Immune Resilience, Respiratory Protection, and Warming Strategies at the Molecular Level
This comprehensive guide explores winter immunology, respiratory physiology in cold conditions, and the pharmacological mechanisms of warming and immune-supporting herbs for New Zealand’s winter season.
Table of Contents
- Winter Physiology and Immune Challenge
- Vitamin D Deficiency: The Winter Deficit
- Cold-Weather Respiratory Stress
- Garlic: Allicin and Antimicrobial Power
- Astragalus: Deep Immune Modulation
- Reishi Mushroom: Adaptogenic Immune Support
- Warming Herbs: Circulation and Thermogenesis
- Formulation Strategies for Winter
- References
Winter Physiology and Immune Challenge
Seasonal Immune Variations
The human immune system doesn’t function identically year-round. Research demonstrates measurable seasonal fluctuations:
UK Biobank Study (Dopico et al., 2021):
Analysis of 329,261 participants revealed:
- Neutrophils: Peak in winter (January), trough in summer (July)
- Winter average: 4.1 × 10⁹/L – Summer average: 3.8 × 10⁹/L – ~8% seasonal variation
- Lymphocytes: Peak in spring (March), trough in autumn (October)
- Spring average: 2.0 × 10⁹/L – Autumn average: 1.85 × 10⁹/L – These include T cells, B cells, NK cells
- Monocytes: Minimal seasonal variation
Pro-inflammatory Cytokines (Killestein et al., 2002):
Study of healthy individuals showed:
- TNF-α (tumor necrosis factor-alpha): Peaks in autumn/winter
- IFN-γ (interferon-gamma): Similar autumn/winter elevation
- These promote cell-mediated immunity but can contribute to inflammatory conditions
Why this matters: Winter presents a paradox—we need stronger immunity against pathogens, yet some immune parameters are elevated (neutrophils) while others are reduced (lymphocytes). This creates immune imbalance requiring support.
Photoperiod and Melatonin
The Light-Darkness Cycle:
Summer vs Winter (Wellington, NZ ~41°S):
- December 21 (summer solstice): ~15 hours daylight
- June 21 (winter solstice): ~9.5 hours daylight
- Difference: 5.5 hours less light daily
Neurohormonal Pathway:
- Light enters eyes, signals suprachiasmatic nucleus (SCN) in hypothalamus
- SCN = body’s master clock, synchronises circadian rhythms
- Darkness: SCN signals pineal gland → melatonin secretion
- Light: Melatonin secretion suppressed
Winter = longer nights = prolonged melatonin secretion
Melatonin’s Immune Effects:
Immuno-enhancing (appropriate levels):
- Stimulates production of cytokines: IL-2, IL-6, IL-12, IFN-γ
- Enhances NK cell activity and cytotoxicity
- Promotes monocyte and lymphocyte proliferation
- Shifts immune response toward Th1 (cell-mediated immunity)
Potential problems in winter:
- Chronically elevated melatonin (from extended darkness) can disrupt circadian immune rhythms
- Contributes to seasonal affective disorder (SAD)
- Can affect energy, mood, motivation—impacting overall health
Herbal implications: While we can’t change photoperiod, understanding this helps explain winter fatigue and the importance of:
- Light exposure during daylight hours
- Adaptogens that support stress response
- Immune modulators (not just stimulants)
Temperature Fluctuations and HPA Axis
Cold Exposure Stress:
When exposed to cold, the body activates the hypothalamic-pituitary-adrenal (HPA) axis:
- Hypothalamus releases CRH (corticotropin-releasing hormone)
- Pituitary releases ACTH (adrenocorticotropic hormone)
- Adrenal glands release cortisol
Cortisol’s Immune Effects:
Acute (short-term, beneficial):
- Redistributes immune cells to strategic locations (skin, lymph nodes)
- Enhances innate immunity
- Prepares body for potential injury/infection
Chronic (long-term, problematic):
- Suppresses lymphocyte proliferation (reduces T cell, B cell numbers)
- Inhibits cytokine production (reduces immune signalling)
- Decreases NK cell activity
- Impairs antibody production
- Reduces mucosal immunity (gut, respiratory)
Winter reality: Repeated cold exposures (going outside, poorly heated homes, temperature fluctuations) create chronic low-level HPA activation.
