Ginkgo Biloba (Ginkgo biloba) — Hermetica Encyclopedia
Herbs (Global Traditional) · Traditional Chinese Medicine

Ginkgo Biloba (Ginkgo biloba)

Provisional Strong Scorebotanical

Hermetica Superfood Encyclopedia

Evidence review status: unreviewed

Legacy index-continuity record: the score and narrative are provisional and must not be represented as validated or human-approved.

Review flags: AWAITING_SEMANTIC_VALIDATION

Provisional Summary

Ginkgo biloba contains flavonoids and terpenoids that enhance cerebral blood flow and provide neuroprotection. Clinical studies demonstrate significant cognitive improvements in Alzheimer's patients and enhanced daily living activities in dementia.

Screened PMID Records
Reported Benefits
Pending
Synergy Review
At a Glance
CategoryHerbs (Global Traditional)
GroupTraditional Chinese Medicine
Public Score StatusProvisional Strong
Primary Keywordginkgo biloba benefits
Ginkgo Biloba (Ginkgo biloba) — botanical
Ginkgo Biloba (Ginkgo biloba) — botanical close-up

Origin & History

Ginkgo Biloba (Ginkgo biloba) — origin
Natural habitat

Ginkgo biloba is derived from the leaves of the Ginkgo biloba tree, a living fossil native to China used in traditional medicine for centuries. The standardized extract (e.g., EGb 761) is produced by extracting dried leaves with acetone and water, followed by purification to remove impurities like ginkgolic acids, resulting in an herbal extract rich in flavonoids and terpenoids.

Ginkgo biloba has been used in Chinese traditional medicine for centuries for cognitive and circulatory issues. Modern standardized extracts like EGb 761 have been applied long-term for vascular dementia and Alzheimer's disease, bridging ancient wisdom with contemporary clinical applications.Traditional Medicine

Research Narrative (Provisional)

Multiple meta-analyses support Ginkgo biloba for cognitive impairment, with a 2020 analysis of 7 RCTs (N=939, PMID: 32658034) showing nearly double the cognitive improvement versus placebo. A 2023 meta-analysis of 18 RCTs (N=1,642, PMID: 36960422) demonstrated that combining Ginkgo with donepezil was superior to donepezil alone (RR=1.23), while a 2015 analysis of 21 RCTs (N=2,608, PMID: 26268332) found significant MMSE improvements.

Preparation & Dosage

Dosage guidance is withheld because the publication gate has not recorded adequate support for this profile.

Nutritional Profile

Ginkgo biloba leaf extract is not a significant source of macronutrients (negligible protein <1%, fats <1%, carbohydrates minimal in standardized extracts). Its profile is defined by standardized bioactive compounds: Flavonoid glycosides (24% in EGb 761 standardized extract) — primarily quercetin glycosides (~9-10 mg/g), kaempferol glycosides (~8-9 mg/g), and isorhamnetin glycosides (~2-3 mg/g); these are hydrolyzed to aglycones post-absorption with moderate bioavailability (~70-80% for quercetin derivatives). Terpene lactones (6% in EGb 761) — ginkgolides A, B, C, J (total ~3.1-3.4 mg/g) and bilobalide (~2.6-2.9 mg/g); ginkgolide B is the most pharmacologically active PAF antagonist; oral bioavailability of ginkgolides ~80%, bilobalide ~72%. Ginkgolic acids — potentially toxic alkylphenols, regulated to <5 ppm (<5 µg/g) in quality extracts (USP/EMA standard). Proanthocyanidins — present at ~7% in crude leaf, reduced in standardized extracts; include catechin and epicatechin oligomers. Other polyphenols — biflavonoids (amentoflavone, bilobetin, ginkgetin) at ~0.2-0.5 mg/g; notable as CYP3A4 inhibitors but poorly bioavailable (~20-30%) due to low solubility. Minerals — trace amounts: potassium (~3.2 mg/g dry leaf), calcium (~8.1 mg/g dry leaf), magnesium (~2.1 mg/g dry leaf); negligible in concentrated extracts. Vitamins — minimal: trace vitamin C (~0.5-1.2 mg/g in fresh leaf, degraded in extract processing), trace beta-carotene. Fiber — crude leaf contains ~15-18% dietary fiber, essentially absent in standardized liquid/tablet extracts. Standard clinical dose of 120-240 mg EGb 761 extract delivers approximately 28.8-57.6 mg flavonoid glycosides and 7.2-14.4 mg terpene lactones. Bioavailability is enhanced by lipid co-administration for terpene lactones; Tmax for ginkgolide B ~2 hours, half-life ~4-4.5 hours; Tmax for flavonol aglycones ~1.5-2.5 hours post-hydrolysis.

Reported Mechanism (Provisional)

Mechanism of Action

Ginkgo biloba's flavonoids (quercetin, kaempferol) and terpenoids (ginkgolides A, B, C) enhance cerebral blood flow by inhibiting platelet-activating factor and improving endothelial function. The compounds also provide neuroprotection through antioxidant activity and modulation of neurotransmitter systems including acetylcholine and dopamine.

Clinical Narrative (Provisional)

A meta-analysis of 7 randomized controlled trials (N=939) showed ginkgo biloba nearly doubled the likelihood of cognitive improvement in Alzheimer's patients (RR=1.98). Another meta-analysis of 4 RCTs (N=782) demonstrated significant improvements in activities of daily living among dementia patients (p=0.01). Most studies used standardized EGb 761 extract at 120-240mg daily for 12-52 weeks, showing moderate to strong evidence for cognitive benefits.

Also Known As

Ginkgo bilobaMaidenhair treeLiving fossil treeYinhsingBai guoSilver apricotEGb 761Fossil tree

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These statements have not been evaluated by the Food and Drug Administration. This content is for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease.
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