5 Tonic Herbs to Boost Your Immune System This Winter
Written by Meghan Gemma and Juliet Blankespoor
Photography by Juliet Blankespoor
The cold months of the year bring a flurry of beastly germs to our doorstep. These wee-but-wicked pathogens must sense that our immune systems are vulnerable—especially during the holidays when rich food and drink prevail.
I like to start bolstering my family’s immune systems early in the cold and flu season, well before everyone around us is sniffling and sneezing. Practices like eating a nourishing diet, getting plenty of sleep, sunshine, and water, and proper hand washing are essential, but I also rely on a handful of tonic herbs to boost immunity and keep us healthy and resilient.
Herbal immune tonics are traditionally taken daily during the fall and winter to strengthen immunity and lessen our chances of succumbing to common viral infections. These herbs are slow-acting with a prolonged effect, so they must be taken regularly to boost immunity. They differ from immunostimulating herbs (also known as immune stimulants) like echinacea (Echinacea purpurea) and spilanthes (Acmella oleracea), which are taken right at the onset of an illness for on-the-spot protection.
One of the biggest mistakes herbal newbies make is confusing immune-stimulating herbs for herbal immune tonics.
Therapeutically, immune tonics are also used to address poor immune resilience—for example, individuals who experience frequent infections—and to boost the immune system in preparation for cold and flu season. You’ll notice that two of the remedies we feature in this article are mushrooms: reishi and turkey tail. This is no coincidence—many of our premiere immune tonics are fungi. We broadly use the term “herb” here at the Chestnut School to refer to therapeutic medicinal trees, shrubs, herbaceous plants, and mushrooms.
Most immune tonics fall into the category of immunomodulators, which are herbs that have a balancing, or amphoteric, effect on the immune system (making them more appropriate, in general, for folks with autoimmune conditions, as compared to immunostimulating herbs). You can read more about immunomodulators and immunostimulants in our article on Herbs for the Immune System.
5 Tonic Herbs for Boosting Immunity:
- Reishi (Ganoderma tsugae, G. lucidum, G. curtisii, G. martinicense, Ganodermataceae)
- Elderberry (Sambucus nigra var. canadensis and S. nigra, Adoxaceae)
- Garlic (Allium sativum, Amaryllidaceae)
- Astragalus (Astragalus propinquus, Fabaceae [formerly Astragalus membranaceus])
- Turkey Tail (Trametes versicolor, Polyporaceae)
Continue reading for detailed medicinal profiles of each herb, including preparation methods, recommended dosages, and important precautions or contraindications to consider.
Keep in mind that this article provides an introductory overview and doesn’t dive deeply into each medicinal herb. If you plan to forage any of these plants, it’s essential to seek reliable identification resources. Additionally, familiarize yourself with ethical foraging practices before harvesting any wild plants. Remember, some plants and mushrooms are poisonous, so accurate identification is crucial. For more information, check out our Foraging and Wildcrafting resources on the blog. And to learn more about herbal safety, take a peak at our Ten Essentials of Herbal Safety Guide and our Online Herbal Safety Course.
Before we dive into the herbs and mushrooms, we’d like to share a reminder that a healthy lifestyle is the best immune booster! Herbs are excellent supporting players, but we can’t rely upon them to be the only stars in the show. To read up on our suggestions for holistic immune health, visit our comprehensive article on Herbs for the Immune System.
Five Luminary Medicinals to Boost Immunity
1. Reishi (Ganoderma tsugae, G. lucidum, G. curtisii, G. martinicense, Ganodermataceae)
Parts Used: Mushroom fruiting body
Preparations: Long decoction, syrup, preserved concoction
Herbal Actions:
- Immune tonic
- Immunomodulator
- Antiviral
- Antibacterial
- Adaptogen
- Anti-inflammatory
- Antioxidant
- Anti-anxiety
- Cardiotonic
- Hepatic
Known as the ‘mushroom of immortality’, reishi is an herbal immune tonic and immunomodulator. Taken regularly, it can enhance and fine-tune the body’s immune response. It’s especially helpful as a daily remedy for those who have weak lungs or who frequently succumb to respiratory infections. It strengthens the circulatory system and is a legendary adaptogen, making it a supreme ally for increasing overall resilience. Reishi is also a traditional tonic for anxiety and can help impart calmness in a slow and sustained manner.
Reishi is better prepared as a tea than a tincture, as some of its medicinal properties are destroyed by high percentages of alcohol. Simmer the mushrooms for a few hours to fully extract their polysaccharides, which are the active immunomodulating compounds. Reishi’s flavor is slightly bitter, so I like combining it with pleasant-tasting herbs like astragalus (Astragalus propinquus), licorice (Glycyrrhiza glabra)*, and cinnamon (Cinnamomum verum)—it’s particularly delicious in herbal chai blends. I also add a handful or two of dried reishi slices to bone or vegetable broth when I have a pot simmering, which is an easy way to incorporate this herb for boosting immunity. One of my favorite recipes for preparing reishi (that even the pickiest of kids will take!) is Maple Medicinal Mushroom Concoction.
