British Journal of Anaesthesia, Vol 84, Issue 3 367-371, Copyright © 2000 by Oxford University Press
E Ernst and MH Pittler
Ginger (Zingiber officinale) is often advocated as beneficial for nausea
and vomiting. Whether the herb is truly efficacious for this condition is,
however, still a matter of debate. We have performed a systematic review of
the evidence from randomized controlled trials for or against the efficacy
of ginger for nausea and vomiting. Six studies met all inclusion criteria
and were reviewed. Three on postoperative nausea and vomiting were
identified and two of these suggested that ginger was superior to placebo
and equally effective as metoclopramide. The pooled absolute risk reduction
for the incidence of postoperative nausea, however, indicated a
non-significant difference between the ginger and placebo groups for ginger
1 g taken before operation (absolute risk reduction 0.052 (95% confidence
interval -0.082 to 0.186)). One study was found for each of the following
conditions: seasickness, morning sickness and chemotherapy-induced nausea.
These studies collectively favoured ginger over placebo.
ARTICLES
Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials
Department of Complementary Medicine, School of Postgraduate Medicine and Health Sciences, University of Exeter, UK.
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