Everything You Need to Know About

Cordyceps (Cordyceps militaris / Ophiocordyceps sinensis)

Botanical family: Cordycipitaceae
Parts used: Whole fruiting body
Cordyceps (Cordyceps militaris / Ophiocordyceps sinensis)

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Overview and Health Benefits

Cordyceps is a unique medicinal mushroom which has been prized for centuries in Traditional Chinese Medicine (TCM) for its remarkable capacity to enhance vitality, fortify the lungs, and invigorate sexual function (Zhu et al., 1998; Lo et al., 2013; Olatunji et al., 2018). From the Tibetan Plateau, where it grows from the mummified remains of ghost moth larvae (Shrestha et al., 2010), to cultivated varieties more readily available today, cordyceps has been revered for centuries as a powerful tonic for fatigue and weakness (Li, 2002).  This unique "summer plant, winter worm," as it is known in some cultures due to its remarkable life cycle (Hobbs, 2002), offers a diverse array of benefits across several health domains, from supporting kidney function to enhancing athletic performance. However, it is important to note that much of the clinical research available on Cordyceps uses cultivated mycelial extracts (e.g., Cs-4), not wild Ophiocordyceps sinensis fruiting bodies.

Key Benefits:

  • Energy and stamina
  • Lung support
  • Immune modulation
  • Kidney vitality
  • Antioxidant protection

Energy and Stamina: Research indicates that cordyceps may enhance athletic performance by improving aerobic capacity and endurance (Chen et al., 2010; Kumar et al., 2011; Zhu & Rippe, 2004). One study found that a blend containing cordyceps improved tolerance to high-intensity exercise (Hirsch et al., 2017). It is thought that cordyceps might achieve these effects by activating skeletal muscle metabolic regulators (Kumar et al., 2011).

Respiratory Support: Traditionally valued for its potential in addressing respiratory ailments, cordyceps has shown some promise in clinical research. In a randomized, double-blind, placebo-controlled trial, a capsule containing fermented cordyceps mycelium significantly reduced acute exacerbations of chronic bronchitis and improved symptom severity compared to a placebo (Shu et al., 2024). Moreover, research suggests cordyceps may improve health-related quality of life in individuals with moderate-to-severe asthma (Wang et al., 2016).

Sexual Function: Cordyceps' long-standing reputation as an aphrodisiac might stem from its influence on testosterone production (Hsu et al., 2003; Panda, 2010), its ability to enhance sperm production and motility (Chang et al., 2008), and its potential to improve blood flow (Panda, 2010).

Immune Modulation: Cordyceps exhibits immunomodulating actions, possibly by influencing cytokine production and promoting lymphocyte proliferation (Zhang et al., 2011). For instance, a polysaccharide derived from C. sinensis was shown to activate monocytes, enhancing innate immunity (Akaki et al., 2009).

Kidney Support: Used in TCM to strengthen the kidneys (Li, 2002), cordyceps has been researched as a supportive therapy for chronic kidney disease. A review of studies indicated potential benefits in enhancing kidney function markers, though more robust research is needed (Zhang et al., 2014).

Antioxidant and Anti-aging Effects: Cordyceps shows antioxidant effects in vitro (Dong & Yao, 2007) and in vivo (Zhang et al., 2011), and studies suggest it may also possess anti-aging and cognitive function boosting properties (Ji et al., 2009).

Safety Profile

While generally well-tolerated, cordyceps does have some cautions to consider. Individuals with diabetes should exercise particular care when using cordyceps due to its potential to affect blood sugar levels and possibly interact with antidiabetic medications (Holliday & Cleaver, 2008). It is also advised to avoid cordyceps if taking immunosuppressants, as it may interfere with their efficacy (Olatunji et al., 2018). Excessive doses may cause immune suppression, edema, anxiety, or headaches (Winston & Maimes, 2007). Due to limited safety data, cordyceps is generally not recommended during pregnancy, lactation, or for young children (Olatunji et al., 2018). TCM also advises against its use in cases of "effulgent Yin deficiency-fire" (Li, 2002). As with any natural remedy, consulting a qualified medical professional is recommended before using cordyceps, especially for those with pre-existing health conditions or taking other medications.

