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American ginseng (''Panax quinquefolius'') is a herbaceous
perennial plant A perennial plant or simply perennial is a plant that lives more than two years. The term ('' per-'' + '' -ennial'', "through the years") is often used to differentiate a plant from shorter-lived annuals and biennials. The term is also wide ...
in the ivy family, commonly used as an herb in
traditional Chinese medicine Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China. It has been described as "fraught with pseudoscience", with the majority of its treatments having no logical mechanism of acti ...
. It is native to eastern
North America North America is a continent in the Northern Hemisphere and almost entirely within the Western Hemisphere. It is bordered to the north by the Arctic Ocean, to the east by the Atlantic Ocean, to the southeast by South America and th ...
, though it is also cultivated in
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's List of countries and dependencies by population, most populous country, with a Population of China, population exceeding 1.4 billion, slig ...
. Since the 18th century, American ginseng (''P. quinquefolius'') has been primarily exported to Asia, where it is highly valued for its cooling and sedative medicinal effects. It is considered to represent the cooling yin qualities, while Asian ginseng embodies the warmer aspects of yang.


Description

The aromatic root of American ginseng (''Panax quinquefolius'') resembles a small parsnip that forks as it matures. The plant grows tall, usually bearing three leaves, each with three to five leaflets, long. American ginseng can be found in much of the eastern and central United States and in part of southeastern Canada. It is found primarily in deciduous forests of the Appalachian and
Ozark The Ozarks, also known as the Ozark Mountains, Ozark Highlands or Ozark Plateau, is a physiographic region in the U.S. states of Missouri, Arkansas, Oklahoma and the extreme southeastern corner of Kansas. The Ozarks cover a significant porti ...
regions of the United States. American ginseng is found in full shade environments in these deciduous forests underneath hardwoods. In the United States, American ginseng is generally not listed as an
endangered species An endangered species is a species that is very likely to become extinct in the near future, either worldwide or in a particular political jurisdiction. Endangered species may be at risk due to factors such as habitat loss, poaching and inv ...
, but it has been declared under threat by some states. States recognizing American ginseng as ''endangered'' include
Maine Maine () is a state in the New England and Northeastern regions of the United States. It borders New Hampshire to the west, the Gulf of Maine to the southeast, and the Canadian provinces of New Brunswick and Quebec to the northeast and nor ...
and
Rhode Island Rhode Island (, like ''road'') is a U.S. state, state in the New England region of the Northeastern United States. It is the List of U.S. states by area, smallest U.S. state by area and the List of states and territories of the United States ...
. States recognizing American ginseng as ''vulnerable'' are
New York New York most commonly refers to: * New York City, the most populous city in the United States, located in the state of New York * New York (state), a state in the northeastern United States New York may also refer to: Film and television * '' ...
and
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
. States recognizing American ginseng as ''threatened'' are
Michigan Michigan () is a state in the Great Lakes region of the upper Midwestern United States. With a population of nearly 10.12 million and an area of nearly , Michigan is the 10th-largest state by population, the 11th-largest by area, and t ...
,
New Hampshire New Hampshire is a U.S. state, state in the New England region of the northeastern United States. It is bordered by Massachusetts to the south, Vermont to the west, Maine and the Gulf of Maine to the east, and the Canadian province of Quebec t ...
, and
Virginia Virginia, officially the Commonwealth of Virginia, is a state in the Mid-Atlantic and Southeastern regions of the United States, between the Atlantic Coast and the Appalachian Mountains. The geography and climate of the Commonwealth are ...
.
Connecticut Connecticut () is the southernmost state in the New England region of the Northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, New York (state), New York to the west, and Long Island Sound to the ...
,
Massachusetts Massachusetts (Massachusett: ''Muhsachuweesut Massachusett_writing_systems.html" ;"title="nowiki/> məhswatʃəwiːsət.html" ;"title="Massachusett writing systems">məhswatʃəwiːsət">Massachusett writing systems">məhswatʃəwiːsət'' En ...
,
North Carolina North Carolina () is a U.S. state, state in the Southeastern United States, Southeastern region of the United States. The state is the List of U.S. states and territories by area, 28th largest and List of states and territories of the United ...
, and
Tennessee Tennessee ( , ), officially the State of Tennessee, is a landlocked U.S. state, state in the Southeastern United States, Southeastern region of the United States. Tennessee is the List of U.S. states and territories by area, 36th-largest by ...
recognize American ginseng as a ''special concern''. In Canada, American ginseng is listed as endangered nationally, particularly in
Ontario Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of Canada, but it has historically and politically been considered to be part of Central Canada. Located in Central Ca ...
, and as threatened in
Quebec Quebec ( ; )According to the Canadian government, ''Québec'' (with the acute accent) is the official name in Canadian French and ''Quebec'' (without the accent) is the province's official name in Canadian English is one of the thirte ...
(the highest risk categories in both provinces).


