: Ginseng is one of the most popular herbs throughout the world. Ginsenosides, the active constituent of ginseng, have been suggested to have diverse effects on cardiovascular, immune, mood and endocrine systems as well as cognitive performance. Many studies have revealed the beneficial effect of ginseng on cognition in normal human subjects and in animals. Recently, a few studies showing effects of ginseng on the patients with Alzheimer's disease have been reported. However, the underlying mechanism is not clear at this stage and it is still obscure whether ginseng is cognitive stimulant or disease modifying agent. More detailed studies exploring the relationship between clinical efficacy and pathophysiology are required.