimulant activity. Hot water extract of 7 g Bupleurum falcatum, 5 g Pinellai ternata, 3 g Scutellaria baicalensis, 4 g Zingiber officinale, 3 g Panax ginseng, 3 g Zizyphus inermis, and 2 g Glycyrrhiza glabra, administered intraperitoneally to rats at a dose of 200 mg/kg, decreased the volume of exudate in carrageenan-induced pleurisyZO282.
Urease inhibition. Water extract of the rhizome, at a concentration of 0.3 mg/mL, was inactiveZO167.
Vasoconstrictive effect. Gingerols were evaluated on the isolated mouse and rat blood vessels. Leukotrienes C4 and D4, a thromboxane A2, PGF2-􀁄, PGI2-Na, PGE2, the stable PGI2 derivative TRK-100, and PGD2, induced contraction in longitudinal segments of mouse mesenteric veins in that order of potency. Exogenous arachidonic acid did not cause contraction. The mesenteric veins also contracted in response to norepinephrine and phenylephrine but not to clonidine. The gingerols alone relaxed the muscle transiently and then augmented response to prostaglandin F2-􀁄, prostaglandin E2, prostaglandin I2-Na, and TRK-100, but suppressed the response to prostaglandin D2. [6]-gingerols also potentiated the PGF2-􀁄-induced contraction in longitudinal segments of the rat mesenteric vein and vena cava, but inhibited it in circular segments of rat aorta and longitudinal segments of the mouse mesenteric arteriesZO046. Crude and processed ginger extracts and pungent components, S-(+)-[6]- gingerol and [6]-shogaol were investigated on norepinephrine and PGF2-􀁄-induced contraction using mouse mesenteric veins. Both constituents inhibited the contractile responses to norepinephrine. The crude extract and S-(+)-[6]-gingerol potentiated the PGF2-􀁄-induced contraction, whereas processed ginger extract and [6]-shogaol inhibited the contractionZO047.
WBC stimulant. Decoction of Zingiber officinale (Rh), Bupleurum falcatum, Scutellaria baicalensis (Rt), Pinellia ternata (Tu), Zizyphus jujuba (Fr), Panax ginseng (Rt), and Glycyrrhiza glabra (Rh), in cell culture at a concentration of 20 􀁐g/mL, produced an average enhanced response of 40%. Response was enhanced 34% when pokeweed mitogen-induced peripheral mononuclear cell proliferation was assayed. The treatment was inactive vs enhancement of phytohemagglutinin-induced peripheral mononuclear cell proliferation, enhancement of Con A-induced peripheral mononuclear cell proliferation, leukocytes obtained from patients with AIDS, Con A-induced proliferation in leukocytes obtained from patients with AIDS, phytohemagglutinininduced proliferation in leukocytes obtained from patients with AIDS, and 23% increased vs pokeweed mitogen-induced proliferation in leukocytes obtained from patients with AIDSZO320.
Weight-gain inhibition. Ethanol (95%) extract of the rhizome, in the drinking water of obese (C57BL/6J) mice, was active. The extract was used in combination with Hordeum vulgare, Zingiberis rhizoma, Ligisticum chuanxiong, Lilium brownii, Nephelium longa, and Polygonum multiflorumZO137.

INDICATIONS (GINGER); GINGER FOR COLD/FLU;  GINGER FOR DYSPEPSIA;
OTHER USES (Duke, J.A et al., 2003)

