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It is remarkable for the intensely bitter properties residing in the root and every part of the herbage, hence they are valuable tonic medicines. The root is the principal vegetable bitter employed in medicine, though the roots of several other species are said to be equally efficacious. Before the introduction of hops, Gentian, with many other bitter herbs, was used occasionally in brewing. It is a principal ingredient in Angostura bitters.

The medicinal parts are the dried, underground parts of the plant and the fresh, above-ground parts. Its name derives from Gentius, King of Illyria (180-167 BC) who discovered the plant's healing value. It was used in the Middle Ages as an antidote to certain poisons.

Gentian root has a long history of use as a herbal bitter in the treatment of digestive disorders and is an ingredient of many proprietary medicines. It contains some of the most bitter compounds known and is used as a scientific basis for measuring bitterness.

Its blossoms are very similar to the Amnara Senczaina flowertips: a pale creamy, icy color and white/hazel tipped. They sometimes have red spots on the inner side, and plants with these are said to ease breathe if cooked and vapors are smelt.