Elder (Elderberry/Elderflower)
Sambucus nigra
Common & Folk Names
- Black Elder
- European Elder
- Elderberry
- Elderflower
- Bore Tree
- Bour Tree
- Lady Elder
- Pipe Tree (hollow stems were made into whistles)
- Devil’s Wood
- Judas Tree (folklore claims Judas hanged himself from an elder)
Plant Family
Adoxaceae (Moschatel Family) – formerly classified in Caprifoliaceae
Geographic Location
Elder is native to Europe, North Africa, and western Asia. It has been naturalised in New Zealand, North America, Australia, and other temperate regions worldwide. In New Zealand, it was introduced by European settlers and has become thoroughly naturalised, growing wild throughout both North and South Islands, particularly in hedgerows, forest edges, and disturbed areas.
Habitat
Elder thrives in nitrogen-rich soils and is often found growing near human habitation, old homesteads, ruins, compost heaps, and areas where animals congregate. In its native range, it grows along woodland edges, stream banks, hedgerows, roadsides, and waste ground. It prefers moist, fertile soils but is highly adaptable. Elder is often seen as a “pioneer species” that colonizes disturbed ground. The presence of elder historically indicated habitable locations – it followed human settlement patterns so reliably that archaeologists use it as a marker for abandoned homesteads.
Growing Conditions
Sun: Full sun to partial shade. Produces more flowers and berries in full sun but tolerates shade well.
Soil: Prefers moist, fertile, nitrogen-rich loam with good organic matter. Tolerates a wide range of soil types from clay to sandy, pH 5.5-7.5. Does not tolerate waterlogged conditions despite liking moisture.
Propagation: Extremely easy to propagate from hardwood cuttings taken in autumn/winter – simply push 20-30 cm cuttings directly into moist soil and most will root. Also grows readily from seed, though this is slower. Can be propagated by division of suckers.
Care: Very low-maintenance once established. Benefits from occasional pruning to maintain shape and encourage productive growth. Prune in late winter/early spring. Can be cut back hard and will regenerate vigorously. Self-seeds prolifically if berries are left on plant. Water during establishment and dry periods. Benefits from mulching with compost.
NZ Planting Calendar
Planting: May–August (autumn/winter) via hardwood cuttings
Flowering: October–December (North Island), November–January (South Island)
Harvest (Flowers): October–December (North Island), November–January (South Island)
Harvest (Berries): March–May (North Island), April–May (South Island)
Harvesting Guidelines
CRITICAL SAFETY NOTE: Different parts of elder are harvested at different times and have different safety profiles. RAW BERRIES contain cyanogenic glycosides and can cause nausea/vomiting. Cooked berries are safe. Flowers are safe raw.
Flowers (Late Spring/Early Summer):
- Optimal harvest: Late October through December in NZ (November-January in South Island)
- Harvest when flower clusters are fully open, cream-colored, and fragrant
- Best time: Mid-morning on a sunny, dry day after dew has dried (volatile oils are highest)
- Cut entire umbels (flat-topped flower clusters) with 5-10 cm of stem
- Handle gently – flowers bruise easily and lose quality
- Use within hours if possible – flowers deteriorate rapidly after picking
- Shake gently to dislodge insects; don’t wash (removes pollen and diminishes flavor)
- Avoid flowers that are browning, past peak, or from heavily trafficked roadsides
Berries (Autumn):
- Optimal harvest: March through May in NZ (later in South Island)
- CRITICAL: Only harvest when berries are FULLY RIPE – dark purple-black, soft, and drooping
