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Ginger Root

Source

A Ginger Root source containg 5% gingerols is the highest quality and very potent form of ginger used for Mymmunity

Botanical Details

Family: Zingiberaceae

Genus: Zingiber

Species: Z. officinale

Immune support

Preliminary clinical research in patients with rheumatoid arthritis (RA) shows that ginger increases FoxP3 gene expression. This allows for proper development of regulatory T cells, which help suppress the autoimmune response of effector T cells. Ginger also appears to decrease the expression of the ROR gamma t and T-bet genes, both of which are believed to be involved in the autoimmune process.

Other uses

Nausea and vomiting caused by drugs used to treat HIV/AIDS (antiretroviral-induced nausea and vomiting). Research suggests that taking ginger daily, 30 minutes before each dose of antiretroviral treatment for 14 days, reduces the risk of nausea and vomiting in patients receiving HIV treatment.

Menstrual cramps (dysmenorrhea). Research shows that taking ginger powder 500-2000 mg during the first 3-4 days of a menstrual cycle modestly decreases pain in women and teens with painful menstrual periods. Ginger was given for approximately 3 days starting at the beginning of the menstrual period or at the beginning of pain. Some research shows that taking ginger seems to work about as well as some pain medications, like ibuprofen, mefenamic acid, or Novafen. Adding ginger to medicines such as mefenamic acid also seems to be helpful.

Osteoarthritis. Most research shows that taking ginger by mouth can slightly reduce pain in some people with osteoarthritis. There is some evidence that taking ginger by mouth works as well as certain drugs such as ibuprofen and diclofenac for pain in hip and knee osteoarthritis. But conflicting results exist. Some early research also shows that ginger gel applied to the knee or ginger oil massaged into the knee can also relieve osteoarthritis pain.

Morning sickness. Taking ginger by mouth seems to reduce nausea and vomiting in some pregnant women. But it might work slower or not as well as some drugs used for nausea. Also, taking any herb or medication during pregnancy is a big decision. Before taking ginger, be sure to discuss the possible risks with your healthcare provider.


How it works

Ginger contains chemicals that may reduce nausea and inflammation. Researchers believe the chemicals work primarily in the stomach and intestines, but they may also work in the brain and nervous system to control nausea.

Safety

When taken by mouth: Ginger is LIKELY SAFE when taken appropriately. Ginger can cause mild side effects including heartburn, diarrhea, and general stomach discomfort. Some women have reported extra menstrual bleeding while taking ginger.

When applied to the skin: Ginger is POSSIBLY SAFE when applied to the skin appropriately, short-term. It might cause irritation on the skin for some people.

Special Precautions & Warnings:

Pregnancy: Ginger is POSSIBLY SAFE when taken by mouth for medicinal uses during pregnancy. But using ginger during pregnancy is controversial. There is some concern that ginger might affect fetal sex hormones or increase the risk of having a baby that is stillborn. There is also a report of miscarriage during week 12 of pregnancy in a woman who used ginger for morning sickness. However, most studies in pregnant women suggest that ginger can be used safely for morning sickness without harm to the baby. The risk for major malformations in infants of women taking ginger does not appear to be higher than the usual rate of 1% to 3%. Also there doesn't appear to be an increased risk of early labor or low birth weight. There is some concern that ginger might increase the risk of bleeding, so some experts advise against using it close to your delivery date. As with any medication given during pregnancy, it's important to weigh the benefit against the risk. Before using ginger during pregnancy, talk it over with your healthcare provider.

Children: Ginger is POSSIBLY SAFE when taken by mouth for up to 4 days by teenage girls around the start of their period.

Breast-feeding: There is not enough reliable information about the safety of taking ginger if you are breast feeding. Stay on the safe side and avoid use.

Bleeding disorders: Taking ginger might increase your risk of bleeding.

Diabetes: Ginger might increase your insulin levels and/or lower your blood sugar. As a result, your diabetes medications might need to be adjusted by your healthcare provider.

Heart conditions: High doses of ginger might worsen some heart conditions.


Interactions with medications

Cyclosporine (Neoral, Sandimmune)

Interaction Rating = Minor Be watchful with this combination.

Talk to your health provider.

Taking ginger two hours before taking cyclosporine (Neoral, Sandimmune) might increase how much cyclosporine (Neoral, Sandimmune) the body absorbs. This might increase the side effects of cyclosporine (Neoral, Sandimmune). However, ginger does not seem to affect how much cyclosporine (Neoral, Sandimmune) the body absorbs when taken at the same time.

Losartan (Cozaar)

Interaction Rating = Moderate Be cautious with this combination.

Talk to your health provider.

Taking ginger with losartan might increase the concentration of losartan in the blood and increase its effects.

Medications for diabetes (Antidiabetes drugs)

Interaction Rating = Minor Be watchful with this combination.

Talk to your health provider.

Ginger might increase your insulin levels and/or decrease blood sugar. Diabetes medications are also used to lower blood sugar. Taking ginger along with diabetes medications might cause your blood sugar to go too low. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed.

Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.

Medications for high blood pressure (Calcium channel blockers)

Interaction Rating = Minor Be watchful with this combination.

Talk to your health provider.

Ginger might reduce blood pressure in a way that is similar to some medications for blood pressure and heart disease. Taking ginger along with these medications might cause your blood pressure to drop too low or cause an irregular heartbeat.

Some medications for high blood pressure and heart disease include nifedipine (Adalat, Procardia), verapamil (Calan, Isoptin, Verelan), diltiazem (Cardizem), isradipine (DynaCirc), felodipine (Plendil), amlodipine (Norvasc), and others.

Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs)

Interaction Rating = Moderate Be cautious with this combination.

Talk to your health provider.

Ginger might slow blood clotting. Taking ginger along with medications that also slow clotting might increase the chances of bruising and bleeding.

Some medications that slow blood clotting include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others.

Metronidazole (Flagyl)

Interaction Rating = Minor Be watchful with this combination.

Talk to your health provider.

Ginger can increase how much metronidazole (Flagyl) the body absorbs. Taking ginger along with metronidazole (Flagyl) might increase the side effects of metronidazole.

Nifedipine (Procardia)

Interaction Rating = Moderate Be cautious with this combination.

Talk to your health provider.

Taking ginger along with nifedipine might slow blood clotting and increase the chances of bruising and bleeding.

Phenprocoumon (Marcoumar, others)

Interaction Rating = Moderate Be cautious with this combination.

Talk to your health provider.

Phenprocoumon is used in Europe to slow blood clotting. Ginger can also slow blood clotting. Taking ginger along with phenprocoumon might increase the chances of bruising and bleeding. Be sure to have your blood checked regularly. The dose of your phenprocoumon might need to be changed.

Warfarin (Coumadin)

Interaction Rating = Moderate Be cautious with this combination.

Talk to your health provider.

Warfarin (Coumadin) is used to slow blood clotting. Ginger can also slow blood clotting. Taking ginger along with warfarin (Coumadin) might increase the chances of bruising and bleeding. Be sure to have your blood checked regularly. The dose of your warfarin (Coumadin) might need to be changed.


Interactions with Herbs, Supplements, and Foods

Herbs and supplements that might lower blood sugar

Ginger might increase your insulin levels and/or lower blood sugar. Using ginger along with other herbs and supplements that might lower blood sugar might lower blood sugar too much. Herbs that might lower blood sugar include devil's claw, fenugreek, guar gum, Panax ginseng, Siberian ginseng, and others.

Herbs and supplements that might slow blood clotting

Using ginger along with herbs that might slow blood clotting could increase the risk of bleeding in some people. These herbs include angelica, clove, danshen, garlic, ginkgo, Panax ginseng, red clover, turmeric, and others.

There are no known interactions with foods.