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References

Akaki, J., Matsui, Y., Kojima, H., Nakajima, S., Kamei, K., & Tamesada, M. (2009). Structural analysis of monocyte activation constituents in cultured mycelia of Cordyceps sinensis. Fitoterapia, 80(3), 182–187. https://doi.org/10.1016/j.fitote.2009.01.007 

Chang, Y., Jeng, K.-C., Huang, K.-F., Lee, Y.-C., Hou, C.-W., Chen, K.-H., Cheng, F.-Y., Liao, J.-W., & Chen, Y.-S. (2008). Effect of Cordyceps militaris supplementation on sperm production, sperm motility and hormones in Sprague-Dawley rats. The American Journal of Chinese Medicine, 36(5), 849–859. https://doi.org/10.1142/S0192415X08006296 

Chen, P. X., Wang, S., Nie, S., & Marcone, M. (2013). Properties of Cordyceps sinensis: A review. Journal of Functional Foods, 5(2), 550–569. https://doi.org/10.1016/j.jff.2013.01.034 

Chen, S., Li, Z., Krochmal, R., Abrazado, M., Kim, W., & Cooper, C. B. (2010). Effect of Cs-4 (Cordyceps sinensis) on exercise performance in healthy older subjects: A double-blind, placebo-controlled trial. Journal of Alternative and Complementary Medicine, 16(5), 585–590. https://doi.org/10.1089/acm.2009.0226 

Dong, C.-H., & Yao, Y.-J. (2007). In vitro evaluation of antioxidant activities of aqueous extracts from natural and cultured mycelia of Cordyceps sinensis. Lebensmittel-Wissenschaft + Technologie, 41(4), 669–677. https://doi.org/10.1016/j.lwt.2007.05.002 

Hirsch, K. R., Smith-Ryan, A. E., Roelofs, E. J., Trexler, E. T., & Mock, M. G. (2017). Cordyceps militaris improves tolerance to high-intensity exercise after acute and chronic supplementation. Journal of Dietary Supplements, 14(1), 42-53. https://doi.org/10.1080/19390211.2016.1203386 

Hobbs, C. (2002). Medicinal mushrooms: An exploration of tradition, healing, and culture. Botanica Press.

Holliday, J., & Cleaver, M. P. (2008). Medicinal value of the caterpillar fungi species of the genus Cordyceps (Fr.) Link (Ascomycetes). A review. International Journal of Medicinal Mushrooms, 10(3). https://doi.org/10.1615/IntJMedMushr.v10.i3.30 

Hsu, C. C., Huang, Y. L., Tsai, S. J., Sheu, C. C., & Huang, B. M. (2003). In vivo and in vitro stimulatory effects of Cordyceps sinensis on testosterone production in mouse Leydig cells. Life Sciences, 73(16), 2127-2136. https://doi.org/10.1016/s0024-3205(03)00595-2 

Ji, D.-B., Ye, J., Li, C.-L., Wang, Y.-H., Zhao, J., & Cai, S.-Q. (2009). Antiaging effect of Cordyceps sinensis extract. Phytotherapy Research, 23(1), 116–122. https://doi.org/10.1002/ptr.2576

Kumar, R., Negi, P. S., Singh, B., Ilavazhagan, G., Bhargava, K., & Sethy, N. K. (2011). Cordyceps sinensis promotes exercise endurance capacity of rats by activating skeletal muscle metabolic regulators. Journal of Ethnopharmacology, 136(1), 260–266. https://doi.org/10.1016/j.jep.2011.04.040 

Li, X. (2002). Chinese materia medica: combinations and applications. Donica Publishing.