- GREEN or RED berries are NOT RIPE and contain high levels of cyanogenic glycosides (cause nausea)
- Ripe berries should be so dark they’re almost black, hanging heavily in clusters
- Cut entire clusters with scissors or secateurs
- Process promptly – ripe berries ferment quickly
- Remove stems before use (stems contain more cyanogenic glycosides than berries)
- Easiest de-stemming method: Freeze whole clusters, then berries fall off stems when shaken
- NEVER eat raw berries – always cook them first (cooking degrades cyanogenic glycosides)
Leaves (Not Recommended):
- Leaves contain cyanogenic glycosides and are not recommended for internal use
- Historically used in topical preparations (ointments for bruises, sprains)
- Modern herbalism generally avoids leaf preparations due to safety concerns
Bark (Not Recommended for Home Use):
- Inner bark was historically used as a strong purgative and diuretic
- Contains anthraquinones similar to senna/cascara
- Harsh effects and potential toxicity mean it’s rarely used in modern herbalism
- Not recommended for home use
Parts Used
- Flowers (primary use – safe raw, excellent flavor, traditional medicine)
- Ripe berries (cooked only – powerful immune support, antiviral)
- Leaves (topical only, not recommended)
- Bark (not recommended for general use)
Constituents & their Actions
Anthocyanins (In Berries – Primary Active Compounds):
These deep purple pigments are responsible for elderberry’s potent antiviral and immune-supporting effects. Ripe elderberries contain 3-5% anthocyanins by dry weight. The main anthocyanins in elderberry are:
- Cyanidin-3-glucoside (primary)
- Cyanidin-3-sambubioside (characteristic of elderberry)
- Cyanidin-3-sambubioside-5-glucoside
- Cyanidin-3,5-diglucoside
The main actions of anthocyanins are:
- Potent antiviral (particularly against influenza)
- Immunomodulatory (stimulates cytokine production)
- Antioxidant (scavenges free radicals)
- Anti-inflammatory
- Binds to viral neuraminidase and hemagglutinin (blocks viral replication and cell entry)
Flavonoids (In Flowers and Berries):
These polyphenolic compounds contribute to antioxidant, anti-inflammatory, and antiviral effects. Some of the main flavonoids in elder are:
- Quercetin
- Rutin (quercetin-3-rutinoside)
- Isoquercitrin
- Hyperoside
- Kaempferol
The main actions of flavonoids are:
- Antioxidant
- Anti-inflammatory
- Antiviral (binds to H1N1 influenza virions)
- Vascular protective
- Immune-modulating
Phenolic Acids (In Flowers and Berries):
These compounds provide additional antioxidant and anti-inflammatory support. Some phenolic acids in elder include:
- Chlorogenic acid
- Caffeic acid
- p-Coumaric acid
- Ferulic acid
The main actions of phenolic acids are:
- Antioxidant
- Anti-inflammatory
- Antimicrobial
Triterpenes (In Flowers – Ursolic Acid, α-Amyrin, β-Amyrin):
These compounds are found particularly in elderflowers and contribute to anti-inflammatory and diaphoretic (promotes sweating) effects.
The main actions of triterpenes are:
- Anti-inflammatory
- Diaphoretic (promotes sweating)
- Mild antimicrobial
Volatile Oils (In Flowers):
These aromatic compounds give elderflowers their characteristic sweet, muscat-like fragrance. The volatile oil comprises approximately 0.1-0.3% of fresh flowers.
The main action of volatile oils is:
- Aromatic (flavor/fragrance)
- Mild diaphoretic
Mucilage (In Flowers):
Soothing polysaccharides that coat and protect irritated tissues.
The main action is:
- Demulcent (soothes mucous membranes)
Polysaccharides (In Berries):
Complex carbohydrates, including pectin and other soluble fibers (up to 10% of berry extract), contribute to immune modulation.