INDICATIONS (GINGER)
Adenosis (f; KAB); Aging (f; WHO); Alcoholism (1; MAB); Allergy (1; FAY; FNF; MAB); Alopecia (f; DAA; DAD; FAY; WHO); Alzheimer’s (1; COX; FNF); Anemia (f; DAA); Anorexia (2; JFM; KAB; PHR; WHO); Anxiety (1; MAB); Arthrosis (1; COX; MAB; SKY); Ascites (f; KAB); Asthma (f; FAY; JFM; MAD); Atherosclerosis (f; SKY); Backache (1; WHO); Bacteria (1; APA; FNF; MAB; TRA); Bite (f; DAA; KAB); Bleeding (f; DAA); Blister (1; DAD; DAA; FAY); Boil (f; KAB); Borborygmus (f; BGB); Bronchosis (1; AAB; BGB; FAY; FNF); Bruise (f; DAA; DAD); Burn (1; APA; DAD; FAY; MAB); Cancer (1; MAB); Candida (1; TRA); Cardiopathy (1; APA; FAY); Cataract (f; WHO); Catarrh (2; DAD; TRA); Chemotherapy (1; MAB; SKY); Chest Cold (1; AAB); Childbirth (f; AAB); Cholera (f; DAA; DAD); Cold (2; AKT; APA; BGB; FNF; MAD; TRA; WHO); Colic (1; PNC; BGB; SUW; WHO); Congestion (1; DAA; DAD; FNF; RIN); Convulsion (1; PNC); Corneosis (f; DAA); Cough (1; APA; BGB; FAY; FNF; PNC); Cramp (1; APA; BGB; KOM; MAB; PIP; PNC; TRA; WAM); Dandruff (f; APA); Depression (1; APA; DAA; MAB; WOI); Diabetes (1; DAA); Diarrhea (2; AAB; BGB; DAA; TRA; WHO); Dizziness (2; JAD); Dropsy (f; DAA; DAD); Dysmenorrhea (1; AAB; APA; DAA; JFM; MAB); Dyspepsia (2; FAY; FNF; KOM; PIP; MAD; SUW; TRA; WAM); Dyspnea (f; BGB; PH2); Earache (f; APA); Edema (1; MAB); Elephantiasis (f; KAB); Enterosis (1; APA; FAY; MAD;  PNC); Epigastrosis (f; BGB; MAD); Epistaxis (f; FAY); Escherichia (1; HH3); Fever (2; APA; CAN; FAY; FNF; MAB; MAD; TRA); Flu (2; APA; BGB; FNF; TRA; VVG; WHO); Fungus (1; DAD; MAB; TRA); Gas (1; AAB; APA; MAB; MAD; PED; PHR; PH2; PNC; SUW; VVG); Gastrosis (2; APA; FAY; MAD; PHR; TRA); Headache (1; APA; FAY; KAP; MAB; WAM); Head Cold (f; JFM; RIN); Hemorrhoid (f; KAB; MAD; WHO); Hepatosis (1; APA; MAD); High Blood Pressure (1; APA; PNC); High Cholesterol (1; MAB; PED; PNC); Hoarseness (f; JFM); Hyperemesis (2; AKT); Immunodepression (1; FNF; PH2); Impotence (1; APA; MAB); Infection (1; DAD; FNF; MAB; TRA); Infertility (f; MAD); Inflammation (2; FAY; FNF; MAB; TRA; SKY; WAM; WHO); Insomnia (f; WHO); Kawasaki Disease (1; MAB); Low Blood Pressure (1; MAB); Lumbago (1; PNC); Malaria (f; JFM; MAD); Marasmus (f; DAA; DAD); Migraine (1; APA; FAY; MAB; PH2; SKY; WHO); Morning Sickness (2; FNF; KOM; MAB; PIP; WHO); Motion Sickness (2; FNF; KOM; MAB; PIP; WHO); Mycosis (1; DAD; HH3; MAB; TRA); Myosis (1; AAB; AKT; WAM; WHO); Nausea (2; BGB; DAA; FAY; FNF; TRA; WAM; WHO); Nephrosis (f; APA; DAA); Nervousness (1; FNF); Neuralgia (1; COX; FNF); Neurasthenia (f; MAD); Obesity (1; PH2); Opacity (f; JFM); Ophthalmia (f; JFM); Osteoarthrosis (1; AKT; COX); Pain (1; AKT; FAY; FNF; JBU; PED; PNC; TRA; WAM; WHO); Palpitation (f; FAY); Parasite (1; MAB; TRA); Pharyngosis (1; JFM; PH2; TRA); Postoperative Nausea (2; WHO); Pyrexia (f; PNC); Raynaud’s (f; BGB); Rheumatism (1; FAY; MAB; MAD; PNC; SKY; WHO); Salmonella (1; HH3; TRA); Schistosomiasis (1; DAD; HH3; TRA); Seasickness (2; FNF; WHO); Snakebite (f; DAA; DAD); Sore Throat (1; APA); Splenosis (f; FAY); Staphylococcus (1; HH3; TRA); Stomachache (1; AAB; AKT; DAA; DAD; FNF); Stomatosis (f; MAD); Streptococcus (1; HH3); Stroke (1; APA); Swelling (1; FAY; HH3; MAB; WHO); Thirst (f; DAD); Thrombocytosis (1; MAB); Toothache (f; DAD; MAD; KAP; WHO); Trichomoniasis (1; DAA); Ulcer (1; APA; FAY; FNF; MAB; VVG); Vaginosis (1; DAA); Vertigo (1; MAB); Virus (1; APA; FNF; MAB; TRA; WAM); Vitiligo (f; FAY); Vomiting (3; KOM; PIP; WHO); Worm (f; DAA; DAD); Yeast (1; TRA).