Lo, H. C., Hsieh, C., Lin, F. Y., & Hsu, T. H. (2013). A systematic review of the mysterious caterpillar fungus Ophiocordyceps sinensis in Dong Chong Xia Cao and related bioactive ingredients. Journal of Traditional and Complementary Medicine, 3(1), 16–32. https://doi.org/10.1016/S2225-4110(16)30164-X 

Olatunji, O. J., Tang, J., Tola, A., Auberon, F., Oluwaniyi, O., & Ouyang, Z. (2018). The genus Cordyceps: An extensive review of its traditional uses, phytochemistry and pharmacology. Fitoterapia, 129, 293–316. https://doi.org/10.1016/j.fitote.2018.05.010 

Panda, A. K. (2010). Tracing the historical perspective of Cordyceps sinensis–an aphrodisiac in Sikkim Himalaya. Indian Journal of History of Science, 45(2), 189-198. https://www.researchgate.net/publication/283508145_Tracing_Historical_Perspective_of_Cordyceps_sinensis_-_An_Aphrodisiac_in_Sikkim_Himalaya 

Shrestha, B., Zhang, W., Zhang, Y., & Liu, X. (2010). What is the Chinese caterpillar fungus Ophiocordyceps sinensis (Ophiocordycipitaceae)? Mycology, 1(4), 228–236. https://doi.org/10.1080/21501203.2010.536791 

Shu, X., Xu, D., Qu, Y., Shang, X., Qiao, K., Feng, C., Cui, H., Zhao, X., Li, Y., Peng, Y., Li, D., & Zhang, H. (2024). Efficacy and safety of Cordyceps sinensis (Hirsutella sinensis, Cs-C-Q80) in chronic bronchitis. Frontiers in Pharmacology, 15, 1428216. https://doi.org/10.3389/fphar.2024.1428216 

Wang, N., Li, J., Huang, X., Chen, W., & Chen, Y. (2016). Herbal medicine Cordyceps sinensis improves health-related quality of life in moderate-to-severe asthma. Evidence-Based Complementary and Alternative Medicine, 2016, 6134593. https://doi.org/10.1155/2016/6134593 

Winston, D., & Maimes, S. (2007). Adaptogens: Herbs for strength, stamina, and stress relief. Healing Arts Press. 

Yang, M.-L., Kuo, P.-C., Hwang, T.-L., & Wu, T.-S. (2011). Anti-inflammatory principles from Cordyceps sinensis. Journal of Natural Products, 74(9), 1996–2000. https://doi.org/10.1021/np100902f 

Zhang, H. W., Lin, Z. X., Tung, Y. S., Kwan, T. H., Mok, C. K., Leung, C., & Chan, L. S. (2014). Cordyceps sinensis (a traditional Chinese medicine) for treating chronic kidney disease. Cochrane Database of Systematic Reviews, (12). https://doi.org/10.1002/14651858.CD008353.pub2 

Zhang, J., Yu, Y., Zhang, Z., Ding, Y., Dai, X., & Li, Y. (2011). Effect of polysaccharide from cultured Cordyceps sinensis on immune function and anti-oxidation activity of mice exposed to 60Co. International Immunopharmacology, 11(12), 2251–2257. https://doi.org/10.1016/j.intimp.2011.09.019 

Zhu, J. S., Halpern, G. M., & Jones, K. (1998). The scientific rediscovery of an ancient Chinese herbal medicine: Cordyceps sinensis Part I. The Journal of Alternative and Complementary Medicine, 4(3), 289-303. https://doi.org/10.1089/acm.1998.4.3-289

Zhu, J. S., & Rippe, J. M. (2004). CordyMax enhances aerobic capability, endurance performance, and exercise metabolism in healthy, mid-age to elderly sedentary humans. Proceedings of the American Physiological Society’s (APS) Annual Scientific Conference, Experimental Biology, Washington, DC, Convention Center, April 17–21, 2004. https://www.researchgate.net/publication/280628266_CordyMax_enhances_aerobic_capability_endurance_performance_and_exercise_metabolism_in_healthy_mid-age_to_elderly_sedentary_humans