References

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

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

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

Ernst E, Pittler MH. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials. Br J Anaesth 2000;84:367-71.

Anon. Case problem: presenting conventional and complementary approaches for relieving nausea in a breast cancer patient undergoing chemotherapy. J Am Diet Assoc 2000;100:257-9.

Wilkinson JM. What do we know about herbal morning sickness treatments? A literature survey. Midwifery 2000;16:224-8.

Jewell D, Young G. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev 2000;(2):CD000145.

Micklefield GH, Redeker Y, Meister V, et al. Effects of ginger on gastroduodenal motility. Int J Clin Pharmacol Ther 1999;37:341-6.

Lumb AB. Mechanism of antiemetic effect of ginger. Anaesthesia 1993;48:1118.

Schechter JO. Treatment of disequilibrium and nausea in the SRI discontinuation syndrome. J Clin Psychiatry 1998;59:431-2.

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.

Visalyaputra S, Petchpaisit N, Somcharoen K, Choavaratana R. The efficacy of ginger root in the prevention of postoperative nausea and vomiting after outpatient gynaecological laparoscopy. Anaesthesia 1998;53:506-10.

Aeschbach R, Loliger J, Scott BC. Antioxidant actions of thymol, carvacrol, 6-gingerol, zingerone and hydroxytyrosol. Food Chem Toxicol 1994;32:31-6.

Vutyavanich T, Kraisarin T, Ruangsri R. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstet Gynecol 2001;97:577-82.

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

Backon J. Ginger in preventing nausea and vomiting of pregnancy; a caveat due to its thromboxane synthetase activity and effect on testosterone binding. Eur J Obstet Gynecol Reprod Biol 1991;42:163-4.

Altman RD, Marcussen KC. Effects of ginger extract on knee pain in patients with osteoarthritis. Arthritis Rheum 2001;44:2531-38.

Marcus DM, Suarez-Almazor ME. Is there a role for ginger in the treatment of osteoarthritis? Arthritis Rheum 2001;44:2461-2.

Grontved A, Brask T, Kambskard J, Hentzer E. Ginger root against seasickness: a controlled trial on the open sea. Acta Otolaryngol 1998;105:45-9.

Srivastava KC, Mustafa T. Ginger (Zingiber officinale) and rheumatic disorders. Med Hypotheses 1989;29:25-8.

Phillips S, Hutchinson S, Ruggier R. Zingiber officinale does not affect gastric emptying rate. A randomised, placebo-controlled, crossover trial. Anaesthesia 1993;48:393-5.

Srivastava KC. Effect of onion and ginger consumption on platelet thromboxane production in humans. Prostaglandins Leukot Essent Fatty Acids 1989;35:183-5.

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

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

Wood CD, Manno JE, Wood MJ, et al. Comparison of efficacy of ginger with various antimotion sickness drugs. Clin Res Pr Drug Regul Aff 1988;6:129-36.

Langner E, Greifenberg S, Gruenwald J. Ginger: history and use. Adv Ther 1998;15:25-44.

Smith C, Crowther C, Willson K, et al. A randomized controlled trial of ginger to treat nausea and vomiting in pregnancy. Obstet Gynecol 2004;103:639-45.

Weidner MS, Sigwart K. Investigation of the teratogenic potential of a zingiber officinale extract in the rat. Reprod Toxicol 2001;15:75-80..

Wilkinson JM. Effect of ginger tea on the fetal development of Sprague-Dawley rats. Reprod Toxicol 2000;14:507-12..

Nagabhushan M, Amonkar AJ, Bhide SV. Mutagenicity of gingerol and shogaol and antimutagenicity of zingerone in Salmonella/microsome assay. Cancer Lett 1987;36:221-33..

Portnoi G, Chng LA, Karimi-Tabesh L, et al. Prospective comparative study of the safety and effectiveness of ginger for the treatment of nausea and vomiting in pregnancy. Am J Obstet Gynecol 2003;189:1374-7..

Wigler I, Grotto I, Caspi D, Yaron M. The effects of Zintona EC (a ginger extract) on symptomatic gonarthritis. Osteoarthritis Cartilage 2003;11:783-9.

Frondoza CG, Sohrabi A, Polotsky A, et al. An in vitro screening assay for inhibitors of proinflammatory mediators in herbal extracts using human synoviocyte cultures. In Vitro Cell Dev Biol Anim 2004;40:95-101.

Suekawa M, Ishige A, Yuasa K, et al. Pharmacological studies on ginger. I. Pharmacological actions of pungent constitutents, (6)-gingerol and (6)-shogaol. J Pharmacobiodyn 1984;7:836-48.

Ghayur MN, Gilani AH. Ginger lowers blood pressure through blockade of voltage-dependent calcium channels. J Cardiovasc Pharmacol 2005;45:74-80.

Thomson M, Al-Qattan KK, Al-Sawan SM, et al. The use of ginger (Zingiber officinale Rosc.) as a potential anti-inflammatory and antithrombotic agent. Prostaglandins Leukot Essent Fatty Acids 2002;67:475-8.

Kanerva L, Estlander T, Jolanki R. Occupational allergic contact dermatitis from spices. Contact Dermatitis 1996;35:157-62.

Akhani SP, Vishwakarma SL, Goyal RK. Anti-diabetic activity of Zingiber officinale in streptozotocin-induced type I diabetic rats. J Pharm Pharmacol 2004;56:101-5.

Kruth P, Brosi E, Fux R, et al. Ginger-associated overanticoagulation by phenprocoumon. Ann Pharmacother 2004;38:257-60.

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.

Smith C, Crowther C, Wilson K et al. A randomized controlled trial of ginger to treat nausea and vomiting in pregnancy. Obstet Gynecol 2004;103:639-45.

Chaiyakunapruk N, Kitikannakorn N, Nathisuwan S, et al. The efficacy of ginger for the prevention of postoperative nausea and vomiting: a meta-analysis. Am J Obstet Gynecol 2006;194:95-9.

Manusirivithaya S, Sripramote M, Tangjitgamol S, et al. Antiemetic effect of ginger in gynecologic oncology patients receiving cisplatin. Int J Gynecol Cancer 2004;14:1063-9.

Pongrojpaw D, Somprasit C, Chanthasenanont A. A randomized comparison of ginger and dimenhydrinate in the treatment of nausea and vomiting in pregnancy. J Med Assoc Thai 2007;90:1703-9.

Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thai 2007;90:15-20.

Eberhart LH, Mayer R, Betz O, et al. Ginger does not prevent postoperative nausea and vomiting after laparoscopic surgery. Anesth Analg 2003;96:995-8.

Terry R, Posadzki P, Watson LK, Ernst E. The use of ginger (Zingiber officinale) for the treatment of pain: a systematic review of clinical trials. Pain Med 2011;12:1808-18.

Leach MJ, Kumar S. The clinical effectiveness of ginger (Zingiber officinale) in adults with osteoarthritis. Int J Evid Based Healthc 2008;6:311-20.

Haghighi M, Khalva A, Toliat T, Jallaei S. Comparing the effects of ginger (Zingiber officinale) extract and ibuprofen on patients with osteoarthritis. Arch Iran Med 2005;8:267-71.

Ozgoli G, Goli M, Moattar F. Comparison of effects of ginger, mefenamic acid, and ibuprofen on pain in women with primary dysmenorrhea. J Altern Complement Med 2009;15:129-32.

Black CD, Oconnor PJ. Acute effects of dietary ginger on quadriceps muscle pain during moderate-intensity cycling exercise. Int J Sport Nutr Exerc Metab 2008;18:653-64.

Black CD, Herring MP, Hurley DJ, O'Connor PJ. Ginger (Zingiber officinale) reduces muscle pain caused by eccentric exercise. J Pain 2010;11:894-903.