GINGER FOR COLD/FLU:
       Analgesic: 6-gingerol; 6-shogaol; borneol; caffeic-acid; camphor; capsaicin; chlorogenicacid; eugenol; ferulic-acid; gingerol; myrcene; p-cymene; quercetin; shogaol
       Anesthetic: 1,8-cineole; benzaldehyde; camphor; capsaicin; eugenol; linalool; myrcene
       Antiallergic: 1,8-cineole; 6-gingerol; 6-shogaol; citral; ferulic-acid; gingerol; kaempferol; linalool; quercetin; shogaol; terpinen-4-ol
       Antibacterial: 1,8-cineole; acetic-acid; alpha-pinene; alpha-terpineol; benzaldehyde; beta-ionone; beta-thujone; bornyl-acetate; caffeic-acid; caryophyllene; chlorogenic-acid; citral; citronellal; citronellol; curcumin; delta-cadinene; eugenol; ferulic-acid; geranial; geraniol; kaempferol; limonene; linalool; myrcene; myricetin; neral; nerol; nerolidol; pcoumaric-acid; p-cymene; p-hydroxy-benzoic-acid; patchouli-alcohol; perillaldehyde; quercetin; terpinen-4-ol; vanillic-acid
       Antibronchitic: 1,8-cineole; borneol; curcumin
       Antiflu: alpha-pinene; caffeic-acid; limonene; p-cymene; quercetin
       Antihistaminic: 6-shogaol; 8-gingerol; 8-shogaol; caffeic-acid; chlorogenic-acid; citral; gingerol; kaempferol; linalool; myricetin; quercetin; shogaol
       Antiinflammatory: 10-dehydrogingerdione; 10-gingerdione; 6-dehydrogingerdione; 6-gingerdione; alpha-curcumene; alpha-linolenic-acid; alpha-pinene; beta-pinene; borneol; caffeic-acid; capsaicin; caryophyllene; chlorogenic-acid; curcumin; eugenol; ferulic-acid; gingerol; kaempferol; myricetin; quercetin; salicylates; shogaol; vanillic-acid; zingerone
       Antioxidant: 6-gingerdiol; 6-gingerol; 6-shogaol; caffeic-acid; camphene; capsaicin; chlorogenic-acid; curcumin; delphinidin; eugenol; ferulic-acid; gamma-terpinene; gingerol; isoeugenol; kaempferol; melatonin; myrcene; myricetin; p-coumaric-acid; phydroxy-benzoic-acid; quercetin; vanillic-acid; vanillin; zingerone
       Antipharyngitic: 1,8-cineole; quercetin
       Antipyretic: 6-gingerol; 6-shogaol; borneol; eugenol; gingerol; salicylates; shogaol
       Antirhinoviral: ar-curcumene; beta-bisabolene; beta-sesquiphellandrene; zingiberene
       Antiseptic: 1,8-cineole; alpha-terpineol; aromadendrene; benzaldehyde; beta-pinene; caffeic-acid; camphor; capsaicin; chlorogenic-acid; citral; citronellal; citronellol; eugenol; furfural; geraniol; gingerol; hexanol; kaempferol; limonene; linalool; myricetin; nerol; oxalic-acid; paradol; shogaol; terpinen-4-ol
       Antistress: gamma-aminobutyric-acid
       Antitussive: 1,8-cineole; 6-gingerol; 6-shogaol; terpinen-4-ol
       Antiviral: alpha-pinene; ar-curcumene; beta-bisabolene; bornyl-acetate; caffeic-acid; chlorogenic-acid; curcumin; cyanin; ferulic-acid; geranial; kaempferol; limonene; linalool; myricetin; p-cymene; quercetin; vanillin
       Bronchorelaxant: citral; linalool
       COX-2-Inhibitor: curcumin; eugenol; kaempferol; melatonin; quercetin; 10-gingerol; 8-paradol; 6-shogaol; xanthorizol
       Cyclooxygenase-Inhibitor: 6-gingerol; capsaicin; curcumin; gingerol; kaempferol; melatonin; quercetin; shogaol; zingerone
       Decongestant: camphor
       Expectorant: 1,8-cineole; acetic-acid; alpha-pinene; beta-phellandrene; beta-sesquiphellandrene; bornyl-acetate; camphene; camphor; citral; geraniol; limonene; linalool
       Immunostimulant: alpha-linolenic-acid; benzaldehyde; caffeic-acid; chlorogenic-acid; curcumin; ferulic-acid; melatonin
       Interferonogenic: chlorogenic-acid
       Phagocytotic: ferulic-acid