Herbal support: Adaptogens (astragalus, reishi) help regulate HPA axis, preventing excessive or prolonged cortisol elevation.
Vitamin D Deficiency: The Winter Deficit
The Biochemistry of Deficiency
Vitamin D Synthesis:
Summer:
- UVB radiation (290-315 nm) hits skin
- Converts 7-dehydrocholesterol → previtamin D₃
- Body heat isomerises previtamin D₃ → vitamin D₃ (cholecalciferol)
- Liver converts D₃ → 25-hydroxyvitamin D [25(OH)D] (storage form)
- Kidneys convert 25(OH)D → 1,25-dihydroxyvitamin D [1,25(OH)₂D] (active form, calcitriol)
Winter problem: UVB intensity insufficient for synthesis at latitudes >37° from November-February (Southern Hemisphere).
New Zealand specifics:
- Auckland (37°S): Marginal synthesis March-October
- Wellington (41°S): Minimal synthesis April-September
- Christchurch (43°S): Minimal synthesis April-September
- Dunedin (46°S): Minimal synthesis April-October
Result: 40% of New Zealand adults have insufficient vitamin D (<50 nmol/L) in winter.
Vitamin D and Immune Function
Mechanisms:
1. Antimicrobial Peptide Production:
Vitamin D enhances production of cathelicidins and defensins:
- Cathelicidin (LL-37): Disrupts bacterial membranes, neutralises viruses, modulates inflammation
- 1,25(OH)₂D binds to VDR (vitamin D receptor) in immune cells – Activates gene for cathelicidin antimicrobial peptide (CAMP) – Increased LL-37 production in macrophages, neutrophils, epithelial cells
- β-defensins: Small cationic peptides that kill bacteria, fungi, viruses
- Vitamin D increases defensin production in respiratory epithelium – Creates antimicrobial barrier in airways
2. Macrophage and Neutrophil Enhancement:
- Vitamin D receptor (VDR) present on macrophages, neutrophils
- Activation enhances:
- Chemotaxis (movement toward pathogens) – Phagocytosis (engulfing and killing bacteria/viruses) – Autophagy (cellular “self-eating” that destroys intracellular pathogens)
3. Modulation of Adaptive Immunity:
- Promotes Th1 response (cell-mediated, antiviral)
- Suppresses excessive Th2 response (allergic, autoimmune)
- Increases regulatory T cells (Tregs) that prevent autoimmunity
- Modulates B cell antibody production
Clinical Evidence:
Martineau et al. (2017) meta-analysis:
- 25 randomised controlled trials
- 11,321 participants
- Result: Vitamin D supplementation reduced acute respiratory infections
- 12% reduction overall – 42% reduction in those with severe deficiency (<25 nmol/L) – Most effective with daily/weekly dosing (not bolus doses)
Optimal levels:
- Sufficiency: >50 nmol/L (20 ng/mL)
- Optimal for immunity: 75-100 nmol/L (30-40 ng/mL)
Herbal context: Herbs cannot replace vitamin D. Ensure adequate intake (600-1000 IU daily supplementation in winter, or more if deficient). Herbs work synergistically with adequate vitamin D status.
Cold-Weather Respiratory Stress
Airway Physiology Under Cold Stress
Nasal Passage Effects:
Warm weather (20-25°C inhaled air):
- Nasal mucosa temperature: ~32-34°C
- Mucus viscosity: Normal (optimal for ciliary clearance)
- Ciliary beat frequency: 10-15 Hz (rapid clearance)
- Blood flow: Normal (delivers immune cells, warmth)
Cold weather (0-5°C inhaled air):
- Nasal mucosa temperature: Drops to ~25-28°C
- Mucus viscosity: Increases 2-3 fold (becomes thick, sticky)
- Harder for cilia to move – Mucus traps viruses, bacteria longer (increased contact time)
- Ciliary beat frequency: Decreases to 5-8 Hz
- 40-50% reduction in clearance speed
- Vasoconstriction: Blood vessels narrow to conserve heat
- Reduced immune cell delivery – Decreased warmth to tissues
Result: Impaired mucociliary clearance = pathogens stay in contact with epithelium longer = increased infection risk.