Black CD, O'Connor PJ. Acute effects of dietary ginger on muscle pain induced by eccentric exercise. Phytother Res 2010;24:1620-6.

Drozdov VN, Kim VA, Tkachenko EV, Varvanina GG. Influence of a specific ginger combination on gastropathy conditions in patients with osteoarthritis of the knee or hip. J Alt Compl Med 2012;18:583-8.

Heitmann K, Nordeng H, Holst L. Safety of ginger use in pregnancy: results from a large population-based cohort study. Eur J Clin Pharmacol 2012 Jun 17.

Cady RK, Schreiber CP, Beach ME, et al. Gelstat Migraine (sublingually administered feverfew and ginger compound) for acute treatment of migraine when administered during the mild pain phase. Med Sci Monit. 2005;11:I65-69.

Matthews A, Dowswell T, Haas DM, et al. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2010;CD007575.

Mohammadbeigi R, Shahgeibi S, Soufizadeh N, et al. Comparing the effects of ginger and metoclopramide on the treatment of pregnancy nausea. Pak J Biol Sci. 2011;14:817-20.

Ryan JL, Heckler CE, Roscoe JA, et al. Ginger (Zingiber officinale) reduces acute chemotherapy-induced nausea: a URCC CCOP study of 576 patients. Support Care Cancer. 2012;20:1479-89.

Pillai AK, Sharma KK, Gupta YK, et al. Anti-emetic effect of ginger powder versus placebo as an add-on therapy in children and young adults receiving high emetogenic chemotherapy. Pediatr Blood Cancer. 2011;56:234-8.

Zick, S. M., Ruffin, M. T., Lee, J., Normolle, D. P., Siden, R., Alrawi, S., and Brenner, D. E. Phase II trial of encapsulated ginger as a treatment for chemotherapy-induced nausea and vomiting. Support.Care Cancer 2009;17(5):563-572.

Takahashi M, Li W, Koike K, et al. Clinical effectiveness of KSS formula, a traditional folk remedy for alcohol hangover symptoms. J Nat Med. 2010;64:487-91.

Backon J. Ginger as an antiemetic: possible side effects due to its thromboxane synthetase activity. Anaesthesia. 1991;46(8):705-6..

Abebe W. Herbal medication: potential for adverse interactions with analgesic drugs. J Clin Pharm Ther. 2002;27:391-401.

Argento A, Tiraferri E, Marzaloni M. [Oral anticoagulants and medicinal plants. An emerging interaction]. Ann Ital Med Int. 2000;15:139-43.

Young HY, Liao JC, Chang YS, et al. Synergistic effect of ginger and nifedipine on human platelet aggregation: a study in hypertensive patients and normal volunteers. Am J Chin Med. 2006;34:545-51.

Hu ML, Rayner CK, Wu KL, et al. Effect of ginger on gastric motility and symptoms of functional dyspepsia. World J Gastroenterol. 2011;17:105-10.

Nord D, Belew J. Effectiveness of the essential oils lavender and ginger in promoting children's comfort in a perianesthesia setting. J Perianesth Nurs. 2009;24:307-12.

Alizadeh-Navaei R, Roozbeh F, Saravi M, et al. Investigation of the effect of ginger on the lipid levels. A double blind controlled clinical trial. Saudi Med J. 2008;29:1280-4.

Holtmann S, Clarke AH, Scherer H, et al. The anti-motion sickness mechanism of ginger. A comparative study with placebo and dimenhydrinate. Acta Otolaryngol. 1989;108:168-74.

Schmid R, Schick T, Steffen R, et al. Comparison of seven commonly used agents for prophylaxis of seasickness. J Travel Med 1994;1:102-106.

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

Lien HC, Sun WM, Chen YH, et al. Effects of ginger on motion sickness and gastric slow-wave dysrhythmias induced by circular vection. Am J Physiol Gastrointest Liver Physiol. 2003;284:G481-9.

Geiger J. The essential oil of ginger, Zingiber officinale, and anaesthesia. Int J Aromather 2005;15:7-14.

Morin AM, Betz O, Kranke P, et al. [Is ginger a relevant antiemetic for postoperative nausea and vomiting?]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2004;39:281-5.

Apariman S, Ratchanon S, Wiriyasirivej B. Effectiveness of ginger for prevention of nausea and vomiting after gynecological laparoscopy. J Med Assoc Thai. 2006;89:2003-9.

Tavlan A, Tuncer S, Erol A, et al. Prevention of postoperative nausea and vomiting after thyroidectomy: combined antiemetic treatment with dexamethasone and ginger versus dexamethasone alone. Clin Drug Investig. 2006;26:209-14.

Nanthakomon T, Pongrojpaw D. The efficacy of ginger in prevention of postoperative nausea and vomiting after major gynecologic surgery. J Med Assoc Thai. 2006;89:S130-6.

Pongrojpaw D, Chiamchanya C. The efficacy of ginger in prevention of post-operative nausea and vomiting after outpatient gynecological laparoscopy. J Med Assoc Thai. 2003;86:244-50.

Zahmatkash M, Vafaeenasab MR. Comparing analgesic effects of a topical herbal mixed medicine with salicylate in patients with knee osteoarthritis. Pak J Biol Sci. 2011;14:715-9.

Yip YB, Tam AC. An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-to-severe knee pain among the elderly in Hong Kong. Complement Ther Med. 2008;16:131-8.

Feng XG, Hao WJ, Ding Z, et al. Clinical study on tongyan spray for post-stroke dysphagia patients: a randomized controlled trial. Chin J Integr Med. 2012;18:345-9.

Shariatpanahi ZV, Taleban FA, Mokhtari M, et al. Ginger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unit. J Crit Care. 2010;25:647-50.

Calvert I. Ginger: an essential oil for shortening labour? Pract Midwife. 2005;8:30-4.

Greenway FL, Liu Z, Martin CK, et al. Safety and efficacy of NT, an herbal supplement, in treating human obesity. Int J Obes (Lond). 2006;30:1737-41.

Roberts AT, Martin CK, Liu Z, et al. The safety and efficacy of a dietary herbal supplement and gallic acid for weight loss. J Med Food. 2007;10:184-8.

Shalansky S, Lynd L, Richardson K, et al. Risk of warfarin-related bleeding events and supratherapeutic international normalized ratios associated with complementary and alternative medicine: a longitudinal analysis. Pharmacotherapy. 2007;27:1237-47.

Lesho EP, Saullo L, Udvari-Nagy S. A 76-year-old woman with erratic anticoagulation. Cleve Clin J Med. 2004;71:651-6.

Okonta JM, Uboh M, Obonga WO. Herb-Drug Interaction: A Case Study of Effect of Ginger on the Pharmacokinetic of Metronidazole in Rabbit. Indian Journal of Pharmaceutical Sciences (India) 2008;70(230):232.

Chiang HM, Chao PD, Hsiu SL, et al. Ginger significantly decreased the oral bioavailability of cyclosporine in rats. Am J Chin Med. 2006;34:845-55.

Bhandari U, Kanojia R, Pillai KK. Effect of ethanolic extract of Zingiber officinale on dyslipidaemia in diabetic rats. J Ethnopharmacol. 2005;97:227-30.

Ojewole JA. Analgesic, antiinflammatory and hypoglycaemic effects of ethanol extract of Zingiber officinale (Roscoe) rhizomes (Zingiberaceae) in mice and rats. Phytother Res. 2006;20:764-72.

Al-Amin ZM, Thomson M, Al-Qattan KK, et al. Anti-diabetic and hypolipidaemic properties of ginger (Zingiber officinale) in streptozotocin-induced diabetic rats. Br J Nutr. 2006;96:660-6.

Islam MS, Choi H. Comparative effects of dietary ginger (Zingiber officinale) and garlic (Allium sativum) investigated in a type 2 diabetes model of rats. J Med Food. 2008;11:152-9.