GINGER FOR DYSPEPSIA:
·      Analgesic: 6-gingerol; 6-shogaol; borneol; caffeic-acid; camphor; capsaicin; chlorogenicacid; eugenol; ferulic-acid; gingerol; myrcene; p-cymene; quercetin; shogaol
·      Anesthetic: 1,8-cineole; benzaldehyde; camphor; capsaicin; eugenol; linalool; myrcene
·      Antiemetic: 6-gingerol; camphor; gingerol; shogaol
·      Antigastric: myricetin; quercetin
·      Antiinflammatory: 10-dehydrogingerdione; 10-gingerdione; 6-dehydrogingerdione; 6-gingerdione; alpha-curcumene; alpha-linolenic-acid; alpha-pinene; beta-pinene; borneol; caffeic-acid; capsaicin; caryophyllene; chlorogenic-acid; curcumin; eugenol; ferulic-acid; gingerol; kaempferol; myricetin; quercetin; salicylates; shogaol; vanillic-acid; zingerone
·      Antioxidant: 6-gingerdiol; 6-gingerol; 6-shogaol; caffeic-acid; camphene; capsaicin; chlorogenic-acid; curcumin; delphinidin; eugenol; ferulic-acid; gamma-terpinene; gingerol; isoeugenol; kaempferol; melatonin; myrcene; myricetin; p-coumaric-acid; phydroxy-benzoic-acid; quercetin; vanillic-acid; vanillin; zingerone
·      Antipeptic: benzaldehyde; beta-eudesmol
·      Antistress: gamma-aminobutyric-acid
·      Antiulcer: 6-gingerol; 6-gingesulfonic-acid; 6-shogaol; alpha-zingiberene; ar-curcumene; beta-bisabolene; beta-eudesmol; beta-sesquiphellandrene; capsaicin; chlorogenic-acid; curcumin; eugenol; kaempferol; zingiberene; zingiberone
·      Antiulcerogenic: caffeic-acid
·      Anxiolytic: gamma-aminobutyric-acid
·      Carminative: camphor; ethyl-acetate; eugenol; zingiberene
·      Digestive: capsaicin
·      Gastrostimulant: 6-shogaol; galanolactone; gingerol; shogaol
·      Proteolytic: zingibain
·      Secretagogue: 1,8-cineole; p-hydroxy-benzoic-acid; zingerone
·      Sedative: 1,8-cineole; 6-gingerol; 6-shogaol; alpha-pinene; alpha-terpineol; benzaldehyde; borneol; bornyl-acetate; caffeic-acid; caryophyllene; citral; citronellal; citronellol; eugenol; farnesol; gamma-aminobutyric-acid; geraniol; geranyl-acetate; gingerol; isoborneol; isoeugenol; limonene; linalool; nerol; p-cymene; perillaldehyde; shogaol
·      Sialagogue: capsaicin
·      Tranquilizer: alpha-pinene; gamma-aminobutyric-acid

