Cathy Wong is a nutritionist and wellness expert. Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health.
Arno Kroner, DAOM, LAc, is a board-certified acupuncturist, herbalist, and integrative medicine doctor practicing in Santa Monica, California.
Jiaogulan (Gynostemma pentaphyllum) is a climbing vine, akin to the cucumber, that is found in China and other Asian nations. It is thought to have healing properties and is used in traditional Chinese medicine (TCM).
Also known as Southern ginseng, jiaogulan contains a saponin compound called gypenoside, as well as other plant compounds. The herb is sold as a tea, powder, or capsule, for health conditions that include diabetes, high cholesterol, and anxiety.
This article looks at some of the herb's possible health benefits, the science that may support these claims, and what you should know before you start taking a supplement.
Despite the herb's long history of use in TCM, it is still hard to find definitive research to support its medical use in humans. What does exist is limited to laboratory studies and small clinical trials, many of which continue to be done in mice and other animals.
Diabetes, obesity, and stress are the uses with the most notable research behind them. Other studies have looked at the herb's role in various cancers and in preventing liver damage.
Studies suggest jiaogulan may help prevent or control diabetes. They begin with a small clinical trial published in 2010, which found the herb taken as a tea may lower blood sugar levels in people with type 2 diabetes.
After 12 weeks of treatments, this study of 24 people found that those who got jiaogulan showed more improvement in blood sugar levels and response to insulin than those who did not get the treatment.
Similar studies from the same investigators followed in the next few years. In one, wild jiaogulan was harvested in northern Vietnam for a small group of 16 people who were newly diagnosed with type 2 diabetes. In the study, which spanned 10 months, some were given jiaogulan tea while the control group received green tea. The jiaogulan was found to improve the response to insulin.
More recent studies of jiaogulan's role in diabetes focus on animal groups. They include a 2019 study on mice that again found benefits for preventing and treating diabetes, with fasting blood sugar levels that decreased when they were fed a jiaogulan extract.
While jiaogulan shows potential for treating type 2 diabetes in conjunction with other medicine, more research is needed before it can be recommended. In the meantime, scientists continue to identify more compounds in jiaogulan to better understand the overall health benefits. So far they have found more than 200 of them.
Jiaogulan may have anti-obesity effects, according to a 2021 study published in the Journal of Human Nutrition and Dietetics.
Australia-based researchers gave either 450 milligrams (mg) of the herbal extract or a sham treatment (placebo) to 117 overweight men and women. They monitored their progress for 16 weeks.
At the end of the study, the jiaogulan group showed a significant reduction in total body weight, body mass index (BMI), and total fat mass when compared to the placebo group.
The scientists say their work supports earlier studies that found weight loss benefits for people taking the herb. It extends the benefits to include people at lower levels of obesity too.
Previous animal studies also have shown benefits in treating metabolic syndrome. It is a combination of symptoms and cardiac risk factors that result from obesity-related insulin resistance.
Still, more research is needed.
Jiaogulan is one of many medicinal herbs, or adaptogens, that are thought to relieve stress.
A 2019 study in South Korea looked at 72 people with a history of chronic stress and anxiety. Half of them were given an extract made from jiaogulan leaves, while the others received a placebo. They continued taking the supplement for eight weeks while they were routinely assessed for stress.
The authors found lower stress levels in the jiaogulan group, but said additional studies are needed to explore this further.
Jiaogulan has long been used in traditional Chinese medicine. Scientists still are working to verify its health benefits. Research indicates it may be helpful in managing blood sugar levels, weight, and stress, but more evidence is needed before jiaogulan can be recommended.
Jiaogulan is generally thought of as safe, though it may cause side effects. These may include nausea and an increase in bowel movements.
There are, however, notable concerns for some people with specific health problems:
Speak to your doctor before using jiaogulan. Be sure to mention any other drugs, supplements, and herbs you are taking.
Jiaogulan teas, powders, and capsules are sold in many natural-foods stores. They also are available online and at specialty shops that sell herbal or traditional medicine products.
Jiaogulan tea is caffeine-free and, with its slightly bittersweet flavor, tastes similar to a mild green tea. It can be blended with other teas, such as jasmine, or enjoyed on its own. Steep jiaogulan in hot water; many recommend doing so for at least 10 minutes.
There is no standard dosage for jiaogulan, although alternative health practitioners often call for two to four cups a day.
Dietary supplements are not regulated by the U.S. Food and Drug Administration (FDA). To ensure you are purchasing a quality product, look for an independent, third-party seal on the label. It should come from an organization that provides quality testing, such as NSF International or ConsumerLab.
This does not offer a guarantee of safety, but it can give you confidence that what's on the label is actually what's in the product.
Store jiaogulan in a cool, dark, and dry location.
There is no standard dose of jiaogulan. Follow product labels. To ensure that what you choose contains what it says it does, look for a third-party seal such as NSF International.
Jiaogulan supplements may offer health benefits for a range of health issues. Diabetes, obesity, and stress are a few that have some supporting, though limited, research. There are many more potential health impacts that are under study.
For now, the herb is considered safe to use, but some people—such as those with immune and blood conditions—need to do so with caution or avoid it altogether. It's always a good idea to talk to your doctor before adding a supplement to your diet.
It is too soon to recommend jiaogulan for the treatment or prevention of any health condition. If you are thinking about trying it, you may want to consult an alternative medicine practitioner. The herbal remedy is available without a prescription, but an expert in the field can help to guide you through your options.
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Huyen VTT, Phan DV, Thang P, et al. Antidiabetic effect of gynostemma pentaphyllum tea in randomly assigned type 2 diabetic patients. Horm Metab Res. 2010;42(05):353-357. doi: 10.1055/s-0030-1248298
Huyen VTT, Phan DV, Thang P, et al. Gynostemma pentaphyllum tea improves insulin sensitivity in type 2 diabetic patients. Journal of Nutrition and Metabolism. 2013;2013:e765383. doi: 10.1155%2F2013%2F765383
Wang Z, Zhao X, Liu X, et al. Anti-diabetic activity evaluation of a polysaccharide extracted from Gynostemma pentaphyllum. International Journal of Biological Macromolecules. 2019;126:209-214. doi: 10.1016/j.ijbiomac.2018.12.231
Rao A, Clayton P, Briskey D. The effect of an orally‐dosed Gynostemma pentaphyllum extract (Activamp®) on body composition in overweight, adult men and women: A double‐blind, randomised, placebo‐controlled study. J Hum Nutr Diet. doi: 10.1111/jhn.12936
Choi E-K, Won YH, Kim S-Y, et al. Supplementation with extract of Gynostemma pentaphyllum leaves reduces anxiety in healthy subjects with chronic psychological stress: A randomized, double-blind, placebo-controlled clinical trial. Phytomedicine. 2019;52:198-205. doi: 10.1016/j.phymed.2018.05.002
Choi HS, Zhao TT, Shin KS, et al. Anxiolytic effects of herbal ethanol extract from Gynostemma pentaphyllum in mice after exposure to chronic stress. Molecules. 2013;18(4):4342-56. doi: 10.3390/molecules18044342
Park SH, Huh TL, Kim SY, et al. Antiobesity effect of Gynostemma pentaphyllum extract (actiponin): A randomized, double-blind, placebo-controlled trial. Obesity (Silver Spring). 2013. doi: 10.1002/oby.20539.
Tan Y, Kamal MA, Wang ZZ, Xiao W, Seale JP, Qu X. Chinese herbal extracts (SK0506) as a potential candidate for the therapy of the metabolic syndrome. Clin Sci (Lond). 2011;120(7):297-305. doi: 10.1042/CS20100441.
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