| 1. 
              Korean ginseng is discouraged from taking during summer?
 Definitely not. We are vulnerable to loss of physical strength during 
              summer due to excessive sweating. Therefore, it is recommended to 
              get enough nutrients during summer. Korean ginseng is known to stimulate 
              the metabolism, thereby helping recovery of energy during summer.
 
 Accordingly, Korean ginseng can be taken regardless of season. Increase 
              in blood circulation was misunderstood as an increase in body temperature. 
              Korean ginseng facilitates blood circulation, thereby increasing 
              skin temperature but body core temperature does not change. Professor 
              Fujimoto at the College of Medicine, Kyushu University, Japan and 
              professor Sakata at the College of Medicine, Oita University, Japan 
              demonstrated that Korean Red Ginseng powder alleviated physical 
              disorders induced by high temperature. They also found that ginseng 
              counteracts increase in body temperature induced by endogenous pyrogen, 
              indicating buffering effect of ginseng on body temperature.
 
 Koreans eat Samge-tang (ginseng-chicken soup, a favorite Korean 
              traditional food) during summer to overcome the heat. Recently, 
              Samge-tang is eaten regardless of season.
 2. Korean Ginseng 
              is effective only for the elderly and weak people?
 Absolutely not. Many research articles support that Korean Red Ginseng 
              and its active ingredients are effective in strengthening immune 
              function and delaying the aging process. It might be true that ginseng 
              exerts a more potent activity in abnormal subjects than in normal 
              (healthy) persons. In light of thus far reported studies, the potency 
              of ginseng depends more on the physical condition than on age of 
              subjects.
 Clinical study with healthy adults at the age of 20s suggests that 
              ginseng is effective for the enhancement of physical exercise. For 
              this reason, worldwide famous sportsmen take ginseng regularly.
 
 Recently, a clinical study with 55 subjects was carried out in China-Japan 
              Friendship Hospital. Korean Red Ginseng was given at a daily dose 
              of 3 g for 1 month. Cardiac function was enhanced at the time of 
              exercise.
 
 In conclusion, Korean ginseng is relatively more effective in the 
              elderly with decreased physical function or in weak subjects than 
              in young healthy adults. However, young healthy adults are also 
              encouraged to take ginseng for the prevention of disease.
 3. Children and 
              pregnant women are forbidden from taking Korean ginseng?
 No. Children are recommended to take 1/3 of the adult's dose. Pregnant 
              women can take ginseng but excessive dosage should be avoided and 
              it is recommended to consult an herbal physician when necessary. 
              Ginseng is effective for the control of weak constitution in children. 
              It can play important role in growth and brain development. However, 
              excessive doses are forbidden. It would be wise to give ginseng 
              to children only under parent's guidance.
 
 Use of ginseng by pregnant woman is not forbidden in Oriental medicinal 
              books. It has been recognized that ginseng plays beneficial role 
              in the health of mother and fetus. The effect of ginseng on 88 pairs 
              of pregnant women with similar backgrounds in age and child delivery 
              was investigated in a case control study. There was no significant 
              difference in children in the two groups. However, the number of 
              women suffering from preclampsia, a toxic response encountered in 
              woman during late gestation period with symptoms of high blood pressure, 
              edema, etc., was markedly decreased.
 
 However, pregnant women should pay careful attention when taking 
              medicine. It would be wiser for pregnant women not to take ginseng 
              in high doses and to consult an Oriental physician when taking ginseng 
              for excessive loss of physical strength.
 
 Korean ginseng can 
              be taken depending on physical constitution?
 
 Korean ginseng exerts effective biological role in overall organs. 
              Somebody says that his/her physiological constitution does not comply 
              with Korean ginseng. However, this has no scientific ground. From 
              the Oriental medicinal point of view, ginseng plays a medicinal 
              role in the spleen and stomach. Therefore, it can be said that ginseng 
              is more effective for the person with a small yin constitution, 
              in other words people with weak digestive functions. The pharmacological 
              effects of ginseng have been verified by various pharmacodynamic 
              experiments, in which ginseng normalizes functions overall of internal 
              organs in a non-specific manner. Healthy persons with abnormally 
              high body temperatures (different from infection-derived fever) 
              or who have adverse reactions when taking ginseng are recommended 
              to adapt himself/herself over times by taking small amounts at the 
              beginning.
 
 Korean ginseng induces side effect 
              of nasal bleeding?
 
 In Oriental medicinal philosophy, ginseng is categorized as an upper 
              medicine, an herb that induces no side effect, therefore can be 
              taken for long periods of time.
 
 Ginseng demonstrated no side effect in acute, sub acute and chronic 
              toxicity tests. A great number of clinical experiments also support 
              the safety of Korean ginseng. The Food and Drug Administration, 
              USA classified ginseng as GRAS (generally recognized as safe). Furthermore, 
              WHO (World Health Organization) monograph, German Commission E Monograph 
              and British Herbal Compendium state that ginseng has no side effects 
              or contraindications.
 
 However, in light of our century-old experience we recommend persons 
              with abnormally high body temperatures and who are vulnerable to 
              nasal bleeding not take ginseng. Ginseng is not recommended for 
              a person with a fever. In case of patients with influenza, they 
              are encouraged to take ginseng for the recovery of physical strength 
              when fever has gone.
 Increase in blood pressure was misunderstood as one of the prominent 
              side effect of ginseng. However, a multi-centric study encompassing 
              13 hospitals and 316 subjects demonstrated no significant abnormal 
              change in blood pressure.
 
 It is also said in some East Asian countries that Korean ginseng 
              induces nasal rhinorrhagia (nose bleeding) and body weight increment. 
              However, a clinical experiment conducted in China-Japan Friendship 
              Hospital, Beijing, China confronts the misunderstanding. A total 
              of 75 subjects were divided into placebo-treated (2o cases) and 
              Korean Red Ginseng-treated groups (55 cases). Korean ginseng was 
              given at a the dose of 3g/day for 1 month. No significant side effects 
              were observed in the ginseng-treated group. However, hypersensitivity 
              such as skin eruption, itching, headaches, flushing and diarrhea 
              was observed in rare cases. There was no significant difference 
              between those 2 groups in frequency of side effects.
 
 From the Oriental medicinal viewpoint, this kind of mild side effect 
              could be regarded to as adaptation response. It is encountered in 
              the process of physical change to health. However, if this kind 
              of discomfort continues for more than 10 days it is better to reduce 
              dosage or to stop taking ginseng and consult a physician. Thus far, 
              Korean Red Ginseng has induced no serious adverse reaction during 
              the past 2 thousand years of medicinal history.
 
 Yoshimatsu, H.,Professor, Department 1st Internal Medicine, College 
              of Medici Kyushu University, Japan. Physiology & Behavior 53: 
              1-4 (1993).
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