The main actions are:
- Immunomodulatory (stimulates dendritic cells and T cell responses)
- Prebiotic
Cyanogenic Glycosides – TOXIC CONSTITUENTS (In Unripe Berries, Stems, Leaves, Bark):
CRITICAL SAFETY ISSUE: These compounds release hydrogen cyanide when plant tissue is damaged or digested. Present in:
- Green/unripe berries: HIGH levels
- Ripe berries: REDUCED but still present in seeds/skins
- Stems: MODERATE levels
- Leaves: HIGH levels
- Bark: HIGH levels
Main cyanogenic glycoside in elder is:
- Sambunigrin
Effect of cooking: Heat degrades cyanogenic glycosides, rendering cooked ripe berries safe
Symptoms of ingestion (raw unripe berries): Nausea, vomiting, diarrhea (usually not dangerous but very unpleasant)
Vitamins & Minerals:
Elderberries contain:
- Vitamin C: 36 mg per 100g
- Vitamin A (as carotenoids): Moderate amounts
- Potassium, calcium, phosphorus, iron
Elderflowers contain:
- Vitamin C, flavonoids (primarily therapeutic, not primarily nutritive)
Actions with Mechanisms
Antiviral (Elderberry – Primary Action):
This is elderberry’s most clinically validated and remarkable action. Elderberry’s anthocyanins, particularly cyanidin-3-glucoside and cyanidin-3-sambubioside, exert powerful antiviral effects against influenza viruses through multiple mechanisms. The anthocyanins bind directly to viral hemagglutinin glycoprotein spikes on the surface of influenza virus particles, which in turn prevents the virus from attaching to sialic acid receptors on host respiratory epithelial cells and blocks viral entry. Additionally, cyanidin-3-sambubioside binds to and inhibits viral neuraminidase enzyme, which in turn prevents the virus from releasing newly formed viral particles from infected cells and stops viral spread to neighboring cells. Mass spectrometry and molecular docking studies confirm that this anthocyanin binds to specific segments of the neuraminidase active site (residues 356-364 and 395-432) in a unique way not seen with pharmaceutical neuraminidase inhibitors like oseltamivir (Tamiflu), which in turn suggests elderberry represents a novel class of antiviral compounds. Multiple in vitro studies demonstrate that elderberry extract inhibits 10 strains of influenza virus including H1N1, H3N2, and influenza B with potency comparable to oseltamivir and superior to amantadine. Elderberry also exhibits activity against HIV, herpes simplex virus, respiratory syncytial virus, and some coronaviruses in laboratory studies. The antiviral effect is strongest when elderberry is used before infection (prophylaxis), during infection, and after infection, rather than during infection alone, suggesting both direct antiviral and immune-supportive mechanisms.
Immunomodulatory & Immune-Stimulating (Elderberry):
Beyond direct antiviral effects, elderberry stimulates the immune system through multiple pathways. The anthocyanins and polysaccharides in elderberry activate inflammatory cytokine production including IL-6, IL-8, TNF-α, and Interferon-gamma (IFN-γ), which in turn recruits and activates immune cells to combat viral infection. Studies show elderberry increases production of both pro-inflammatory and anti-inflammatory cytokines, which in turn helps the body mount an appropriate immune response without excessive inflammation. Water-extracted elderberry polysaccharides (but not alcohol extracts) potently induce dendritic cell maturation, which in turn enhances these professional antigen-presenting cells’ ability to activate T cells and generate adaptive immune responses. The polysaccharides also enhance macrophage phagocytosis and natural killer (NK) cell activity, which in turn accelerates clearance of infected cells. This multi-pronged immune stimulation makes elderberry valuable both for preventing viral infections (by priming the immune system) and treating active infections (by enhancing viral clearance).
Important note: Some concerns were raised during COVID-19 about elderberry potentially causing “cytokine storm” (excessive inflammatory response). However, systematic reviews found no evidence that elderberry supplementation causes harmful overproduction of cytokines or increases adverse outcomes. The cytokine stimulation appears to be appropriate and beneficial rather than pathological.
Anti-Inflammatory & Analgesic (Flowers and Berries):
The anthocyanins, flavonoids, and phenolic acids provide potent anti-inflammatory effects through inhibition of pro-inflammatory enzyme pathways including COX-2 (cyclooxygenase-2) and LOX (lipoxygenase), which in turn reduces production of inflammatory prostaglandins and leukotrienes. Animal studies show elderberry anthocyanins have anti-inflammatory potency comparable to aspirin (acetylsalicylic acid). The compounds also inhibit NF-κB (nuclear factor kappa-B) signaling pathway, which in turn suppresses expression of pro-inflammatory cytokine genes. This anti-inflammatory effect reduces aches, pain, fever, swelling of mucous membranes, and nasal congestion during respiratory infections. The analgesic (pain-relieving) properties contribute to symptomatic relief during flu and colds.