Cady RK, Goldstein J, Nett R, et al. A double-blind placebo-controlled pilot study of sublingual feverfew and ginger (LipiGesic M) in the treatment of migraine. Headache 2011;51:1078-86.

Prajapati, V., Tripathi, A. K., Aggarwal, K. K., and Khanuja, S. P. Insecticidal, repellent and oviposition-deterrent activity of selected essential oils against Anopheles stephensi, Aedes aegypti and Culex quinquefasciatus. Bioresour.Technol. 2005;96(16):1749-1757.

Mahady, G. B., Pendland, S. L., Stoia, A., Hamill, F. A., Fabricant, D., Dietz, B. M., and Chadwick, L. R. In vitro susceptibility of Helicobacter pylori to botanical extracts used traditionally for the treatment of gastrointestinal disorders. Phytother.Res 2005;19(11):988-991.

Norajit, K., Laohakunjit, N., and Kerdchoechuen, O. Antibacterial effect of five Zingiberaceae essential oils. Molecules. 2007;12(8):2047-2060.

Oliveira, C. H., Moraes, M. E., Moraes, M. O., Bezerra, F. A., Abib, E., and De, Nucci G. Clinical toxicology study of an herbal medicinal extract of Paullinia cupana, Trichilia catigua, Ptychopetalum olacoides and Zingiber officinale (Catuama) in healthy volunteers. Phytother.Res. 2005;19(1):54-57.

Henning, S. M., Zhang, Y., Seeram, N. P., Lee, R. P., Wang, P., Bowerman, S., and Heber, D. Antioxidant capacity and phytochemical content of herbs and spices in dry, fresh and blended herb paste form. Int J Food Sci Nutr 2011;62(3):219-225.

Lopez, H. L., Ziegenfuss, T. N., Hofheins, J. E., Habowski, S. M., Arent, S. M., Weir, J. P., and Ferrando, A. A. Eight weeks of supplementation with a multi-ingredient weight loss product enhances body composition, reduces hip and waist girth, and increases energy levels in overweight men and women. J Int Soc Sports Nutr 2013;10(1):22.

Sambaiah, K. and Srinivasan, K. Effect of cumin, cinnamon, ginger, mustard and tamarind in induced hypercholesterolemic rats. Nahrung 1991;35(1):47-51.

Futrell, J. M. and Rietschel, R. L. Spice allergy evaluated by results of patch tests. Cutis 1993;52(5):288-290.

Cwikla, C., Schmidt, K., Matthias, A., Bone, K. M., Lehmann, R., and Tiralongo, E. Investigations into the antibacterial activities of phytotherapeutics against Helicobacter pylori and Campylobacter jejuni. Phytother.Res 2010;24(5):649-656.

Onyenekwe, P. C. Assessment of oleoresin and gingerol contents in gamma irradiated ginger rhizomes. Nahrung 2000;44(2):130-132.

Gupta, Y. K. and Sharma, M. Reversal of pyrogallol-induced delay in gastric emptying in rats by ginger (Zingiber officinale). Methods Find.Exp.Clin Pharmacol. 2001;23(9):501-503.

Alzoreky, N. S. and Nakahara, K. Antibacterial activity of extracts from some edible plants commonly consumed in Asia. Int J Food Microbiol. 2-15-2003;80(3):223-230.

Kamtchouing, P., Mbongue Fandio, G. Y., Dimo, T., and Jatsa, H. B. Evaluation of androgenic activity of Zingiber officinale and Pentadiplandra brazzeana in male rats. Asian J Androl 2002;4(4):299-301.

Ficker, C. E., Arnason, J. T., Vindas, P. S., Alvarez, L. P., Akpagana, K., Gbeassor, M., De Souza, C., and Smith, M. L. Inhibition of human pathogenic fungi by ethnobotanically selected plant extracts. Mycoses 2003;46(1-2):29-37.

Liu, N., Huo, G., Zhang, L., and Zhang, X. [Effect of Zingiber OfficinaleRosc on lipid peroxidation in hyperlipidemia rats]. Wei Sheng Yan.Jiu. 2003;32(1):22-23.

Onogi, T., Minami, M., Kuraishi, Y., and Satoh, M. Capsaicin-like effect of (6)-shogaol on substance P-containing primary afferents of rats: a possible mechanism of its analgesic action. Neuropharmacology 1992;31(11):1165-1169.

Ficker, C., Smith, M. L., Akpagana, K., Gbeassor, M., Zhang, J., Durst, T., Assabgui, R., and Arnason, J. T. Bioassay-guided isolation and identification of antifungal compounds from ginger. Phytother.Res. 2003;17(8):897-902.

Ippoushi, K., Azuma, K., Ito, H., Horie, H., and Higashio, H. [6]-Gingerol inhibits nitric oxide synthesis in activated J774.1 mouse macrophages and prevents peroxynitrite-induced oxidation and nitration reactions. Life Sci 11-14-2003;73(26):3427-3437.

Sripramote, M. and Lekhyananda, N. A randomized comparison of ginger and vitamin B6 in the treatment of nausea and vomiting of pregnancy. J Med Assoc.Thai. 2003;86(9):846-853.

Shen, C. L., Hong, K. J., and Kim, S. W. Effects of ginger (Zingiber officinale Rosc.) on decreasing the production of inflammatory mediators in sow osteoarthrotic cartilage explants. J Med Food 2003;6(4):323-328.

Horie, S., Yamamoto, H., Michael, G. J., Uchida, M., Belai, A., Watanabe, K., Priestley, J. V., and Murayama, T. Protective role of vanilloid receptor type 1 in HCl-induced gastric mucosal lesions in rats. Scand.J Gastroenterol. 2004;39(4):303-312.

Jolad, S. D., Lantz, R. C., Solyom, A. M., Chen, G. J., Bates, R. B., and Timmermann, B. N. Fresh organically grown ginger (Zingiber officinale): composition and effects on LPS-induced PGE2 production. Phytochemistry 2004;65(13):1937-1954.

Sekiya, K., Ohtani, A., and Kusano, S. Enhancement of insulin sensitivity in adipocytes by ginger. Biofactors 2004;22(1-4):153-156.

Phan, P. V., Sohrabi, A., Polotsky, A., Hungerford, D. S., Lindmark, L., and Frondoza, C. G. Ginger extract components suppress induction of chemokine expression in human synoviocytes. J Altern.Complement Med 2005;11(1):149-154.

Ippoushi, K., Ito, H., Horie, H., and Azuma, K. Mechanism of inhibition of peroxynitrite-induced oxidation and nitration by [6]-gingerol. Planta Med 2005;71(6):563-566.

Abdel-Aziz, H., Nahrstedt, A., Petereit, F., Windeck, T., Ploch, M., and Verspohl, E. J. 5-HT3 receptor blocking activity of arylalkanes isolated from the rhizome of Zingiber officinale. Planta Med 2005;71(7):609-616.

Ghayur, M. N., Gilani, A. H., Afridi, M. B., and Houghton, P. J. Cardiovascular effects of ginger aqueous extract and its phenolic constituents are mediated through multiple pathways. Vascul.Pharmacol. 2005;43(4):234-241.

Shin, S. G., Kim, J. Y., Chung, H. Y., and Jeong, J. C. Zingerone as an antioxidant against peroxynitrite. J Agric.Food Chem. 9-21-2005;53(19):7617-7622.

Ghayur, M. N. and Gilani, A. H. Pharmacological basis for the medicinal use of ginger in gastrointestinal disorders. Dig.Dis.Sci 2005;50(10):1889-1897.

Thongson, C., Davidson, P. M., Mahakarnchanakul, W., and Vibulsresth, P. Antimicrobial effect of Thai spices against Listeria monocytogenes and Salmonella typhimurium DT104. J Food Prot. 2005;68(10):2054-2058.

