Zingiberis rhizoma

Authors: Prof. Dr. med. Peter Altmeyer, Prof. Dr. med. Martina Bacharach-Buhles

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Last updated on: 03.08.2023

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Synonym(s)

Bengal rhizoma; Ginger; Ginger Rootstock; officinal cingiber

Definition
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Rhizome of ginger (Zingiber officinale; Zingiberis rhizoma ), ginger rhizome.

HMPC monograph: Well-established use: Preventive against motion sickness with nausea and vomiting: 1 - 2 g one hour before travel, not recommended for children and adolescents under 18 years of age.

Traditional-use: Symptoms of motion sickness: 750 mg 30 min before travel for adolescents, adults, children between 6 and 12 years only 250 or 500 mg. Use in children under 6 years of age is not recommended.

Mild crampy gastrointestinal symptoms, flatulence: adults: 180 mg 3 x / day if needed, not recommended for children and adolescents under 18 years.


ESCOP monograph: prevention of nausea and vomiting in motion sickness, or in pregnancy (under medical supervision) or postoperative vomiting.

Commission E monograph: Dyspeptic complaints; prevention of motion sickness symptoms.

Empirical medicine: nausea, vomiting after surgery or chemotherapy, loss of appetite, to stimulate digestion, colds, hypotension.

Effects
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Antiemetic, expectorant, diaphoretic, digestive, spasmolytic, stimulates circulation.

Spectrum of action
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The ingredients shogaole and gingerole (6-gingerol = essential spice) contained in ginger have an antiemetic effect. Shagaols are formed from the gingerols by dehydration. Zingiberol is mainly responsible for the smell.

However, there is no precise knowledge about the mechanism of action.

In folk medicine (especially in Asian countries) ginger is widely used in the treatment of nausea (tested in tumour patients), digestive disorders, colics, colds, coughs, flu, circulatory disorders of the extremities as well as externally for cramp-like pain, rheumatism, lumbago, menstrual problems, haematomas and sprains.

Essential ginger oil has a virustatic effect against herpes viruses (HSV-1).

Its anti-inflammatory effect is explained by its influence on arachidonic acid metabolism; at the same time, it inhibits the production of the fever-inducing interleukin-1 beta.

When taken orally, the pungent substances excite the heat receptors in the oral mucosa and promote the reflection of saliva and gastric juice (Silcher H 2016).

Field of application/use
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Symptoms of kinetosis (motion sickness) such as nausea, vomiting, dizziness), dyspeptic complaints.

Indications from empirical medicine: loss of appetite; colds, antiemetic in tunor patients.

Pregnancy/nursing period
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no malformations observed in studies nevertheless prophactic use during pregnancy is not recommended, see however under definition ESCOP monograph

Dosage
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Adults and children > 6 years.: 2 Kps. p.o. ½ Hour before departure, then repeat every 4 hours

Undesirable effects
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Allergic reactions to ginger are rare (see below ginger allergy).

Mild gastrointestinal discomfort, belching, dyspepsia, nausea. Altered bleeding time!

Contraindication
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Allergy to ginger

Interactions
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Warfarin -sodium for altered bleeding time.

Trade names
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Zintona

Literature
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  1. Schilcher H Plant profiles. In: Guide to phytotherapy. Urban and Fischer Publishers Munich, pp. 164-166.
  2. https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-zingiber-officinale-roscoe-rhizoma_en.pdf
  3. https://arzneipflanzenlexikon.info/ingwer.php
  4. Wenigmann M. (2017) Phytotherapy medicinal drugs, phytopharmaceuticals, application. Urban & Fischer, pp. 131-132
  5. Miller LG (1998) Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Arch Intern Med. 9;158(20):2200-2211. doi: 10.1001/archinte.158.20.2200. PMID: 9818800.