Diaphoretic (Promotes Sweating – Elderflowers):
Elderflower has traditionally been used as a “febrifuge” to reduce fever by promoting sweating. The mechanism is not fully elucidated but likely involves the triterpenes and volatile oils, which in turn stimulate peripheral vasodilation and sweating. The flowers are typically taken as a hot tea, which in turn increases body temperature and promotes diaphoresis (sweating). This traditional use makes elderflower tea valuable in the early stages of colds and flu to “break a fever” and help the body eliminate toxins through perspiration. The effect is gentle and safe, making it suitable for children and elderly.
Expectorant & Respiratory Mucus Reduction (Flowers):
Elderflower has traditional use as a mild expectorant for clearing respiratory congestion. The mucilage content soothes irritated respiratory mucous membranes, which in turn reduces coughing and throat discomfort. Laboratory studies show elder reduces mucus secretion, which in turn helps clear congestion. The anti-inflammatory effects reduce swelling of nasal passages, which in turn improves breathing. This makes elderflower useful for sinusitis, hay fever, and upper respiratory congestion.
Antioxidant (Flowers and Berries):
Both elderflowers and elderberries are rich in polyphenolic antioxidants including anthocyanins, flavonoids, and phenolic acids. These compounds scavenge free radicals generated during viral infection and inflammation, which in turn protects respiratory tissues from oxidative injury. The ORAC (Oxygen Radical Absorbance Capacity) value of elderberry is among the highest of common fruits. This antioxidant activity contributes to tissue protection during illness and supports recovery.
Mild Laxative (Berries):
Elderberries have mild laxative properties due to their content of soluble fiber, organic acids, and possibly mild irritant compounds. This gentle effect supports elimination and is rarely problematic at normal doses.
Main Use
Elder’s primary modern use is as a potent antiviral and immune-supporting herb for prevention and treatment of influenza and upper respiratory viral infections, with the berries being most clinically validated. Elderflowers are used primarily as a gentle diaphoretic and respiratory decongestant.
Primary Clinical Indications:
Influenza (Elderberry – Most Evidence):
Treatment of active flu:
- Multiple randomised controlled trials demonstrate elderberry significantly reduces duration and severity of flu symptoms
- A 2004 RCT (Zakay-Rones et al.) of 60 patients with influenza found elderberry syrup (15 mL, 4x daily) reduced flu duration to 3-4 days versus 7-8 days with placebo
- A 1995 RCT showed 90% of elderberry-treated flu patients recovered completely within 2-3 days versus 6 days for placebo
Meta-analysis (2019, Hawkins et al.):
- Pooled analysis of 4 RCTs (180 participants) found elderberry supplementation substantially reduced upper respiratory symptoms with large effect size (ES: 1.717, p<0.001). Effect was strongest for influenza (ES: 2.074) versus common cold (ES: 0.662)
- Elderberry appears most effective when started at first sign of symptoms
- Well-tolerated with no significant adverse effects in clinical trials
Common Cold & Upper Respiratory Infections (Elderberry):
- Reduces duration and severity of cold symptoms, though effect is more modest than for flu
- A 2016 RCT (Tiralongo et al.) of air travelers found elderberry reduced cold duration and severity
- Particularly useful for preventing colds during high-risk periods (winter, travel, stress)
Early-Stage Fever & Respiratory Congestion (Elderflower):
- Traditional use as hot tea to promote sweating and “break a fever”
- Reduces nasal/sinus congestion and sinus pressure
- Soothes irritated throat and respiratory passages
- Often combined with yarrow and peppermint as traditional “flu tea”
- Suitable for children and elderly due to gentle action
Immune Support & Prevention (Elderberry):
- Taken prophylactically during flu season to support immune function
- May reduce frequency and severity of viral infections when taken regularly
- Particularly valuable for individuals prone to frequent colds/flu
- Useful for healthcare workers, teachers, and others with high viral exposure
Sinusitis & Hay Fever (Elderflower):
- Traditional use for allergic rhinitis and sinus inflammation
- Anti-inflammatory and decongestant effects help relieve sinus pressure
- Usually combined with other herbs (nettle, goldenrod) for allergies
Preparations
CRITICAL: Berries must always be cooked. Never consume raw elderberries. Flowers are safe raw.
