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Nutritional Supplement

Ginger

Parts Used & Where Grown

Ginger is a perennial plant that grows in India, China, Mexico, and several other countries. The rhizome (underground stem) is used as both a spice and in herbal medicine.

How It Works

The dried rhizome of ginger contains approximately 1–4% volatile oils. These are the medically active constituents of ginger and are also responsible for ginger’s characteristic odor and taste. The aromatic constituents include zingiberene and bisabolene, while the pungent constituents are known as gingerols and shogaols.1 The pungent constituents are credited with the anti-nausea and anti-vomiting effects of ginger.

In humans, ginger is thought to act directly on the gastrointestinal system to reduce nausea.2 Ginger has been shown to reduce the symptoms of motion sickness associated with travel by boat and, to a lesser extent, car.3,4,5 Two double-blind clinical trials have found that ginger may reduce nausea due to anesthesia following surgery,6,7 although one trial could not confirm this benefit.8 A preliminary trial has suggested ginger may be helpful for preventing chemotherapy -induced nausea. 9

While ginger is a popular remedy for nausea of pregnancy, it has only been clinically studied for very severe nausea and vomiting known as hyperemesis gravidarum.10 This condition is life threatening and should only be treated by a qualified healthcare professional. Because ginger contains some compounds that cause chromosomal mutation in the test tube, some doctors are concerned about the safety of using ginger during pregnancy. However, the available clinical research, combined with the fact that ginger is widely used in the diet of certain cultures, suggests that prudent use of ginger for morning sickness is safe in amounts up to 1 gram per day.

Ginger is considered a tonic for the digestive tract, stimulating digestion and toning the intestinal muscles.11 This action eases the transport of substances through the digestive tract, lessening irritation to the intestinal walls.12 Ginger may protect the stomach from the damaging effect of alcohol and non-steroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen) and may help prevent ulcers.13

Ginger also supports cardiovascular health. Ginger may make blood platelets less sticky and less likely to aggregate.14,15 However, not all human research has confirmed this.16,17

References

1. Tyler VE. Herbs of Choice: The Therapeutic Use of Phytomedicinals. Binghamton, NY: Pharmaceutical Products Press, 1994, 39-42.

2. Holtmann S, Clarke AH, Scherer H, Hohn M. The anti-motion sickness mechanism of ginger. A comparative study with placebo and dimenhydrinate. Acta Otolaryngol (Stockh) 1989;108:168-74.

3. Grontved A, Brask T, Kambskard J, Hentzer E. Ginger root against sea sickness. A controlled trial in the open sea. Acta Otolarygol 1988;105:45-9.

4. Ribenfeld D, Borzone L. Randomized double-blind study comparing ginger (Zintona®) with dimenhydrinate in motion sickness. Healthnotes Rev Complementary Integrative Med 1999;6:98-101.

5. Careddu P. Motion sickness in children: results of a double-blind study with ginger (Zintona®) and dimenhydrinate. Healthnotes Rev Complementary Integrative Med 1999;6:102-7.

6. Bone ME, Wilkinson DJ, Young JR, et al. Ginger root—a new antiemetic. The effect of ginger root on the postoperative nausea and vomiting after major gynaecological surgery. Anaesthesia 1990;45:669-71.

7. Phillips S, Ruggier R, Hutchinson SE. Zingiber officinale (ginger)—an antiemetic for day case surgery. Anaesthesia 1993;48:715-7.

8. Arfeen Z, Owen H, Plummer JL, et al. A double-blind randomized controlled trial of ginger for the prevention of postoperative nausea and vomiting. Anaesth Intensive Care 1995;23:449-52.

9. Meyer K, Schwartz J, Crater D, Keyes B. Zingiber officinale (ginger) used to prevent 8-Mop associated nausea. Dermatol Nurs 1995;7:242-4.