Kim, H. W., Murakami, A., Abe, M., Ozawa, Y., Morimitsu, Y., Williams, M. V., and Ohigashi, H. Suppressive effects of mioga ginger and ginger constituents on reactive oxygen and nitrogen species generation, and the expression of inducible pro-inflammatory genes in macrophages. Antioxid.Redox.Signal. 2005;7(11-12):1621-1629.

Kadnur, S. V. and Goyal, R. K. Beneficial effects of Zingiber officinale Roscoe on fructose induced hyperlipidemia and hyperinsulinemia in rats. Indian J Exp.Biol. 2005;43(12):1161-1164.

Abdel-Aziz, H., Windeck, T., Ploch, M., and Verspohl, E. J. Mode of action of gingerols and shogaols on 5-HT3 receptors: binding studies, cation uptake by the receptor channel and contraction of isolated guinea-pig ileum. Eur.J Pharmacol. 1-13-2006;530(1-2):136-143.

Iqbal, Z., Lateef, M., Akhtar, M. S., Ghayur, M. N., and Gilani, A. H. In vivo anthelmintic activity of ginger against gastrointestinal nematodes of sheep. J Ethnopharmacol. 6-30-2006;106(2):285-287.

Lantz, R. C., Chen, G. J., Sarihan, M., Solyom, A. M., Jolad, S. D., and Timmermann, B. N. The effect of extracts from ginger rhizome on inflammatory mediator production. Phytomedicine 2007;14(2-3):123-128.

Aktan, F., Henness, S., Tran, V. H., Duke, C. C., Roufogalis, B. D., and Ammit, A. J. Gingerol metabolite and a synthetic analogue Capsarol inhibit macrophage NF-kappaB-mediated iNOS gene expression and enzyme activity. Planta Med 2006;72(8):727-734.

Schwertner, H. A., Rios, D. C., and Pascoe, J. E. Variation in concentration and labeling of ginger root dietary supplements. Obstet.Gynecol. 2006;107(6):1337-1343.

Wu, C. X., Wei, X. B., Ding, H., Sun, X., and Cheng, X. M. [Protective effect of effective parts of Zingiber Offecinal on vascular endothelium of the experimental hyperlipidemic rats]. Zhong.Yao Cai. 2006;29(8):810-813.

Shukla, Y. and Singh, M. Cancer preventive properties of ginger: a brief review. Food Chem Toxicol 2007;45(5):683-690.

Ansari, M. N., Bhandari, U., and Pillai, K. K. Ethanolic Zingiber officinale R. extract pretreatment alleviates isoproterenol-induced oxidative myocardial necrosis in rats. Indian J Exp.Biol. 2006;44(11):892-897.

Asnani, V. and Verma, R. J. Antioxidative effect of rhizome of Zinziber officinale on paraben induced lipid peroxidation: an in vitro study. Acta Pol.Pharm. 2007;64(1):35-37.

Tao, Q. F., Xu, Y., Lam, R. Y., Schneider, B., Dou, H., Leung, P. S., Shi, S. Y., Zhou, C. X., Yang, L. X., Zhang, R. P., Xiao, Y. C., Wu, X., Stockigt, J., Zeng, S., Cheng, C. H., and Zhao, Y. Diarylheptanoids and a monoterpenoid from the rhizomes of Zingiber officinale: antioxidant and cytoprotective properties. J Nat.Prod. 2008;71(1):12-17.

Pushpanathan, T., Jebanesan, A., and Govindarajan, M. The essential oil of Zingiber officinalis Linn (Zingiberaceae) as a mosquito larvicidal and repellent agent against the filarial vector Culex quinquefasciatus Say (Diptera: Culicidae). Parasitol.Res 2008;102(6):1289-1291.

Wu, K. L., Rayner, C. K., Chuah, S. K., Changchien, C. S., Lu, S. N., Chiu, Y. C., Chiu, K. W., and Lee, C. M. Effects of ginger on gastric emptying and motility in healthy humans. Eur.J Gastroenterol.Hepatol. 2008;20(5):436-440.

Ghayur, M. N., Gilani, A. H., and Janssen, L. J. Ginger attenuates acetylcholine-induced contraction and Ca2+ signalling in murine airway smooth muscle cells. Can J Physiol Pharmacol. 2008;86(5):264-271.

El Abhar, H. S., Hammad, L. N., and Gawad, H. S. Modulating effect of ginger extract on rats with ulcerative colitis. J Ethnopharmacol. 8-13-2008;118(3):367-372.

Rahuman, A. A., Gopalakrishnan, G., Venkatesan, P., Geetha, K., and Bagavan, A. Mosquito larvicidal activity of isolated compounds from the rhizome of Zingiber officinale. Phytother.Res 2008;22(8):1035-1039.

Han, L. K., Morimoto, C., Zheng, Y. N., Li, W., Asami, E., Okuda, H., and Saito, M. [Effects of zingerone on fat storage in ovariectomized rats]. Yakugaku Zasshi 2008;128(8):1195-1201.

Ahui, M. L., Champy, P., Ramadan, A., Pham, Van L., Araujo, L., Brou, Andre K., Diem, S., Damotte, D., Kati-Coulibaly, S., Offoumou, M. A., Dy, M., Thieblemont, N., and Herbelin, A. Ginger prevents Th2-mediated immune responses in a mouse model of airway inflammation. Int Immunopharmacol. 12-10-2008;8(12):1626-1632.

Zick, S. M., Djuric, Z., Ruffin, M. T., Litzinger, A. J., Normolle, D. P., Alrawi, S., Feng, M. R., and Brenner, D. E. Pharmacokinetics of 6-gingerol, 8-gingerol, 10-gingerol, and 6-shogaol and conjugate metabolites in healthy human subjects. Cancer Epidemiol.Biomarkers Prev. 2008;17(8):1930-1936.

Park, M., Bae, J., and Lee, D. S. Antibacterial activity of [10]-gingerol and [12]-gingerol isolated from ginger rhizome against periodontal bacteria. Phytother.Res 2008;22(11):1446-1449.

Abdel Halim, A. S. Efficacy of Zingiber officinale on third stage larvae and adult fecundity of Musca domestica and Anopheles pharoensis. J Egypt Soc.Parasitol. 2008;38(2):385-392.

Pozzatti, P., Scheid, L. A., Spader, T. B., Atayde, M. L., Santurio, J. M., and Alves, S. H. In vitro activity of essential oils extracted from plants used as spices against fluconazole-resistant and fluconazole-susceptible Candida spp. Can J Microbiol. 2008;54(11):950-956.

Habib, S. H., Makpol, S., Abdul, Hamid NA, Das, S., Ngah, W. Z., and Yusof, Y. A. Ginger extract (Zingiber officinale) has anti-cancer and anti-inflammatory effects on ethionine-induced hepatoma rats. Clinics.(Sao Paulo) 2008;63(6):807-813.

Fouda, A. M. and Berika, M. Y. Evaluation of the effect of hydroalcoholic extract of Zingiber officinale rhizomes in rat collagen-induced arthritis. Basic Clin Pharmacol.Toxicol. 2009;104(3):262-271.

Jung, H. W., Yoon, C. H., Park, K. M., Han, H. S., and Park, Y. K. Hexane fraction of Zingiberis Rhizoma Crudus extract inhibits the production of nitric oxide and proinflammatory cytokines in LPS-stimulated BV2 microglial cells via the NF-kappaB pathway. Food Chem.Toxicol. 2009;47(6):1190-1197.

Lee, T. Y., Lee, K. C., Chen, S. Y., and Chang, H. H. 6-Gingerol inhibits ROS and iNOS through the suppression of PKC-alpha and NF-kappaB pathways in lipopolysaccharide-stimulated mouse macrophages. Biochem.Biophys.Res Commun. 4-24-2009;382(1):134-139.