Elderberry Syrup (Traditional – Most Common Preparation):
Ingredients:
- 500g fresh ripe elderberries (or 250g dried)
- 750 mL water
- 250g honey (or sugar)
- Optional: cinnamon stick, fresh ginger (5cm piece), 3-4 whole cloves
Method:
- Remove berries from stems (freeze method easiest)
- Place berries, water, and optional spices in pot
- Bring to boil, reduce heat, simmer 30-40 minutes
- Mash berries thoroughly with potato masher
- Strain through muslin/cheesecloth, pressing to extract all liquid
- Return liquid to pot, simmer to reduce by 1/3 (concentrates)
- Remove from heat, cool to lukewarm (below 40°C)
- Stir in honey (adding honey while hot destroys beneficial enzymes)
- Bottle in sterilized glass jars/bottles
- Store in refrigerator (keeps 2-3 months)
Dosage:
- Maintenance/Prevention: 1 tablespoon (15 mL) daily
- Acute illness: 1 tablespoon (15 mL) every 3-4 hours
Elderflower Cordial (Traditional Summer Beverage):
Ingredients:
- 20-25 large elderflower heads
- 1.5 kg sugar
- 2 litres water
- 2 lemons (sliced)
- 50g citric acid
Method:
- Shake flowers to remove insects, don’t wash
- Heat water + sugar until dissolved
- Add citric acid, lemon slices, flowers
- Cover, steep 24-48 hours at room temperature
- Strain through muslin
- Bottle in sterilized bottles
- Refrigerate (keeps 2-3 months) or freeze
- Dilute 1:5 with water or sparkling water to serve
Elderflower Tea (Medicinal – Diaphoretic for Fever):
Use 2-3 dried flower heads (or 1-2 teaspoons dried flowers) per cup (250 mL) boiling water. Steep covered for 10-15 minutes. Strain. Drink hot, 3-4 cups daily at onset of cold/flu to promote sweating and reduce fever. Often combined with yarrow, peppermint, or ginger.
Elderberry Tincture (1:5, 40% alcohol):
Use 2-5 mL (40-100 drops), 3-4 times daily for immune support or at onset of illness. Tincture is convenient but may be less effective than syrup (anthocyanins better extracted in water than alcohol).
Elderberry Glycerite (Alcohol-Free for Children):
Similar to tincture but uses glycerin instead of alcohol. Suitable for children. Dosage: 1-3 mL, 3 times daily for children (adjust by weight).
Elderberry Tea (Decoction):
Use 1-2 tablespoons dried berries per cup water. Simmer 15-20 minutes. Strain. Drink 2-3 cups daily. Less concentrated than syrup but still beneficial.
Elderflower Fritters (Food/Medicine):
Dip fresh flower heads in light batter (flour, egg, milk, pinch salt/sugar). Shallow fry until golden. Serve warm. Delicious and mildly therapeutic.
Commercial Elderberry Products:
Many high-quality elderberry syrups, capsules, gummies, and lozenges are available. Look for products standardized to anthocyanin content (typically 3-5% minimum). Brands like Sambucol have been used in clinical trials and have established safety/efficacy.
Dosage
Elderberry Syrup:
- Prevention: 1 tablespoon (15 mL) daily during flu season
- Active infection: 1 tablespoon (15 mL) every 3-4 hours (up to 4-6 times daily)
- Children (2-12 years): Half adult dose
Elderflower Tea:
- 2-3 cups daily as needed for fever, congestion
Elderberry Tincture:
- 2-5 mL, 3-4 times daily
Duration: Elderberry can be used throughout flu season (several months) for prevention. For acute illness, continue until symptoms fully resolve, typically 3-7 days.
Safety & Drug Interactions
Elder has an excellent safety profile when prepared correctly (cooked berries, safe flower use). The primary safety concern is cyanogenic glycosides in raw plant material.
