In traditional medicine the rhizome Of ginger was held to possess medi
cinal properties. The scientific investigations relating to consumptio
n of fresh or powdered rhizome by humans, and in vitro effects of aque
ous and organic extracts, and of volatile oils are reviewed. Pungent c
omponents of ginger inhibit cyclooxygenase and lipoxygenase activity i
n the arachidonic acid metabolic pathway and thereby probably reduce i
nflammation and relieve pain in rheumatic disorders and migraine heada
che. Consumption of ginger reduces plasma thromboxane B2 (TXB2) levels
in humans. Ginger is reported to reduce nausea, vertigo and vomiting
for which the mechanism of action is, however, not yet understood. Eff
ects on the gastrointestinal system include increase in bile secretion
and an anti-emetic action. An acetone extract of ginger and (6)-shoga
ol given orally, accelerate gastroinstestinal movement in mice, while
given i.v., (6)-shogaol inhibits such movement. Galanolactone antagoni
ses 5-HT3 receptors which may explain the anti-emetic and gastrointest
inal movement enhancing effects. Zingiberone and (6)-gingerol are repo
rted to protect against gastric mucosal lesions. (6)-Shogaol is known
to reduce blood pressure by both a central and a peripheral action. (8
)-Gingerol has a cardiotonic action via enhancement of the Ca-ATPase i
n the sarcoplasmic reticulum. Ginger contains mutagenic (gingerol and
shogaol) and anti-mutagenic (zingiberone) compounds. Ginger extract ex
hibits cytotoxic effects in cultured plant cells but it is not known w
hether ginger can suppress tumour growth in experimental animals or hu
mans. Some of the chemical compounds from ginger may prove to have ant
i-inflammatory, anti-emetic, cardiotonic and gastroprotective properti
es in humans without side effects.