Rong, X., Peng, G., Suzuki, T., Yang, Q., Yamahara, J., and Li, Y. A 35-day gavage safety assessment of ginger in rats. Regul.Toxicol.Pharmacol. 2009;54(2):118-123.

Qian, Q. H., Yue, W., Wang, Y. X., Yang, Z. H., Liu, Z. T., and Chen, W. H. Gingerol inhibits cisplatin-induced vomiting by down regulating 5-hydroxytryptamine, dopamine and substance P expression in minks. Arch Pharm.Res 2009;32(4):565-573.

Chung, S. W., Kim, M. K., Chung, J. H., Kim, D. H., Choi, J. S., Anton, S., Seo, A. Y., Park, K. Y., Yokozawa, T., Rhee, S. H., Yu, B. P., and Chung, H. Y. Peroxisome proliferator-activated receptor activation by a short-term feeding of zingerone in aged rats. J Med Food 2009;12(2):345-350.

Asnani, V. M. and Verma, R. J. Ameliorative effects of ginger extract on paraben-induced lipid peroxidation in the liver of mice. Acta Pol.Pharm. 2009;66(3):225-228.

Zhang, G. F., Yang, Z. B., Wang, Y., Yang, W. R., Jiang, S. Z., and Gai, G. S. Effects of ginger root (Zingiber officinale) processed to different particle sizes on growth performance, antioxidant status, and serum metabolites of broiler chickens. Poult.Sci 2009;88(10):2159-2166.

Dugasani, S., Pichika, M. R., Nadarajah, V. D., Balijepalli, M. K., Tandra, S., and Korlakunta, J. N. Comparative antioxidant and anti-inflammatory effects of [6]-gingerol, [8]-gingerol, [10]-gingerol and [6]-shogaol. J.Ethnopharmacol. 2-3-2010;127(2):515-520.

Lohsiriwat, S., Rukkiat, M., Chaikomin, R., and Leelakusolvong, S. Effect of ginger on lower esophageal sphincter pressure. J.Med.Assoc.Thai. 2010;93(3):366-372.

Yu, Y., Zick, S., Li, X., Zou, P., Wright, B., and Sun, D. Examination of the pharmacokinetics of active ingredients of ginger in humans. AAPS.J. 2011;13(3):417-426.

Zick, S. M., Turgeon, D. K., Vareed, S. K., Ruffin, M. T., Litzinger, A. J., Wright, B. D., Alrawi, S., Normolle, D. P., Djuric, Z., and Brenner, D. E. Phase II study of the effects of ginger root extract on eicosanoids in colon mucosa in people at normal risk for colorectal cancer. Cancer Prev.Res.(Phila) 2011;4(11):1929-1937.

Mansour, M. S., Ni, Y. M., Roberts, A. L., Kelleman, M., Roychoudhury, A., and St-Onge, M. P. Ginger consumption enhances the thermic effect of food and promotes feelings of satiety without affecting metabolic and hormonal parameters in overweight men: a pilot study. Metabolism 2012;61(10):1347-1352.

Yamahara, J., Huang, Q. R., Li, Y. H., Xu, L., and Fujimura, H. Gastrointestinal motility enhancing effect of ginger and its active constituents. Chem.Pharm.Bull.(Tokyo) 1990;38(2):430-431.

al Yahya, M. A., Rafatullah, S., Mossa, J. S., Ageel, A. M., Parmar, N. S., and Tariq, M. Gastroprotective activity of ginger zingiber officinale rosc., in albino rats. Am.J Chin Med. 1989;17(1-2):51-56.

Qureshi, S., Shah, A. H., Tariq, M., and Ageel, A. M. Studies on herbal aphrodisiacs used in Arab system of medicine. Am J Chin Med 1989;17(1-2):57-63.

Srivastava, K. C. Isolation and effects of some ginger components on platelet aggregation and eicosanoid biosynthesis. Prostaglandins Leukot.Med. 1986;25(2-3):187-198.

Yamahara, J., Mochizuki, M., Rong, H. Q., Matsuda, H., and Fujimura, H. The anti-ulcer effect in rats of ginger constituents. J Ethnopharmacol. 1988;23(2-3):299-304.

Liu, P. H. and Ho, H. L. Ginger and drug bezoar induced small bowel obstruction. J R.Coll.Surg.Edinb. 1983;28(6):397-398.

Guh, J. H., Ko, F. N., Jong, T. T., and Teng, C. M. Antiplatelet effect of gingerol isolated from Zingiber officinale. J Pharm.Pharmacol. 1995;47(4):329-332.

Verma, S. K., Singh, J., Khamesra, R., and Bordia, A. Effect of ginger on platelet aggregation in man. Indian J Med.Res 1993;98:240-242.

Lumb, A. B. Effect of dried ginger on human platelet function. Thromb.Haemost. 1994;71(1):110-111.

Janssen, P. L., Meyboom, S., van Staveren, W. A., de Vegt, F., and Katan, M. B. Consumption of ginger (Zingiber officinale roscoe) does not affect ex vivo platelet thromboxane production in humans. Eur.J Clin Nutr. 1996;50(11):772-774.

Bhandari, U., Sharma, J. N., and Zafar, R. The protective action of ethanolic ginger (Zingiber officinale) extract in cholesterol fed rabbits. J Ethnopharmacol. 1998;61(2):167-171.

Sharma, S. S. and Gupta, Y. K. Reversal of cisplatin-induced delay in gastric emptying in rats by ginger (Zingiber officinale). J Ethnopharmacol. 1998;62(1):49-55.

Gusseva-Badmaeva AP, Hammermann AF, and Sokolov WS. Drugs of Tibet. Planta Medica (Germany) 1972;21:161-172.

Lawrence BM. Major tropical spices ginger (Zingiber officinale Rosc.). Perfumer and Flavorist (USA) 1984;9:1, 3, 6-8, 10, 12-13, 16-18, 20-22, 24-26, 28-40.

Awang DV. Ginger. Canadian Pharmaceutical Journal (Canada) 1992;125:309-311.

Yamahara J, Rong HQ, Iwamoto M, and et al. Active components of ginger exhibiting anti-serotonergic action. Phytotherapy Res 1989;3(2):70-71.

Krutzfeldt K. Ginger - heavenly fire. AZ Deutsche Apotheker-Zeitung (Germany) 2003;143:83-91.

Griffenhagen GB. Materia medica of Christopher Columbus. Pharmacy in History (USA) 1992;34:131-145.

Chopra A, Saluja M, Tillu G, Sarmukkaddam S, Venugopalan A, Narsimulu G, Handa R, Sumantran V, Raut A, Bichile L, Joshi K, Patwardhan B. Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, double-blind, controlled equivalence drug trial. Rheumatology (Oxford) 2013;52(8):1408-17.

Nieman DC, Shanely RA, Luo B, Dew D, Meaney MP, Sha W. A commercialized dietary supplement alleviates joint pain in community adults: a double-blind, placebo-controlled community trial. Nutr J 2013;12(1):154.

Brockwell C, Ampikaipakan S, Sexton DW, Price D, Freeman D, Thomas M, Ali M, Wilson AM. Adjunctive treatment with oral AKL1, a botanical nutraceutical, in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis 2014;9:715-21.

Vahdat Shariatpanahi Z, Mokhtari M, Taleban FA, Alavi F, Salehi Surmaghi MH, Mehrabi Y, Shahbazi S. Effect of enteral feeding with ginger extract in acute respiratory distress syndrome. J Crit Care 2013;28(2):217.e1-6.