Lower Airway Effects:
- Cold air irritates bronchial passages
- Triggers bronchoconstriction (airway narrowing) in susceptible individuals
- Increases mucus production (body’s attempt to warm/humidify air)
- Can trigger cough reflex
Herbal support targets:
- Demulcents: Soothe irritated, dry airways (marshmallow, licorice)
- Expectorants: Help clear thickened mucus (thyme, elecampane)
- Antimicrobials: Reduce pathogen load (garlic, thyme)
- Warming circulatory stimulants: Increase blood flow to tissues (ginger, cinnamon)
Indoor Air Quality
Low Humidity:
Heating systems dry air:
- Outdoor winter air: Often 60-80% relative humidity (when cold)
- Indoor heated air: 20-40% relative humidity
- Moisture evaporates from respiratory passages – Dries mucous membranes – Thickens mucus – Increases viral survival in air (droplets don’t settle as quickly)
Stagnant Air and Viral Transmission:
- Close quarters, poor ventilation
- Respiratory droplets accumulate
- Viral load in shared air increases
- Transmission risk rises
Herbal strategy: Internal demulcents + external humidification + regular ventilation.
Garlic: Allicin and Antimicrobial Power

Phytochemistry
Intact Garlic Clove:
- Alliin (S-allyl-L-cysteine sulfoxide): Stable, odorless sulfur-containing amino acid
- Concentration: ~0.2-0.5% fresh weight – Stored in cytoplasm of garlic cells
- Alliinase: Enzyme stored separately in vacuoles
- When clove is crushed/damaged, enzyme and substrate mix
Enzymatic Reaction:
Alliin + Alliinase → Allylsulfenic acid (2 molecules) → Spontaneous condensation (H₂O) → ALLICIN (diallyl thiosulfinate)
Allicin formation:
- Requires 10-15 minutes after crushing (for complete conversion)
- Volatile (gives garlic its characteristic odor)
- Unstable (degrades in hours to days depending on conditions)
- Room temperature: 50% degradation in 16 hours – Refrigerated: More stable – Heat: Rapid degradation
Degradation products still bioactive:
- Diallyl disulfide (DADS)
- Diallyl trisulfide (DATS)
- Ajoene (in oil preparations)
- Vinyldithiins
Antimicrobial Mechanisms
1. Thiol Modification (Primary Mechanism):
Allicin is a reactive sulfur species (RSS)—it reacts rapidly with free thiols (-SH groups):
Thiol-disulfide exchange:Protein-SH + Allicin → Protein-S-S-allyl + Allyl-SH
Target proteins in bacteria:
- Glutathione (major cellular thiol buffer):
- Allicin depletes glutathione rapidly – Without glutathione, cells cannot manage oxidative stress – Leads to accumulation of reactive oxygen species (ROS) – Cell death from oxidative damage
- Thiol-containing enzymes:
- Alcohol dehydrogenases: Metabolic enzymes (impairs energy production) –
- Cysteine proteases: Protein degradation enzymes –
- Thioredoxin reductase: Antioxidant enzyme –
- RNA polymerase: DNA → RNA transcription (blocks protein synthesis)
Result: Multiple essential enzymes inactivated simultaneously = broad-spectrum antimicrobial activity.
2. DNA Gyrase Inhibition:
Recent research (Reiter et al., 2020) identified a novel mechanism:
- DNA gyrase: Bacterial enzyme that maintains DNA supercoiling (essential for replication)
- Allicin oxidises critical cysteine residue (Cys433) in GyrA subunit
- Cys433 oxidation: 6% baseline → 55% after allicin treatment
- Inhibits gyrase activity at concentrations similar to nalidixic acid (fluoroquinolone antibiotic)
Why this matters: DNA gyrase is a clinically important antibiotic target. Allicin’s action suggests potential for:
- Combination therapy with antibiotics
- Activity against antibiotic-resistant strains
3. Membrane Disruption:
While less studied than thiol modification, allicin can:
- Insert into lipid membranes
- Disrupt membrane integrity
- Cause ion leakage
- Contribute to bactericidal effect
Antimicrobial Spectrum
Confirmed activity against:
Gram-positive bacteria:
- Staphylococcus aureus (including MRSA)
- Streptococcus pneumoniae (pneumonia)
- Streptococcus pyogenes (strep throat)
Gram-negative bacteria:
- Pseudomonas aeruginosa (lung pathogen, cystic fibrosis)
- Escherichia coli
- Burkholderia cepacia complex
- Helicobacter pylori (stomach ulcers)
Minimum Inhibitory Concentrations (MICs):
- S. aureus: 4-16
μg/mL allicin - P. aeruginosa: 8-32
μg/mL - B. cepacia: 4-16
μg/mL
Comparison: These MICs are higher than many antibiotics, BUT:
- Garlic is non-toxic at therapeutic doses
- Works synergistically with antibiotics
- No resistance development documented
- Can be used preventively long-term
Viruses:
- Limited direct virucidal activity
- Immunomodulatory effects may help fight viral infections
- Not a primary antiviral (elderberry superior for this)
Fungi:
- Candida albicans
- Dermatophytes (skin fungi)
Volatile Antimicrobial Action
Unique property: Allicin is volatile—can work as vapour.
