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The alternative practice has become increasingly popular in Europe and North America, mainly as complement to Western medicine.Key medical terms: diabetes, hypertension, heart failure, hyperlipidemia Key Chinese medical references: qi, five viscera, hun, po, shen, spleen/stomach Chinese herbs: ginseng, atractylodes, hoelen, licorice, codonopsis, platycodon, gynostemma, eleuthero, tien-chi, American ginseng Active constituents: ginsenosides, saponins, dammarane triterpenes, oleanolic acid Chinese formulas: Lizhong Wan, Guipi Tang, Buzhong Yiqi Tang, Shen Ling Baizhu Tang, Si Junzi Tang Traditional Chinese medical texts: Shennong Bencao Jing, Shanghan Lun, Hejiju Fang, Bencao Gangmu SUMMARY: Ginseng is a popular herb that is frequently misunderstood and usually provided in dosages that are too small to have the desired effects.Many European and American recommendations for use of ginseng-and products made for those uses-involve dosages that are about 10 times less than what is traditionally used in China and Korea.Recent emphasis on standardized extracts, which might give the impression of being stronger than root powders or other extracts, may mask the fact that the products are often standardized to very low amounts of active components.Medicinal use of ginseng can be traced back nearly 2,000 years, with reference to cooling and calming properties, treatment of poor nutritional status, and alleviation of digestive distress; quite different from today's recommendations to use it as an energy booster.Ginseng's active ingredients have been identified and can be measured in roots, extracts, and finished products; studies have shown marked variation among finished preparations.However, there is no outright ban in China or Taiwan, and 'only specific plants, rather than any plant and product containing AA or its derivatives, are regulated'.Researchers found that the prevalence of AA-associated mutations in liver cancers in Taiwan did not drop after the ban was implemented.

A 'well-defined mutational signature' was found in patients who succumbed to the complications of consuming the plant.

THE NATURE OF GINSENG From Traditional Use to Modern Research by Subhuti Dharmananda, Ph.

D., Director, Institute for Traditional Medicine, Portland, Oregon The way in which ginseng is used depends on one's understanding of its indications, effects, and proper dosage.

This could be because it would take more time for a drop in cancers to be noticeable in the data, they said.

Links between the consumption of aristolochia, also known as birthwort, and other forms of cancer have been noted in recent years.

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