10. Langner E, Greifenberg S, Gruenwald J. Ginger: History and use. Adv Ther 1998;15:25-44 [review].

11. Bradley PR (ed). British Herbal Compendium, vol 1. Bournemouth, Dorset, UK: British Herbal Medicine Association, 1992, 112-4.

12. Yamahara J, Huang QR, Li YH, et al. Gastrointestinal motility enhancing effect of ginger and its active constituents. Chem Pharm Bull 1990;38:430-1.

13. al-Yahya MA, Rafatullah S, Mossa JS, et al. Gastroprotective activity of ginger in albino rats. Am J Chinese Med 1989;17:51-6.

14. Bordia A, Verma SK, Srivastava KC. Effect of ginger (Zingiber officinale Rosc) and fenugreek (Trigonella foenumgraceum L) on blood lipids, blood sugar, and platelet aggregation in patients with coronary artery disease. Prostagland Leukotrienes Essential Fatty Acids 1997;56:379-84.

15. Verma SK, Singh J, Khamesra R, Bordia A. Effect of ginger on platelet aggregation in man. Indian J Med Res 1994;98:240-2.

16. Lumb AB. Effect of dried ginger on human platelet function. Thromb Haemost 1994;7:110-1.

17. Janssen PL, Meyboom S, van Staveren WA, et al. Consumption of ginger (Zingiber officinale Roscoe) does not affect ex vivo platelet thromboxane production in humans. Eur J Clin Nutr 1996;50:772-4.

18. Fischer-Rasmussen W, Kjaer SK, Dahl C, Asping U. Ginger treatment of hyperemesis gravidarum. Eur J Obstet Gynecol Reprod Biol 1991;38:19-24.

19. Borrelli F, Capasso R, Aviello G, et al. Effectiveness and safety of ginger in the treatment of pregnancy-induced nausea and vomiting. Obstet Gynecol 2005;105:849-56.

20. Fulder S, Tenne M. Ginger as an anti-nausea remedy in pregnancy and the issue of safety. HerbalGram 1996;38:47-50.

21. Mowrey DB, Clayson DE. Motion sickness, ginger, and psychophysics. Lancet 1982;1:655-7.

22. Grontved A, Brask T, Kambskard J, Hentzer E. Ginger root against sea sickness. A controlled trial in the open sea. Acta Otolarygol 1988;105:45-9.

23. Ribenfeld D, Borzone L. Randomized double-blind study comparing ginger (Zintona®) with dimenhydrinate in motion sickness. Healthnotes Rev Complementary Integrative Med 1999;6:98-101.

24. Careddu P. Motion sickness in children: results of a double-blind study with ginger (Zintona®) and dimenhydrinate. Healthnotes Rev Complementary Integrative Med 1999;6:102-7.

25. Stewart JJ, Wood MJ, Wood CD, Mims ME. Effects of ginger on motion sickness susceptibility and gastric function. Pharmacology 1991;42:111-20.

26. Holtmann S, Clarke AH, Scherer H, Hohn M. The anti-motion sickness mechanism of ginger. A comparative study with placebo and dimenhydrinate. Acta Otolaryngol (Stockh) 1989;108:168-74.

27. Grontved A, Hentzer E. Vertigo-reducing effect of ginger root. A controlled clinical study. ORL J Otorhinolaryngol Relat Spec 1986;48:282-6.

28. Srivastava KC, Mustafa T. Ginger (Zingiber officinale) in rheumatism and musculoskeletal disorders. Med Hypoth 1992;39:342-8.

29. Bliddal H, Rosetzsky A, Schlichting P, et al. A randomized, placebo-controlled crossover study of ginger extracts and ibuprofen in osteoarthritis. Osteoarthritis Cartilage 2000;8:9-12.

30. Altman RD, Marcussen KC. Effects of a ginger extract on knee pain in patients with osteoarthritis. Arthritis Rheum 2001;44:2531-8.

31. Brown DJ. Herbal Prescriptions for Better Health. Rocklin, CA: Prima Publishing, 1996, 111-8.

32. Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative Medicine Communications, 1998, 135-6.