Chemical components

Like '' Panax ginseng'', American ginseng contains
dammarane Dammarane is a tetracyclic triterpene found in sapogenins (forming triterpenoid saponins) like those of ginseng (ginsenoside Ginsenosides or panaxosides are a class of natural product steroid glycosides and triterpene saponins. Compounds in t ...
-type
ginsenoside Ginsenosides or panaxosides are a class of natural product steroid glycosides and triterpene saponins. Compounds in this family are found almost exclusively in the plant genus '' Panax'' (ginseng), which has a long history of use in traditional m ...
s, or
saponin Saponins (Latin "sapon", soap + "-in", one of), also selectively referred to as triterpene glycosides, are bitter-tasting usually toxic plant-derived organic chemicals that have a foamy quality when agitated in water. They are widely distributed ...
s, as the major biologically active constituents. Dammarane-type ginsenosides include two classifications: 20(S)-
protopanaxadiol Protopanaxadiol (PPD) is an organic compound characterizing a group of ginsenosides. It is a dammarane-type tetracyclic terpene sapogenin found in ginseng (''Panax ginseng'') and in notoginseng (''Panax pseudoginseng''). Just what protopanaxad ...
(PPD) and 20(S)- protopanaxatriol (PPT). American ginseng contains high levels of Rb1, Rd (PPD classification), and Re (PPT classification) ginsenosides—higher than that of ''P. ginseng'' in one study. When taken orally, PPD-type ginsenosides are mostly metabolized by intestinal bacteria ( anaerobes) to PPD monoglucoside, 20-O-beta-D-glucopyranosyl-20(S)-protopanaxadiol (M1). In humans, M1 is detected in plasma starting seven hours after intake of PPD-type ginsenosides and in urine starting 12 hours after intake. These findings indicate M1 is the final metabolite of PPD-type ginsenosides. M1 is referred to in some articles as IH-901, and in others as compound-K.


Traditional medicine

The plant's root and leaves were used in
traditional medicine Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the ...
by Native Americans. Since the 18th century, the roots were collected by "''sang'' hunters" and sold to Chinese or Hong Kong traders, who paid high prices for particularly old wild roots. There is no evidence that American ginseng is effective against the
common cold The common cold or the cold is a viral infectious disease of the upper respiratory tract that primarily affects the respiratory mucosa of the nose, throat, sinuses, and larynx. Signs and symptoms may appear fewer than two days after expos ...
.
Cold-fX Cold-FX is a product derived from the roots of North American ginseng (''Panax quinquefolius''). It was formulated by Jacqueline Shan and originally manufactured by her company, Afexa Life Sciences (formerly called CV Technologies), which was acqu ...
is a product derived from the roots of North American ginseng (''Panax quinquefolius''). The makers of Cold-fX were criticized for making
health claim A health claim on a food label and in food marketing is a claim by a manufacturer of food products that their food will reduce the risk of developing a disease or condition. For example, it is claimed by the manufacturers of oat cereals that oa ...
s about the product that have never been tested or verified scientifically. Health Canada's review of the scientific literature confirmed that this is not a claim that the manufacturer is entitled to make.


Adverse effects

Individuals requiring
anticoagulant Anticoagulants, commonly known as blood thinners, are chemical substances that prevent or reduce coagulation of blood, prolonging the clotting time. Some of them occur naturally in blood-eating animals such as leeches and mosquitoes, where t ...
therapy such as
warfarin Warfarin, sold under the brand name Coumadin among others, is a medication that is used as an anticoagulant (blood thinner). It is commonly used to prevent blood clots such as deep vein thrombosis and pulmonary embolism, and to prevent st ...
should avoid use of ginseng. It is not recommended for individuals with impaired liver or renal function, or during pregnancy or breastfeeding. Other adverse effects include: headaches, anxiety, trouble sleeping and an upset stomach. Recent studies have shown that through the many cultivated procedures that American ginseng is grown, fungal molds, pesticides, and various metals and residues have contaminated the crop. Though these contaminating effects are not considerably substantial, they do pose health concerns that could lead to neurological problems, intoxication, cardiovascular disease and cancer.