OTHER USES (GINGER) — (Duke, J. A et al., 2003)
With its agreeable aroma and pungent taste, it is prepared from whole or partially peeled rhizomes, called “hands.” Ginger is extensively used as condiment, in baked goods, beverages, cakes, candies, chutneys, curries, ginger ale, ginger beer, mincemeat, pastries, pickles, and preserves. Ginger is marketed whole, cracked, ground, powdered, and as a flavoring. It is said to be used as a vegetable substitute for rennet. Young rhizomes, called green ginger, stem ginger, or young ginger, are peeled and eaten raw in salads, pickled, or cooked in syrup and made into sweetmeats. Like garlic, ginger gets milder if cooked, bitter if burned. To make “pink ginger,” the Japanese garnish, take very young ginger roots, scrape off the skin, saturate with lemon juice (which turns it pick), and season with salt (RIN). Pickled ginger, known as “amazu-shôga” or “gari,” is frequently consumed with sushi, etc. Pickled and dyed red, they are known as “hajikami-shôga.” Candied ginger, preserved in honey, sugar, or syrup, is a real treat.
In Australia, the young rhizomes are preferred for making crystallized ginger. The juice of the rhizomes is nice in ginger ale, ginger beer, wine, brandy, and herbal teas. Young, spicy shoots are eaten as a potherb or puréed and used in sauces and dips. Young inflorescences are eaten raw in khaao yam. The leaves are used to wrap food for grilling (FAC). Ginger contains a proteolytic enzyme which, like ficin, bromelain, and papain, can be used for tenderizing meats. The proteolytic enzyme is present at levels of 2.26% of the fresh rhizome, such that 50 kg ginger can yield 1 kg of the enzyme; by contrast, it takes 8000 kg papaya (but remember, it’s mostly water) to produce 1 kg papain, papaya’s digestive enzyme.
All these proteolytic enzymes, like the hydroxy fruit acids they often accompany, have cosmetic applications as well. The EO, called “oil of ginger,” is used in food flavoring, beverages, and perfumes, especially men’s toilet lotions (DAD, RIN, WOI). And Bown (2001) notes that shogaols, breakdown products of gingerol, produced as ginger dries, are almost twice as hot as gingerols.
Hence the dried ginger, with half the water, may have more than twice the pungency. That may well be why the Chinese use the dry ginger for different purposes than the fresh.

CLINICAL STUDIES  (Barnes, J. A et al., 2007)
Clinical trials of ginger have focused mainly on its effects on the prevention and treatment of nausea and vomiting of various causes. Other clinical studies have assessed the effects of ginger preparations on gastrointestinal motility and on platelet function, and in vertigo and inflammatory conditions, such as osteoarthritis. Several of these studies are described below. Nausea and vomiting and effects on gastrointestinal motility Ginger has been reported to be effective as a prophylactic against seasickness.(40, 41) Ingestion of powdered ginger root 1 g was found to significantly reduce the tendency to vomit and experience cold sweating in 40 naval cadets, compared with 39 cadets who received placebo.(40) Powdered ginger root 1.88 g has been reported to be superior to dimenhydrinate 100 mg in preventing the gastrointestinal symptoms of motion sickness induced by a rotating chair.(41) However, a second study reported ginger (500 mg powdered, 1 g powdered/fresh) to be ineffective in the prevention of motion sickness induced by a rotating chair.(42) The study concluded hyoscine 600 mg and dexamfetamine 10 mg to be the most effective combination, with dimenhydrinate 50 mg as the over-the-counter motion sickness medication of choice.(42)
A systematic review of six randomised controlled trials of ginger preparations included three trials involving patients with post-operative nausea and vomiting, and three further trials in patients with seasickness (motion sickness), morning sickness (emesis of pregnancy) and cancer chemotherapy-induced nausea (one trial in each condition).(43) Two of the three studies assessing the effects of ginger in post-operative nausea and vomiting found that ginger was more effective than placebo and as effective as metoclopramide in reducing nausea. However, when the data from the three studies were pooled, the difference between the ginger and placebo groups was statistically non-significant.(43)
A randomised, double-blind, crossover trial involving women with nausea of pregnancy assessed the effects of capsules of powdered ginger root 250 mg, or placebo, administered orally four times daily for four days.(44) It was reported that symptom relief was significantly greater during treatment with ginger than with placebo, and that significantly more women stated a preference for ginger treatment than for placebo (as later disclosed). A more recent randomised, double-blind trial involving 70 women with nausea and vomiting of pregnancy assessed the effectiveness of capsules of powdered fresh ginger root 250 mg four times daily, or placebo, for four days.(45) At the end of the study, ginger recipients had significantly lower scores for nausea and fewer vomiting episodes than did the placebo group.
Studies involving healthy volunteers have investigated the effects of ginger on gastric emptying as a possible mechanism for the anti-emetic effects of ginger. A randomised, double-blind, placebo-controlled, crossover trial involving 16 volunteers assessed the effects of capsules containing powdered ginger 1 g for one week, followed by a one-week wash-out period before crossing over to the opposite arm of the study.(46) Gastric emptying was measured using a paracetamol absorption technique by comparing the effects of ginger administration on mean and peak plasma paracetamol concentrations. The results indicated that the rate of absorption of oral paracetamol was not affected by simultaneous ingestion of ginger. Another randomised, doubleblind, placebo-controlled trial involving 12 healthy volunteers assessed the effects of ginger rhizome extract on fasting and postprandial gastroduodenal motility.(47) The results of this study indicated that oral administration of ginger improved gastroduodenal motility in both the fasting state and after a test meal.
A randomised, double-blind, placebo-controlled, crossover trial involving eight healthy volunteers tested the effects of powdered ginger root 1 g on experimentally induced vertigo.(48) One hour after ginger or placebo administration, participants' vestibular system was stimulated by water irrigation of the left ear. It was reported that ginger significantly reduced vertigo, when compared with placebo.