To learn more about medicinal preparations and the best way to extract specific compounds, check out our Online Herbal Medicine Making Course.
Reishi can be purchased online or at local health food stores, cultivated at home, or gathered from the wild. There are a number of medicinal species in the genus. We use our local hemlock reishi (Ganoderma tsugae) and artist’s conk (Ganoderma applanatum). If you’d like to try foraging this mushroom, please research which Ganoderma species grows near you—and if they’ve been used medicinally—along with referencing a good mushroom field guide or reliable online source (I always cross-reference sources when using the internet). Here are a couple online resources to get you started:
*Avoid licorice if you have high blood pressure, edema, or a cardiac condition.
2. Elderberry (Sambucus nigra var. canadensis and S. nigra, Adoxaceae)
Parts Used: Berries and flowers
Preparations: Syrup, tincture, infusion (flowers), decoction (berries), infused honey
Herbal Actions:
- Berries:
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- Immune stimulant
- Immune tonic
- Antibacterial
- Antiviral
- Antioxidant
- Diaphoretic
- Anticatarrhal (decongestant)
- Anti-inflammatory
- Flowers:
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- Immune tonic
- Antiviral
- Anti-inflammatory
- Diaphoretic
- Anticatarrhal (decongestant)
- Astringent
The berries of elder are one of our most treasured tonic herbs for boosting immunity—they are effective, nourishing, and delicious when prepared as a dark purple syrup. Taken daily throughout the fall and winter, elderberry offers us protection against colds, flu, and other viral infections. One study demonstrated elderberry’s antimicrobial effects against two strains of the influenza virus and several bacteria that are commonly responsible for secondary, or concomitant, sinus infections with the flu.
In the case of an illness, elderberry is immune stimulating, diaphoretic (helps to break a fever), and anticatarrhal (decreases mucus in the respiratory passages). Studies show a lessening in the duration and severity of cold symptoms and the flu.
I prepare elderberry syrup by combining equal parts elderberry tincture, elderberry tea, and elderberry-infused honey. Children love this remedy, which can be made alcohol-free if you prefer (you can substitute a vinegar extraction for the alcohol-based tincture). Doses can be liberal (by the tablespoon), several times per day. Do not give elderberry honey or syrup containing the honey to babies younger than one year old.
Elder flowers also demonstrate strong antiviral activity against influenza, and can be integrated into your elderberry syrup along with other immune-boosting herbs like cinnamon (Cinnamomum verum) and ginger (Zingiber officinale). Curious to see a step-by-step demonstration on making herbal syrups? Visit our video tutorial and download our syrup guide!
Dried elderberries can be purchased online from sources like Mountain Rose Herbs, and fresh, frozen elderberries can be purchased from organic farms (you’ll need to do an online search for these). However, elder is also a classic garden-grown medicinal and forageable herb. If you plan to forage elder from the wild, you will need to do some serious botanical detective work. There are several deadly poisonous look-alikes, including water hemlock (Cicuta spp.).
I highly recommend reading Sam Thayer’s write-up on elderberry and its look-alikes in his book, Nature’s Garden: A Guide to Identifying, Harvesting, and Preparing Edible Wild Plants. You can also reference this online resource for identification tips:
3. Garlic (Allium sativum, Amaryllidaceae)
Parts Used: Bulb
Preparations: Raw, tincture, fire cider and other infused vinegars, honey
Herbal Actions:
- Immune tonic
- Immune stimulant
- Antimicrobial
- Diaphoretic
- Hypotensive (lowers blood pressure)
- Anticatarrhal (decongestant)
This beloved spice and herb to boost immunity has been used medicinally for over 5,000 years; one of the first accounts of its use was to sustain the health of the Egyptian laborers (perhaps forced laborers or military conscripts, according to some historians) who built the pyramids.1 Later, it was a powerful field remedy in World War I, saving thousands of lives and limbs through its infection-fighting capabilities.2
Garlic is an essential staple in my kitchen as a potent immune system tonic and antimicrobial herb. It can be highly effective in preventing infections such as the common cold and flu, as well as infections of the digestive tract. The volatile oils in garlic are excreted through the lungs, making it especially beneficial for infections of the respiratory system. One randomized controlled study showed that garlic reduced the incidence of common cold. Here’s a review of garlic’s demonstrated activity against various pathogenic bacteria, fungi, and protozoans.