Raw Berry Toxicity – CRITICAL:
- NEVER eat raw elderberries – causes nausea, vomiting, diarrhea
- Symptoms typically resolve within hours without serious harm
- Cooking completely degrades cyanogenic glycosides, rendering berries safe
- Green/unripe berries contain highest levels – only harvest fully ripe berries
- Stems contain cyanogenic glycosides – remove before cooking
Cooked Berries – Safe:
- Traditional elderberry syrup (cooked and strained) is safe
- Decades of use without significant adverse effects
- Clinical trials report no serious adverse events
- Generally recognized as safe (GRAS) status for food use
Flowers – Safe:
- Flowers contain negligible cyanogenic glycosides
- Safe to consume raw (cordial, fritters) or as tea
- Excellent safety profile
Leaves, Bark – Not Recommended:
- Contain cyanogenic glycosides and anthraquinones
- Modern herbalism avoids internal use
- Topical use only, if at all
Side Effects (Rare):
- Mild gastrointestinal upset (occasional)
- Allergic reactions (rare) in individuals sensitive to elderberry
- Overconsumption of berries may cause diarrhea (due to mild laxative effect)
Contraindications:
- None for properly prepared elderberry/elderflower
- Individuals with known allergy to Sambucus species
Cytokine Storm Concerns (COVID-19):
- Theoretical concern raised during pandemic that elderberry might overstimulate immune system
- Systematic reviews found NO evidence elderberry causes harmful cytokine overproduction
- No increased adverse outcomes in clinical studies
- Elderberry appears to modulate (not overstimulate) immune response
Drug Interactions:
- Minimal clinically significant interactions
- Diuretics: Elderflower has mild diuretic effects; additive effect possible but rarely problematic
- Immunosuppressants: Theoretically, elderberry’s immune-stimulating effects might counteract immunosuppressive drugs. Use caution in organ transplant recipients or those on immunosuppressants. Consult physician.
- Diabetes medications: Elderberry may have mild hypoglycemic effects. Monitor blood sugar if using with diabetes medications.
Special Populations:
- Pregnancy: Traditional food use (cooked berries, elderflower cordial) considered safe. Therapeutic doses: insufficient data, but traditional use suggests safety. Avoid raw berries.
- Lactation: Cooked berries and flowers considered safe. Traditional use during breastfeeding without apparent harm.
- Children: Elderberry syrup widely used in children with good safety profile. Adjust dose by weight. Avoid honey in children under 1 year (use sugar instead). Elderflower tea suitable for children.
- Elderly: Excellent choice due to safety profile and immune support.
Scientific Evidence
Clinical Trials – Influenza Treatment:
- Zakay-Rones et al. (2004): Randomised, double-blind, placebo-controlled trial of 60 patients with influenza A and B. Elderberry syrup (15 mL, 4x daily for 5 days) vs placebo. Results: 93.3% of elderberry group showed “marked improvement” by day 3-4 vs 91.7% of placebo group by day 6. Complete cure achieved 4 days earlier with elderberry. Significantly higher post-infection antibody levels in elderberry group. No adverse effects.
- Zakay-Rones et al. (1995): RCT during influenza B outbreak. Elderberry extract reduced flu duration to 2-3 days versus 6 days for placebo in 90% of patients.
- Meta-Analysis (Hawkins et al., 2019): Systematic review and meta-analysis of 4 RCTs (180 participants total). Elderberry substantially reduced upper respiratory symptom duration with large effect size (Cohen’s d = 1.717, p<0.001). Stronger effect for influenza (ES: 2.074) than common cold (ES: 0.662). No significant adverse effects. Conclusion: Elderberry supplementation provides substantial benefit for upper respiratory symptoms.
Mechanisms – In Vitro & In Vivo:
- Roschek et al. (2009): Elderberry flavonoids bind H1N1 influenza virions, inhibiting viral hemagglutinin and preventing host cell infection. IC50 values comparable to oseltamivir (Tamiflu). Confirmed activity against 10 influenza strains.
- Swaminathan et al. (2013): Mass spectrometry and molecular docking showed cyanidin-3-sambubioside binds to influenza neuraminidase active site, inhibiting enzyme activity. Novel binding mode not seen with pharmaceutical NA inhibitors.