OTHER EFFECTS (Barnes, J. A et al.,  2007)
In a randomised, double-blind, placebo-controlled, crossover trial involving 75 patients with osteoarthritis of the knee or hip, the effects of capsules of ginger extract 170 mg three times daily were compared with those of ibuprofen 400 mg three times daily, or placebo, for three weeks with a one-week wash-out period between each treatment period.(49) At the end of the study, data for the 56 evaluable participants indicated that there was no strong evidence of an effect for ginger extract over that of placebo on parameters of pain.
A reduction in joint pain and improvement in joint movement in seven rheumatoid arthritis sufferers has been documented for ginger, with a dual inhibition of cyclooxygenase and lipoxygenase pathways reported as a suggested mechanism of action.(50, 51) Patients took either fresh ginger in amounts ranging from 5–50 g or powdered ginger 0.1–1.0 g daily. A placebo-controlled study assessed the effects of two doses of ginger powder (4 g daily for three months, and 10 g as a single dose) on platelet aggregation and fibrinolytic activity in patients with coronary artery disease (CAD).(52)
The results indicated that long-term administration of ginger powder did not affect ADPand epinephrine (adrenaline)-induced platelet aggregation and had no effects on fibrinolytic activity or fibrinogen concentrations, compared with placebo administration. By contrast, administration of a single dose of ginger powder to 10 patients with CAD produced a significant reduction in platelet aggregation, compared with placebo administration (n = 10 patients with CAD). In a study involving seven women, oral raw ginger 5 g reduced thromboxane B2 concentrations in serum collected after clotting,(50) thus indicating a reduction in eicosanoid synthesis (associated with platelet aggregation).

PRECAUTIONS (Gale Encyclopedia)
Despite studies showing ginger’s aid for pregnancy nausea, the German Commission E has recommended that pregnant women not use ginger. Some studies indicate that high amounts of ginger might cause miscarriages. Researchers cannot follow up their suspicions with human clinical trials because of the danger posed to unborn fetuses. Dosages over 6 g could cause gastric problems and possibly ulcers. Ginger may slow down blood clotting time. Before taking ginger, consumers should check dosages with a healthcare provider.
Consumers should not ingest the whole ginger plant; it has been found to damage the liver in animals. Ginger root is not recommended for people with gallstones.
SIDE EFFECTS
Ginger may cause heartburn.
INTERACTIONS
Ginger can interfere with the digestion of iron- and fat-soluble vitamins. Ginger also interacts with several medications. The herb can inhibit warfarin sodium, which is a blood thinner. Ginger can also interfere with absorption of tetracycline, digoxin, sulfa drugs, and phenothiazines. Consumers should check with their healthcare provider for drug or other interactions.

CONTRAINDICATIONS (Linda, S. R. 2010)
Pregnancy category is 1; breastfeeding category is 2A.
Ginger should not be used by persons with hypersensitivity to it. Unless directed by a physician, ginger should not be used by persons with cholelithiasis.