Our family prepares a special garlic sauce every week made of raw garlic, extra-virgin olive oil, sea salt, and nutritional yeast. The sauce goes on avocado toast, eggs, pasta, chili, soup, baked potatoes, you name it. We keep it in the refrigerator (important, as garlic oil can harbor botulism and has made people sick) and literally pull it out at every meal. Our family of three goes through a quart a week and we rarely catch colds.
Garlic is easy to add to the diet as a culinary herb, and I always save my garlic skins to toss into broths. The suggested daily dosage is one clove per day, added to food. My favorite garlicky preparation is fire cider—a sweet and spicy tonic made with apple cider vinegar. I recommend trying our ruby-red recipe for Hibiscus Pomegranate Fire Cider. To fully capitalize on garlic’s antimicrobial and blood thinning qualities, it should be eaten raw.
4. Astragalus (Astragalus propinquus, Fabaceae [formerly Astragalus membranaceus])
Parts Used: Root
Preparations: Decoction, powder, soup and stew stock, goo balls
Herbal Actions:
- Immune tonic
- Immunomodulator
- Antiviral
- Antibacterial
- Adaptogen
- Antioxidant
- Cardiotonic
- Hepatic
Astragalus has become a renowned tonic in Western herbalism over the past two decades, primarily as an adaptogen and herb to boost immunity. Scientific studies demonstrate that astragalus regulates white blood cell (immune cell) activity and stimulates our natural killer cells (NK cells) to present a strong front against pathogens. Astragalus has also demonstrated increased interferon production (an antiviral and immune-signaling agent produced by the body).3
Astragalus is best used as a daily herb to boost immunity and build immune strength—its medicine is slow and sustained, with full benefits reached after weeks of daily ingestion. In Traditional Chinese Medicine, astragalus augments the Wei Qi, which can be likened to a protective sphere, shielding the body from harmful external pathogens.
Because astragalus is a food herb, it’s safe to take relatively large amounts regularly. I love adding a handful to broth, integrating the fine-flavored root into herbal chai, and mixing the powder into goo balls, cookies, and other treats. Tincture is not recommended because alcohol doesn’t optimally extract astragalus’ immune-enhancing polysaccharides. These polysaccharides are water soluble and more readily extracted with prolonged decoctions or simmering.
Astragalus root has a sweet, beany flavor (it is in the legume, or bean, family, after all), making it easy to sneak into the diets of picky eaters, including kids. Toss a few of the pressed roots (these look like tongue depressors, and are pictured above) into any simmering stew, soup, or sauce, and it will impart only the tiniest of flavor imprints while boosting your immunity! The roots can be pulled out of the dish, much as you would pull out a bay leaf, right before serving.
5. Turkey Tail (Trametes versicolor, Polyporaceae)
Parts Used: Mushroom fruiting body
Preparations: Long decoction, soup stock
Herbal Actions:
- Immune tonic
- Immune stimulant
- Antiviral
- Antitumor
- Antioxidant
Turkey tail is a medicinal mushroom and immune tonic par excellence, with significant antiviral and immune-balancing qualities.5 It’s beneficial for anyone who wants to boost their immune system, but especially for those who experience general immune weakness or frequent upper respiratory infections. In addition to boosting immunity, some herbalists believe turkey tail enhances the effects of antimicrobial herbs.6 Turkey tail is a foundational herb for supporting the immune system in alternative cancer therapy and prevention.7
Like other medicinal mushrooms, turkey tail is best taken as a decoction or added to broth blends. Again, this is a perfect time to incorporate the warming flavors of chai. Turkey tail is mildly bitter—combine it with other medicinal mushrooms that are pleasant in flavor, such as shiitake (Lentinula edodes), maitake (Grifola frondosa), or lion’s mane (Hericium erinaceus).
I make an herbal broth over the winter that contains astragalus, reishi (just a little, so it’s not too bitter), shiitake, turkey tail, calendula (Calendula officinalis), and seaweed. We add the broth to soups, stews, and marinades, and my picky daughter doesn’t notice the herbal flavor. However, her immune system certainly takes note!
Turkey tail is one of the most common woodland mushrooms in the world—it’s likely growing near you! It can be found exclusively on dead hardwood trees, stumps, and branches (and sometimes on dead conifers).
Turkey tail does have some look-alikes, and proper identification is essential. That being said, many people successfully learn to know and recognize turkey tail. Its fruiting body is fan-shaped—bearing a likeness to a turkey’s opened tail feathers—with colored bands of blue, brown, red, gray, and white. Its undersides are white or tan in color and spotted with tiny pores (NOT gills). False turkey tail mushrooms (Stereum spp.) have a matte, tawny underside with no visible pores.
Here are some online resources to help you with identification:
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After you’ve successfully identified it, look for healthy, young flushes of mushrooms to harvest. Leave plenty behind, so the mushroom can make spores and reproduce. Our family likes to chew on a piece or two while hiking for a fun fungal gum alternative.