Dabaghzadeh F, Khalili H, Dashti-Khavidaki S, Abbasian L, Moeinifard A. Ginger for prevention of antiretroviral-induced nausea and vomiting: a randomized clinical trial. Expert Opin Drug Saf 2014;13(7):859-66.

Hunt R, Dienemann J, Norton HJ, Hartley W, Hudgens A, Stern T, Divine G. Aromatherapy as treatment for postoperative nausea: a randomized trial. Anesth Analg 2013;117(3):597-604.

Jenabi E. The effect of ginger for relieving of primary dysmenorrhoea. J Pak Med Assoc 2013;63(1):8-10.

Kalava A, Darji SJ, Kalstein A, Yarmush JM, SchianodiCola J, Weinberg J. Efficacy of ginger on intraoperative and postoperative nausea and vomiting in elective cesarean section patients. Eur J Obstet Gynecol Reprod Biol 2013;169(2):184-8.

Lee J, Oh H. Ginger as an antiemetic modality for chemotherapy-induced nausea and vomiting: a systematic review and meta-analysis. Oncol Nurs Forum 2013;40(2):163-70.

Maenthaisong R, Chaiyakunapruk N, Tiyaboonchai W, Tawatsin A, Rojanawiwat A, Thavara U. Efficacy and safety of topical Trikatu preparation in, relieving mosquito bite reactions: a randomized controlled trial. Complement Ther Med 2014;22(1):34-9.

Maghbooli M, Golipour F, Moghimi Esfandabadi A, Yousefi M. Comparison between the efficacy of ginger and sumatriptan in the ablative treatment of the common migraine. Phytother Res 2014;28(3):412-5.

Mahluji S, Attari VE, Mobasseri M, Payahoo L, Ostadrahimi A, Golzari SE. Effects of ginger (Zingiber officinale) on plasma glucose level, HbA1c and insulin sensitivity in type 2 diabetic patients. Int J Food Sci Nutr 2013;64(6):682-6.

Mozaffari-Khosravi H, Talaei B, Jalali BA, Najarzadeh A, Mozayan MR. The effect of ginger powder supplementation on insulin resistance and glycemic indices in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. Complement Ther Med 2014;22(1):9-16.

Niempoog S, Siriarchavatana P, Kajsongkram T. The efficacy of Plygersic gel for use in the treatment of osteoarthritis of the knee. J Med Assoc Thai 2012;95 Suppl 10:S113-9.

Paramdeep G. Efficacy and tolerability of ginger (Zingiber officinale) in patients of osteoarthritis of knee. Indian J Physiol Pharmacol 2013;57(2):177-83.

Rahnama P, Montazeri A, Huseini HF, Kianbakht S, Naseri M. Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial. BMC Complement Altern Med 2012;12:92.

Sahib AS. Treatment of irritable bowel syndrome using a selected herbal combination of Iraqi folk medicines. J Ethnopharmacol 2013;148(3):1008-12.

van Tilburg MA, Palsson OS, Ringel Y, Whitehead WE. Is ginger effective for the treatment of irritable bowel syndrome? A double blind randomized controlled pilot trial. Complement Ther Med 2014;22(1):17-20.

Viljoen E, Visser J, Koen N, Musekiwa A. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomiting. Nutr J 2014;13:20.

Khodaie L, Sadeghpoor O. Ginger from ancient times to the new outlook. Jundishapur J Nat Pharm Prod 2015;10(1):e18402.

Daily JW, Zhang X, Kim da S, et al. Efficacy of Ginger for Alleviating the Symptoms of Primary Dysmenorrhea: A Systematic Review and Meta-analysis of Randomized Clinical Trials. Pain Med. 2015;16(12):2243-55.

Thomson M, Corbin R, Leung L. Effects of ginger for nausea and vomiting in early pregnancy: a meta-analysis. J Am Board Fam Med 2014;27(1):115-22.

Pattanittum P, Kunyanone N, Brown J, et al. Dietary supplements for dysmenorrhoea. Cochrane Database Syst Rev. 2016;3:CD002124.

Ansari M, Porouhan P, Mohammadianpanah M, et al. Efficacy of ginger in control of chemotherapy induced nausea and vomiting in breast cancer patients receiving doxorubicin-based chemotherapy. Asian Pac J Cancer Prev. 2016;17(8):3877-80.

Arslan M, Ozdemir L. Oral intake of ginger for chemotherapy-induced nausea and vomiting among women with breast cancer. Clin J Oncol Nurs. 2015;19(5):E92-7.

Bartels EM, Folmer VN, Bliddal H, et al. Efficacy and safety of ginger in osteoarthritis patients: a meta-analysis of randomized placebo-controlled trials. Osteoarthritis Cartilage. 2015;23(1):13-21.

Choi JS, Han JY, Ahn HK, et al. Assessment of fetal and neonatal outcomes in the offspring of women who had been treated with dried ginger (Zingiberis rhizoma siccus) for a variety of illnesses during pregnancy. J Obstet Gynaecol. 2015;35(2):125-30.

Kashefi F, Khajehei M, Tabatabaeichehr M, Alavinia M, Asili J. Comparison of the effect of ginger and zinc sulfate on primary dysmenorrhea: a placebo-controlled randomized trial. Pain Manag Nurs. 2014;15(4):826-33.

Lua PL, Salihah N, Mazlan N. Effects of inhaled ginger aromatherapy on chemotherapy-induced nausea and vomiting and health-related quality of life in women with breast cancer. Complement Ther Med. 2015;23(3):396-404.

Marx W, McKavanagh D, McCarthy AL, Bird R, Ried K, Chan A, Isenring L. The effect of ginger (Zingiber officinale) on platelet aggregation: A systematic literature review. PLoS One. 2015;10(10):e0141119.

Matsumura MD, Zavorsky GS, Smoliga JM. The effects of pre-exercise ginger supplementation on muscle damage and delayed onset muscle soreness. Phytother Res. 2015;29(6):887-93.

Shirvani MA, Motahari-Tabari N, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial. Arch Gynecol Obstet. 2015;291(6):1277-81.

Thamlikitkul L, Srimuninnimit V, Akewanlop C, et al. Efficacy of ginger for prophylaxis of chemotherapy-induced nausea and vomiting in breast cancer patients receiving adriamycin-cyclophosphamide regimen: a randomized, double-blind, placebo-controlled, crossover study. Support Care Cancer. 2017;25(2):459-464.

Amorndoljai P, Taneepanichskul S, Niempoog S, Nimmannit U. Improving of Knee Osteoarthritic Symptom by the Local Application of Ginger Extract Nanoparticles: A Preliminary Report with Short Term Follow-Up. J Med Assoc Thai. 2015;98(9):871-7.

Azimi P, Ghiasvand R, Feizi A, et al. Effect of cinnamon, cardamom, saffron and ginger consumption on blood pressure and a marker of endothelial function in patients with type 2 diabetes mellitus: A randomized controlled clinical trial. Blood Press. 2016;25(3):133-40.

Emrani Z, Shojaei E, Khalili H. Ginger for Prevention of Antituberculosis-induced Gastrointestinal Adverse Reactions Including Hepatotoxicity: A Randomized Pilot Clinical Trial. Phytother Res. 2016;30(6):1003-9.

Hirata A, Funato H, Nakai M, et al. Ginger Orally Disintegrating Tablets to Improve Swallowing in Older People. Biol Pharm Bull. 2016;39(7):1107-11.

Kashefi F, Khajehei M, Alavinia M, Golmakani E, Asili J. Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial. Phytother Res. 2015;29(1):114-9.

Kazemian A, Toghiani A, Shafiei K, et al. Evaluating the efficacy of mixture of Boswellia carterii, Zingiber officinale, and Achillea millefolium on severity of symptoms, anxiety, and depression in irritable bowel syndrome patients. J Res Med Sci. 2017;22:120.

