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Panax ginseng has long been revered in traditional medicine for its various health benefits, pharmacological activities, and therapeutic potential. Panax ginseng is rich in bioactive compounds, primarily ginsenosides, as well as diverse metabolites, including flavonoids, terpenes, saponins, amino acids, and polysaccharides, which contribute to its therapeutic properties. Ginsenosides are categorized into dammarane and oleanane groups, with at least 289 ginsenosides identified across different Panax species. Moreover, the extraction method and solvent used significantly influence the composition and bioactivity of ginseng extracts, with ethanol and water extracts showing promising antioxidant and immunostimulatory effects. Clinical and preclinical studies have demonstrated Panax ginseng's efficacy in enhancing mental functioning and immune response, while also showing promise in protection from liver damage, osteoporosis, and hyperlipidemia. Additionally, Panax ginseng exhibits antimicrobial and antiviral activities, making it a valuable natural resource in combating infectious diseases. Ginsenosides exhibit anti-inflammatory properties by inhibiting NF-κB activation and proinflammatory cytokine production, while also enhancing the function of immune cells. Furthermore, ginsenosides regulate lipid metabolism, promote glucose uptake, and modulate insulin sensitivity, contributing to their anti-diabetic properties. Additionally, Panax ginseng demonstrates anti-oncogenic activity by inducing programmed cell death, inhibiting angiogenesis, and suppressing tumor growth in various cancer types. Panax ginseng exhibits neuroprotective effects across various neurological disorders, including Parkinson’s disease, Alzheimer’s disease, Huntington's disease, multiple sclerosis, and major depressive disorder. Its mechanisms of action involve mitigating cell death, reducing oxidative stress, inhibiting apoptosis, modulating neurotransmitter levels, and regulating inflammatory responses. Importantly, Panax ginseng has low acute and subacute oral toxicity, further supporting its safety profile for human consumption. In conclusion, Panax ginseng emerges as a versatile herbal remedy with significant therapeutic implications across a wide range of health conditions.
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