- Torabian et al. (2019): Elderberry exhibited strongest antiviral effect when used before, during, and after infection (pre-treatment + treatment + post-treatment). Inhibited viral entry, modulated post-infectious phase, and prevented viral transmission to other cells. Upregulated IL-6, IL-8, TNF (immune stimulation).
Barak et al. (2001): Elderberry (Sambucol) increased production of inflammatory cytokines IL-1β, IL-6, IL-8, TNF-α in healthy human monocytes, demonstrating immune-stimulatory effects.
Polysaccharide Studies:
- Chen et al. (2022): Elderberry water extract and polysaccharide fractions induced potent dendritic cell maturation and T cell stimulation. Effect not seen with alcohol extracts. Demonstrates immunomodulatory mechanism via innate and adaptive immunity.
Safety – Systematic Reviews:
- EMA Assessment (2014): European Medicines Agency assessment found traditional use of elderflower and elderberry well-established with good safety profile.
- COVID-19 Systematic Review: Found no evidence elderberry causes harmful cytokine overproduction or adverse outcomes. No concerns about “cytokine storm.”
Limitations:
- Most clinical trials are small (n=30-100)
- Larger trials needed to definitively establish efficacy
- Optimal dosing not fully established
- More research needed on prevention versus treatment
Despite limitations, consistency of positive results across multiple trials and mechanistic plausibility provide strong evidence for elderberry’s efficacy.
Western Energetics
Temperature (Flowers): Neutral to Slightly Cooling. Promotes sweating which releases heat but also has cooling diaphoretic quality.
Temperature (Berries): Neutral to Slightly Warming. Less pronounced thermal quality than flowers.
Moisture (Flowers): Drying (via diuretic and diaphoretic effects). Clears dampness from sinuses and respiratory passages.
Moisture (Berries): Neutral to slightly moistening due to mucilaginous quality.
Tissue State:
Flowers: Primarily for Heat/Excitation (fever, inflammation, acute infection) and Damp/Stagnation (congestion, mucus accumulation)
Berries: For Heat/Excitation (viral infection, inflammation) and general immune deficiency
Taste
Elderflowers:
- Sweet: Pleasant, floral sweetness
- Aromatic: Distinctive muscat-like fragrance, honey-like
- Slightly musky: Characteristic elderflower aroma
Elderberries (Cooked):
- Sweet-Tart: Pleasant balance of sweetness and tartness
- Slightly Astringent: Mild drying sensation
- Earthy: Deep, rich berry flavor with subtle wine-like notes
Plant Lore
Elder has one of the richest folklore traditions of any European plant, surrounded by superstition, reverence, and ambivalence for centuries.
Etymology: The name “elder” likely derives from Old English “aeld” (fire), referring to use of hollow elder stems to blow air onto fires. The botanical name Sambucus comes from Greek sambuke, an ancient musical instrument made from elder wood.
Sacred & Protective: In many European traditions, elder was considered a sacred tree inhabited by a protective spirit variously called the Elder Mother, Elder Queen, or Hylde-Moer (Denmark). Before cutting elder, permission had to be asked: “Lady Elder, give me some of thy wood, and I will give thee some of mine when it grows in the forest.” Failure to ask permission invited misfortune.
Ambivalent Folklore: Elder attracted seemingly contradictory beliefs – both protective and dangerous, sacred and cursed. This reflects its dual nature: profoundly healing yet mildly toxic when misused.
Christian Associations: In Christian folklore, elder acquired negative associations:
- Judas allegedly hanged himself from an elder tree
- The cross of crucifixion was supposedly made from elder (though this is botanically impossible)
- Despite this, elder was planted near homes for protection and grew in monastery gardens for medicine
Protective Uses: Elder was planted near homes to ward off evil spirits, lightning, and witchcraft. Elder trees marking property boundaries were believed to protect the land. Bringing elder wood into the house was considered unlucky, but elderflower and berries were welcomed.
Faerie Associations: Elder was strongly associated with faerie folk. Standing under an elder tree on Midsummer Eve supposedly allowed one to see the faerie realm. Disturbing elder trees risked angering faeries.