Koçak I, Yücepur C, Gökler O. Is Ginger Effective in Reducing Post-tonsillectomy Morbidity? A Prospective Randomised Clinical Trial. Clin Exp Otorhinolaryngol. 2018;11(1):65-70.

Li X, Qin Y, Liu W, Zhou XY, Li YN, Wang LY. Efficacy of Ginger in Ameliorating Acute and Delayed Chemotherapy-Induced Nausea and Vomiting Among Patients With Lung Cancer Receiving Cisplatin-Based Regimens: A Randomized Controlled Trial. Integr Cancer Ther. 2018:1534735417753541.

Maharlouei N, Tabrizi R, Lankarani KB, et al. The effects of ginger intake on weight loss and metabolic profiles among overweight and obese subjects: A systematic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr. 2018:1-14.

Sanaati F, Najafi S, Kashaninia Z, Sadeghi M. Effect of Ginger and Chamomile on Nausea and Vomiting Caused by Chemotherapy in Iranian Women with Breast Cancer. Asian Pac J Cancer Prev. 2016;17(8):4125-9.

Shidfar F, Rajab A, Rahideh T, Khandouzi N, Hosseini S, Shidfar S. The effect of ginger (Zingiber officinale) on glycemic markers in patients with type 2 diabetes. J Complement Integr Med. 2015;12(2):165-70.

Zhu J, Chen H, Song Z, Wang X, Sun Z. Effects of Ginger (Zingiber officinale Roscoe) on Type 2 Diabetes Mellitus and Components of the Metabolic Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complement Alt Med 2018.

Amorndoljai P, Taneepanichskul S, Niempoog S, Nimmannit U. A Comparative of Ginger Extract in Nanostructure Lipid Carrier (NLC) and 1% Diclofenac Gel for Treatment of Knee Osteoarthritis (OA). J Med Assoc Thai. 2017;100(4):447-56.

Bossi P, Cortinovis D, Fatigoni S, et al. A randomized, double-blind, placebo-controlled, multicenter study of a ginger extract in the management of chemotherapy-induced nausea and vomiting (CINV) in patients receiving high-dose cisplatin. Ann Oncol. 2017;28(10):2547-2551.

Konmun J, Danwilai K, Ngamphaiboon N, Sripanidkulchai B, Sookprasert A, Subongkot S. A phase II randomized double-blind placebo-controlled study of 6-gingerol as an anti-emetic in solid tumor patients receiving moderately to highly emetogenic chemotherapy. Med Oncol. 2017;34(4):69.

Kotowski U, Kadletz L, Schneider S, et al. 6-shogaol induces apoptosis and enhances radiosensitivity in head and neck squamous cell carcinoma cell lines. Phytother Res. 2018;32(2):340-347.

Marx W, McCarthy AL, Ried K, et al. The Effect of a Standardized Ginger Extract on Chemotherapy-Induced Nausea-Related Quality of Life in Patients Undergoing Moderately or Highly Emetogenic Chemotherapy: A Double Blind, Randomized, Placebo Controlled Trial. Nutrients. 2017 Aug 12;9(8).

Tosun B, Unal N, Yigit D, Can N, Aslan O, Tunay S. Effects of Self-Knee Massage With Ginger Oil in Patients With Osteoarthritis: An Experimental Study. Res Theory Nurs Pract. 2017;31(4):379-392.

Azimi P, Ghiasvand R Feizi A, Hariri M, Abbasi B. Effects of cinnamon, cardamom, saffron, and ginger consumption on markers of glycemic control, lipid profile, oxidative stress, and inflammation in type 2 diabetes. Rev Diabet Stud. 2014 Fall-Winter;11(3-4):258-66.

Adib Rad H, Basirat Z, Bakouei F, et al. Effect of Ginger and Novafen on menstrual pain: A cross-over trial. Taiwan J Obstet Gynecol. 2018 Dec;57(6):806-809. doi: 10.1016/j.tjog.2018.10.006.

Tóth B, Lantos T, Hegyi P, et al. Ginger (Zingiber officinale): An alternative for the prevention of postoperative nausea and vomiting. A meta-analysis. Phytomedicine. 2018 Nov 15;50:8-18. Epub 2018 Sep 5.

Huang FY, Deng T, Meng LX, Ma XL. Dietary ginger as a traditional therapy for blood sugar control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Medicine (Baltimore) 2019;98(13):e15054.

Nikkhah-Bodaghi M, Maleki I, Agah S, Hekmatdoost A. Zingiber officinale and oxidative stress in patients with ulcerative colitis: a randomized, placebo-controlled, clinical trial. Complement Ther Med 2019;43:1-6.

Aryaeian N, Shahram F, Mahmoudi M, et al. The effect of ginger supplementation on some immunity and inflammation intermediate genes expression in patients with active rheumatoid arthritis. Gene 2019;698:179-85.

Simon A, Darcsi A, Kéry Á, Riethmüller E. Blood-brain barrier permeability study of ginger constituents. J Pharm Biomed Anal. 2020;177:112820.

Crichton M, Marshall S, Marx W, McCarthy AL, Isenring E. Efficacy of ginger (Zingiber officinale) in ameliorating chemotherapy-induced nausea and vomiting and chemotherapy-related outcomes: A systematic review update and meta-analysis. J Acad Nutr Diet. 2019;119(12):2055-2068.

Martins LB, Rodrigues AMDS, Monteze NM, et al. Double-blind placebo-controlled randomized clinical trial of ginger (Zingiber officinale Rosc.) in the prophylactic treatment of migraine. Cephalalgia. 2020;40(1):88-95.

Martins LB, Rodrigues AMDS, Rodrigues DF, Dos Santos LC, Teixeira AL, Ferreira AVM. Double-blind placebo-controlled randomized clinical trial of ginger (Zingiber officinale Rosc.) addition in migraine acute treatment. Cephalalgia. 2019;39(1):68-76.

Ahad A, Raish M, Bin Jardan YA, Alam MA, Al-Mohizea AM, Al-Jenoobi FI. Effect of Hibiscus sabdariffa and Zingiber officinale on the antihypertensive activity and pharmacokinetic of losartan in hypertensive rats. Xenobiotica. 2020:1-11.

Bhargava R, Chasen M, Elten M, MacDonald N. The effect of ginger (Zingiber officinale Roscoe) in patients with advanced cancer. Support Care Cancer. 2019.

Chang WP, Peng YX. Does the Oral Administration of Ginger Reduce Chemotherapy-Induced Nausea and Vomiting?: A Meta-analysis of 10 Randomized Controlled Trials. Cancer Nurs. 2019;42(6):E14-E23.

Hu Y, Amoah AN, Zhang H, et al. Effect of ginger in the treatment of nausea and vomiting compared with vitamin B6 and placebo during pregnancy: a meta-analysis. J Matern Fetal Neonatal Med. 2020:1-10.

Okuhira H, Nakatani Y, Furukawa F, Kanazawa N. Anaphylaxis to ginger induced by herbal medicine. Allergol Int. 2020;69(1):159-160.

Pakniat H, Chegini V, Ranjkesh F, Hosseini MA. Comparison of the effect of vitamin E, vitamin D and ginger on the severity of primary dysmenorrhea: a single-blind clinical trial. Obstet Gynecol Sci. 2019;62(6):462-468.

Rafie R, Hosseini SA, Hajiani E, Saki Malehi A, Mard SA. Effect of Ginger Powder Supplementation in Patients with Non-Alcoholic Fatty Liver Disease: A Randomized Clinical Trial. Clin Exp Gastroenterol. 2020;13:35-45.

Uthaipaisanwong A, Oranratanaphan S, Musigavong N. Effects of ginger adjunct to the standard prophylaxis on reducing carboplatin and paclitaxel-induced nausea vomiting: a randomized controlled study. Support Care Cancer. 2019.