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Panax ginseng and memory: grade C

Limited evidence. Direction: Benefit.

C LimitedShort-term onlySingle research group

Why this grade

Rubric condition met: C: small crossover RCTs in healthy adults with mixed results; the only pooled memory estimate mixes healthy and clinical populations

A 2024 meta-analysis of 15 RCTs (671 participants) found a small memory effect (SMD 0.19) but no effect on overall cognition, attention or executive function, and it pooled healthy people with clinical groups. The 2010 Cochrane review (searched 2009) found no convincing evidence of cognitive enhancement in healthy participants and could not pool trials. The healthy-adult trials are small acute crossover studies, mostly from one research group using one branded extract (G115), with memory gains at some doses and attention costs at others. B was not met because no pooled estimate in healthy adults exists.

How we grade evidence

Studies this grade rests on

EffectMixedNo effectSize shows participants (n)200020052010201520202025Meta-analysisSystematic reviewCrossover RCTZeng 2024, 2024: meta-analysis, n = 671, result not recordedReay 2010, 2010: crossover RCT, n = 30, result not recordedKennedy 2001, 2001: crossover RCT, n = 20, result not recordedGeng 2010, 2010: systematic review, n not recorded, result not recorded
each study this grade rests on, by publication year and design. Solid: effect versus the comparator; half-filled: mixed; hollow: no effect; dashed: result not recorded yet. Larger marks had more participants.
Show the numbers
StudyYearDesignParticipantsResult
Kennedy 20012001crossover RCT20result not recorded
Reay 20102010crossover RCT30result not recorded
Geng 20102010systematic reviewnot recordedresult not recorded
Zeng 20242024meta-analysis671result not recorded

Panax ginseng (G115) improves aspects of working memory performance and subjective ratings of calmness in healthy young adults.

Reay JL, Scholey AB, Kennedy DO. Panax ginseng (G115) improves aspects of working memory performance and subjective ratings of calmness in healthy young adults Hum Psychopharmacol, 2010. PMID 20737519

Result not recorded
Design
Placebo-controlled, double-blind, randomised crossover trial (8 days per treatment)
Sample
n = 30
Population
Healthy young adults (mean age 22.87)
Funding
not stated in PubMed or Crossref records

Dose dependent changes in cognitive performance and mood following acute administration of Ginseng to healthy young volunteers.

Kennedy DO, Scholey AB, Wesnes KA. Dose dependent changes in cognitive performance and mood following acute administration of Ginseng to healthy young volunteers Nutr Neurosci, 2001. PMID 11842896

Result not recorded
Design
Placebo-controlled, double-blind, balanced crossover trial
Sample
n = 20
Population
Healthy young adults
Funding
not stated in PubMed or Crossref records; extract G115 named as supplied by Pharmaton SA in the abstract

Ginseng for cognition.

Geng J, Dong J, Ni H. Ginseng for cognition Cochrane Database Syst Rev, 2010. PMID 21154383

Result not recorded
Design
Cochrane systematic review of 9 randomized, double-blind, placebo-controlled trials (5 analysed; no pooling)
Population
Healthy participants (8 of 9 trials) and one trial in age-associated memory impairment
Funding
not stated in PubMed or Crossref records

Effects of Ginseng on Cognitive Function: A Systematic Review and Meta-Analysis.

Zeng M, Zhang K, Yang J. Effects of Ginseng on Cognitive Function: A Systematic Review and Meta-Analysis Phytother Res, 2024. PMID 39474788

Result not recorded
Design
Systematic review and meta-analysis of 15 RCTs (PROSPERO CRD42024514231)
Sample
n = 671
Population
Mixed: healthy people and people with cognitive impairment, schizophrenia, Alzheimer's disease or in hospital
Funding
not stated in PubMed or Crossref records

Search and history

Search (): ginseng[ti] AND (cognition[tiab] OR cognitive[tiab] OR memory[tiab]) AND (meta-analysis[pt] OR systematic review[pt])

  • Graded C (proposed): Proposed in the monograph draft
  • C to C (approved): Editor sign-off November 13, 2026: grade matches the editor-approved final page