You can also find turkey tail in medicinal mushroom preparations online and in your local health food store.
References
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- Moyers S. Garlic in Health, History, and World Cuisine. Suncoast Press; 1996.
- Bergner P. The Healing Power of Garlic: The Enlightened Person’s Guide to Nature’s Most Versatile Medicinal Plant. Prima Lifestyles; 1995.
- Denzler K, Moore J, Harrington H, et al. Characterization of the Physiological Response following In Vivo Administration of Astragalus membranaceus. Evid Based Complement Alternat Med. 2016.
- Chu DT, Wong WL, Mavligit GM. Immunotherapy with Chinese medicinal herbs. I. Immune restoration of local xenogeneic graft-versus-host reaction in cancer patients by fractionated Astragalus membranaceus in vitro. J Clin Lab Immunol. 1988. http://www.ncbi.nlm.nih.gov/pubmed/3260960.
- Hobbs C. Medicinal Mushrooms: An Exploration of Tradition, Healing, and Culture. Book Publishing Company; 2002.
- Rogers R. The Fungal Pharmacy: The Complete Guide to Medicinal Mushrooms and Lichens of North America. North Atlantic Books; 2011.
- Patel, S, Goyal, A. Recent Developments in Mushrooms as Anti-Cancer Therapeutics: A Review. 3 Biotech. 2012.
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Looking for more blog articles on herbs for the immune system? We’ve compiled our most comprehensive free herbal resources on the subject, and they’re all right here for your convenience.
JULIET BLANKESPOOR is the founder, primary instructor, and Creative Director of the Chestnut School of Herbal Medicine, an online school serving thousands of students from around the globe. She's a professional plant-human matchmaker and bonafide plant geek, with a degree in botany and over 30 years of experience teaching and writing about herbalism, medicine making, and organic herb cultivation. Juliet’s lifelong captivation with medicinal weeds and herb gardening has birthed many botanical enterprises over the decades, including an herbal nursery and a farm-to-apothecary herbal products business.
These days, she channels her botanical obsession through her writing and photography in her online programs, on her personal blog Castanea, and in her new book, The Healing Garden: Cultivating and Handcrafting Herbal Remedies. Juliet and her family reside in a home overrun with houseplants and books in Asheville, North Carolina.
MEGHAN GEMMA is one of Chestnut School of Herbal Medicine's primary instructors through her written lessons, sharing herbal and wild foods wisdom from the flowery heart of the school to an ever-wider field of herbalists, gardeners, healers, and plant lovers.
She began her journey with the Chestnut School in 2010—as an intern and manager at the Chestnut Herb Nursery and then as a plant-smitten student “back in the day” when the school’s programs were taught in the field, and later she became part of the school’s writing team. Meghan lives in the Ivy Creek watershed, just north of Asheville, North Carolina.
Interested in becoming a contributor?
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Suzie Martins says:
intrigued with what your views were on using a pressure cooker to prepare long-decocting herbs given the increasing use of the Instant Pot. we will be glad to be added.
Melissa Quercia says:
Good question, Suzie. I don’t have personal experience using a pressure cooker for long decoctions, but you could certainly give it a try! Let us know how it goes 🙂
Sharon says:
I could really use some help. My husband has AML leukemia cancer and he is always immune Compromised. I have tried everything to bring his ANC up but I haven’t been successful. They stopped all treatments and put him on supportive care. I am trying to go the healthy route. Any help will be greatly appreciated.
Sarah Sorci says:
It sounds like you are doing the very best you can to care for your husband, Sharon! Since the Chestnut School doesn’t offer health consultations to give us a full picture of your husband’s body type, lifestyle, medications, and other diagnoses, we suggest that you talk with an herbal practitioner. The American Herbalist’s Guild offers this list of Registered Herbalists. If there isn’t an herbalist in your community, I imagine you could find someone who offers video or phone consults (especially this year).
In the meantime, the sections on Herbal Immunomodulators and Immune Tonics in our article on Herbs for the Immune System may be of interest. You may wish to ask a practitioner about these categories of herbs after reading the article (and run any new protocol by your husband’s doctor). Wishing your husband and your family just the support you are looking for!
JENNIFER PRENTICE says:
With the popularity of the Instant Pot, I was wondering what your thoughts are on preparing long decocting herbs in a pressure cooker.
Sara Kinney says:
I think that would work! You’ll just want to experiment until you find the optimum setting on the pressure cooker. If the finished broth or decoction has a strong herb-y flavor, then it’s good medicine. The ultimate experiment would be to try it the standard way, and then try it with the Instant Pot, and see which is stronger.
A Magical Life says:
One important note regarding garlic is that you must let it sit for 10 minutes after chopping to allow the allicin to form. Eat it right away and you lose those wonderful anti-cancer and immune boosting benefits. 🙂
Bianca Jordan says:
Thank you!