Historical Medicinal Use: Every part of elder has been used medicinally for centuries. Hippocrates (400 BCE) called elder his “medicine chest.” Medieval herbalists used elder extensively. John Evelyn (1664) wrote that elder’s “leaves, bark, berries, etc., were all medicinal, and against all infirmities whatever.”
“Elder is the medicine chest of country people” – Traditional saying reflecting elder’s versatility.
Elder as Indicator: Elder’s nitrogen requirements mean it grows near human habitation and manure. Archaeologists use elder to locate abandoned homesteads and settlements.
Additional Information
Species Distinction:
- Black elder (Sambucus nigra) – European species, black-purple berries, ivory flowers – SAFE when cooked
- Red elder (Sambucus racemosa) – Red berries – NOT SAFE even cooked, avoid
- American elder (Sambucus canadensis) – Similar to black elder, safe when cooked
- Always positively identify as black elder before use
Climate & Elder:
- Elder’s flowering/fruiting time varies by climate:
- NZ North Island: Flowers October-December, berries March-May
- NZ South Island: Flowers November-January, berries April-May
Commercial Products:
- Sambucol: Most researched commercial elderberry product, used in clinical trials
- Many other brands available – look for standardised anthocyanin content
Culinary Uses Beyond Medicine:
- Elderflower cordial (summer beverage)
- Elderberry wine (traditional fermented beverage)
- Elderflower champagne (lightly fermented, effervescent)
- Elderberry jam, jelly, syrup
- Elderflower fritters (delicious)
New Zealand Availability:
- Growing wild: Common in hedgerows, forest edges throughout NZ
- Foraging: Free, abundant, easy to identify
- Growing your own: Easy to cultivate, available at nurseries
- Commercial products:
- Dried elderberries: Available from health food stores and online suppliers in various sizes
- Elderberry syrup: Available from health food stores, pharmacies, and online
- Elderflower cordial: Available from supermarkets and specialty food stores
Storage:
- Dried elderberries: Store airtight, cool, dark place, 1-2 years
- Elderberry syrup: Refrigerate, 2-3 months
- Dried elderflowers: Store airtight, cool, dark, 1 year
- Elderflower cordial: Refrigerate, 2-3 months, or freeze
Sources
[Previous sources would continue here – due to space constraints I’m providing a representative sample]
Zakay-Rones, Z., Thom, E., Wollan, T., & Wadstein, J. (2004). Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections. Journal of International Medical Research, 32(2), 132-140.
Zakay-Rones, Z., Varsano, N., Zlotnik, M., Manor, O., Regev, L., Schlesinger, M., & Mumcuoglu, M. (1995). Inhibition of several strains of influenza virus in vitro and reduction of symptoms by an elderberry extract (Sambucus nigra L.) during an outbreak of influenza B Panama. Journal of Alternative and Complementary Medicine, 1(4), 361-369.
Hawkins, J., Baker, C., Cherry, L., & Dunne, E. (2019). Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: A meta-analysis of randomized, controlled clinical trials. Complementary Therapies in Medicine, 42, 361-365.
Roschek, B., Fink, R. C., McMichael, M. D., Li, D., & Alberte, R. S. (2009). Elderberry flavonoids bind to and prevent H1N1 infection in vitro. Phytochemistry, 70(10), 1255-1261.
Swaminathan, K., Dyason, J. C., Maggioni, A., von Itzstein, M., & Downard, K. M. (2013). Binding of a natural anthocyanin inhibitor to influenza neuraminidase by mass spectrometry. Analytical and Bioanalytical Chemistry, 405(20), 6563-6572.
Torabian, G., Valtchev, P., Adil, Q., & Dehghani, F. (2019). Anti-influenza activity of elderberry (Sambucus nigra). Journal of Functional Foods, 54, 353-360.
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Disclaimer: This monograph is for educational purposes only and is not medical advice. Never consume raw elderberries – they contain cyanogenic glycosides that cause nausea and vomiting. Always cook berries before use. Elderflowers are safe raw. Elderberry is not a substitute for influenza vaccination or medical treatment of severe respiratory infections. Please consult with a qualified healthcare practitioner before using any herbal remedy, especially if you are pregnant, nursing, taking medication, or have a known medical condition.

