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Araliaceae

Panax ginseng

Asian ginseng · Korean ginseng · Ren shen

Mixed Caution Wild populations critically depleted
Part used
root
Native range
Northeastern China, Korea and far eastern Russia. Effectively extinct in the wild
Morphology
A slow-growing perennial to about sixty centimetres, with whorled compound leaves and a cluster of red berries. The fleshy root is often forked in a way readily read as a human figure, which is what the name refers to.

What is in it

triterpene saponins ginsenoside Rb1, ginsenoside Rg1
polysaccharides
polyacetylenes

Evidence

A large literature with small and inconsistent results. Some signal for fatigue and for cognitive performance in short trials; Cochrane finds the evidence insufficient. Trial quality is uneven and many studies come from regions where the herb has cultural prestige.

Safety

Generally well tolerated. Insomnia, headache and hypertension are reported, and there are case reports of mania in susceptible people. Effects on blood glucose are documented and matter in diabetes. Oestrogenic effects have been reported and are not fully characterised.

Interactions: Reduces the effect of warfarin; Additive with stimulants; May lower blood glucose, compounding antidiabetic drugs; Reported interaction with monoamine oxidase inhibitors

Regulatory: Permitted as a listed medicine ingredient. Cultivated material dominates trade; wild Chinese and Russian populations are protected.

How the traditions classify it

Chinese Ren shen — sweet, slightly bitter and slightly warm; entering the spleen, lung and heart channels. The principal qi tonic of the materia medica, classically reserved for depletion and traditionally expensive.

Three systems, rating the same plant. Where they disagree, none of them is correcting the others — they are separate frameworks that arrived at their categories independently.

Historical use

Used in China for at least two thousand years as the pre-eminent tonic, and valued so highly that wild roots have been treated as objects of extraordinary worth. The genus name Panax is from the Greek for all-healing, and shares a root with panacea.

Recorded as history and attributed where possible. Long use establishes that a plant was widely used, not that it worked, and not that it was safe.

Worth knowing

Ginseng is the clearest case of a plant whose price is set by a shape.

The root branches, and a branched root read as a human body — a signature reading that the Chinese name records directly. Wild roots that look most like a figure have sold for sums that sound like typographical errors, and that valuation has stripped the wild populations to almost nothing while cultivated ginseng, chemically similar, sells for a fraction.

The evidence is a good example of a literature that never resolves: enough small positive trials to sustain the market, not enough large clean ones to settle anything, and a strong regional publication skew that nobody in the field disputes.

Nomenclature verified against GBIF backbone taxonomy.