Production

American
ginseng Ginseng () is the root of plants in the genus '' Panax'', such as Korean ginseng ('' P. ginseng''), South China ginseng ('' P. notoginseng''), and American ginseng ('' P. quinquefolius''), typically characterized by the presence of ginsenosides ...
was formerly particularly widespread in the Appalachian and
Ozark The Ozarks, also known as the Ozark Mountains, Ozark Highlands or Ozark Plateau, is a physiographic region in the U.S. states of Missouri, Arkansas, Oklahoma and the extreme southeastern corner of Kansas. The Ozarks cover a significant porti ...
regions (and adjacent forested regions such as
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
,
New York New York most commonly refers to: * New York City, the most populous city in the United States, located in the state of New York * New York (state), a state in the northeastern United States New York may also refer to: Film and television * '' ...
and
Ontario Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of Canada, but it has historically and politically been considered to be part of Central Canada. Located in Central Ca ...
). Due to its popularity and unique habitat requirements, the wild plant has been overharvested, as well as lost through destruction of its habitat, and is thus rare in most parts of the United States and Canada. Ginseng is also negatively affected by deer browsing, urbanization, and
habitat fragmentation Habitat fragmentation describes the emergence of discontinuities (fragmentation) in an organism's preferred environment (habitat), causing population fragmentation and ecosystem decay. Causes of habitat fragmentation include geological process ...
. It can be grown commercially, under artificial shade, woods-cultivated, or wild-simulated methods, and is usually harvested after three to four years, depending on cultivation technique; the wild-simulated method often requires up to 10 years before harvest.
Ontario, Canada Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of Canada, but it has historically and politically been considered to be part of Central Canada. Located in Central Ca ...
, is the world's largest producer of North American ginseng.
Marathon County, Wisconsin Marathon County is a county located in the U.S. state of Wisconsin. As of the 2020 census, the population was 138,013. Marathon County's seat is Wausau. It was founded in 1850, created from a portion of Portage County. At that time the cou ...
, accounts for about 95% of production in the United States. Woods-grown American ginseng programs in Vermont, Maine, Tennessee, Virginia, North Carolina, Colorado, West Virginia, and Kentucky, have been encouraging the planting of ginseng both to restore natural habitats and to remove pressure from any remaining wild ginseng.


Names

The name ginseng derives from the Chinese herbalism term, ''jen-shen''. Other Chinese names are ''huaqishen'' () or ''xiyangshen'' (). The word “panax” is derived from the Greek ‘Panakos’ ( panacea), in reference to the various benefits attributed to the herb. The word “ginseng” is said to mean “the wonder of the world”.


Conservation status

American ginseng is listed in Appendix II of the
Convention on International Trade in Endangered Species CITES (shorter name for the Convention on International Trade in Endangered Species of Wild Fauna and Flora, also known as the Washington Convention) is a multilateral treaty to protect endangered plants and animals from the threats of intern ...
to control international trade.


Gallery

File:Americanginseng.jpg, American ginseng in human figure. File:MonkGinsengGarden.jpg, Under wooden shade, American ginseng in late fall at Monk Garden in Wisconsin File:American-ginseng-with-fruit.jpg, A picture of the American Ginseng plant with fruit. File:Marathonginsengberry.jpg, American ginseng berries are ripe by late fall in Wisconsin. File:Drawn image of fruit and leaf.jpg, A drawn image of the fruit and leaf of the American Ginseng plant. File:Drawn image.png, A drawn image of the American ginseng plants leaves. File:American Ginseng.jpg, American wild ginseng root (Panax quinquefolius). This is a very old specimen, showing over 60 growth scars. File:American Ginseng 3.jpg, American wild ginseng root (Panax quinquefolius). Very old roots, ranging from 40–60 growth scars. File:American Ginseng 1.jpg, American wild ginseng root (Panax quinquefolius). This is a very old specimen, showing over 60 growth scars. File:American Ginseng 2.jpg, American wild ginseng root (Panax quinquefolius). Very old roots, ranging from 40–65 growth scars.


References

{{Taxonbar, from=Q2737217 Panax Herbs Medicinal plants of North America Flora of the United States Flora of Canada Plants described in 1753 Taxa named by Carl Linnaeus