SIDE EFFECTS/ADVERSE REACTIONS
       CV: Arrhythmias
       GI: Nausea, vomiting, anorexia
       INTEG: Hypersensitivity reactions

INTERACTIONS
DRUG
       All oral medications: Ginger may increase absorption of all medications taken orally.
       Antacids, antidiabetics, antihypertensives, H2-blockers, proton pump inhibitors: Ginger may decrease the action of these agents (theoretical) (Jellin et al, 2008).
       Anticoagulants (ardeparin, anisindione, aspirin, dicumerol, dalteparin, heparin, warfarin), antiplatelets (abciximab): Ginger may increase the risk for bleeding when used concurrently with anticoagulants antiplatelets (theoretical).
HERB
Anticoagulant/antiplatelet herbs: When used with anticoagulant/antiplatelet herbs, ginger may increase the risk for bleeding (theoretical) (Jellin et al, 2008).
Lab Test
Plasma partial prothrombin time, prothrombin time: Ginger may increase plasma partial prothrombin time in clients taking warfarin concurrently and may increase prothrombin time.

Adverse effects: Underline = life-threatening

PHARMACOLOGY
PHARMACOKINETICS
Information on the pharmacokinetics and pharmacodynamics of ginger is limited. Its metabolites are known to be eliminated via urinary excretion within 24 hours, and it is 90% bound to plasma proteins.

CLIENT CONSIDERATIONS
ASSESS
• Assess the reason the client is taking ginger.
• Assess for hypersensitivity reactions. If present, discontinue use of this herb and administer an antihistamine or other appropriate therapy.
• Assess all medications used (see Interactions).
ADMINISTER
• Instruct the client to store ginger products in a cool, dry place, away from heat and moisture.
Teach Client/Family
• Inform the client that pregnancy category is 1 and breastfeeding category is 2A.

SIDE-EFFECTS, TOXICITY (Barnes, J. A et al., 2007)

CLINICAL DATA
None documented. However, there is a lack of clinical safety and toxicity data for ginger and further investigation of these aspects is required. Ginger oil is stated to be non-irritating and nonsensitising although dermatitis may be precipitated in hypersensitive individuals. Phototoxicity is not considered to be of significance.(53)

PRECLINICAL DATA
Ginger oil is stated to be of low toxicity(G58) with acute LD50 values (rat, by mouth; rabbit, dermal) reported to exceed 5 g/kg.(53) Mutagenic activity has been documented for an ethanolic ginger extract, gingerol and shogaol in Salmonella typhimurium strains TA100 and TA1535 in the presence of metabolic activation (S9 mix) but not in TA98 or TA1538 with or without S9 mix.(54) Zingerone was found to be non-mutagenic in all four strains with or without S9 mix, and was reported to suppress mutagenic activity of gingerol and shogaol. Ginger juice has been reported to exhibit antimutagenic activity, whereas mutagenic activity has been described for 6-gingerol in the presence of known chemical mutagens.(55) It was suggested that certain mutagens may activate the mutagenic activity of 6-gingerol so that it is not suppressed by antimutagenic components present in the juice.(55)

CONTRA-INDICATIONS, WARNINGS
Drug interactions In view of the documented pharmacological actions of ginger, the potential for preparations of ginger to interfere with other medicines administered concurrently, particularly those with similar or opposing effects, should be considered. Ginger has been reported to possess both cardiotonic and antiplatelet activity in vitro and hypoglycaemic activity in in vivo studies. An oleo-resin component, 6-shogaol has been reported to affect blood pressure (initially decrease then increase) in vivo. The clinical significance of these findings, if any, is unclear. Pregnancy and lactation Ginger is reputed to be an abortifacient (G30) and utero-activity has been documented for a related species. Doses of ginger that greatly exceed the amounts used in foods should not be taken during pregnancy or lactation.


REFERENCE

Al S. 2016.  Healing Herbs of Paradise. Wellness Research & Consulting, Inc. 11905 Southern Blvd..
Barnes, J., Anderson, L. A., and Phillipson, J. D.  2007.  Herbal Medicines Third Edition. Pharmaceutical Press. Auckland and London.
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