Reiter et al. (2017) study:
- Tested allicin vapour against lung pathogens
- Result: Effective against:
- Streptococcus pneumoniae – Pseudomonas aeruginosa (including MDR strains) – Staphylococcus aureus (including MRSA)
Clinical implications:
- Steam inhalation with crushed garlic
- Potential for pulmonary delivery (research stage)
- Historical tuberculosis treatment via garlic vapour
Clinical Evidence
Josling (2001) RCT:
- 146 participants, winter season (12 weeks)
- Intervention: Daily garlic supplement (allicin-containing) vs placebo
- Results:
- Garlic group: 24 colds – Placebo group: 65 colds – 63% reduction in cold incidence – Duration reduced: 1.5 days vs 5 days – Faster recovery when colds occurred
Mechanism (proposed):
- Daily antimicrobial exposure reduces viral load
- Immune modulation (garlic enhances NK cell activity)
- Sulfur compounds may have direct antiviral effects
Pharmacokinetics and Bioavailability
Absorption:
- Allicin and metabolites absorbed in small intestine
- Some absorption in stomach
- Peak plasma levels: 30-60 minutes after ingestion
Distribution:
- Sulphur compounds distribute widely
- Can be detected in breath, skin (characteristic odour)
- Cross into various tissues
Metabolism:
- Liver metabolises sulphur compounds
- Various pathways produce metabolites (some still bioactive)
Excretion:
- Primary route: Urine
- Secondary: Breath (volatile compounds), skin
Half-life:
- Allicin itself: Minutes to hours (very unstable in body fluids)
- Metabolites: Hours to days
- Implication: Multiple daily doses needed for sustained antimicrobial effect
Practical Applications
Fresh Garlic (Most Potent):
Optimal preparation:
- Peel and crush/chop cloves
- Wait 10-15 minutes (allows allicin formation)
- Consume raw OR add to food at end of cooking (minimal heat exposure)
Dosing:
- Prevention: 1-2 cloves (4-8g) daily
- Acute illness: 2-4 cloves (8-16g) daily in divided doses
Palatability strategies:
- Mix crushed garlic with honey (antimicrobial synergy)
- Add to salad dressings (oil helps palatability, contains fat-soluble compounds)
- Hummus, guacamole, pesto
- Swallow small pieces wrapped in apple (if taste intolerable)
Aged Garlic Extract:
- Less pungent (allicin converted to stable S-allyl cysteine)
- Different compound profile
- Antioxidant, cardiovascular benefits
- Less antimicrobial potency than fresh
Garlic Supplements:
- Vary widely in allicin content and bioavailability
- “Allicin potential” or “allicin yield” on labels
- Enteric-coated preferred (protects from stomach acid)
- Quality varies—stick to reputable brands
Astragalus: Deep Immune Modulation

Phytochemistry
Astragalus membranaceus root contains multiple bioactive constituents:
1. Polysaccharides (Astragalus Polysaccharides, APS):
- Structure: Complex branched-chain polysaccharides
- Molecular weight: 3.6 × 10⁴ Da (36,000 Da) – Composed of glucose, rhamnose, arabinose, galacturonic acid – Highly water-soluble
- Concentration: 5-30% of dried root (varies by preparation)
2. Saponins (Astragalosides):
- Triterpene saponins
- Astragaloside I, II, III, IV (IV most studied)
- Less water-soluble than polysaccharides
3. Flavonoids:
- Isoflavones: formononetin, calycosin
- Antioxidant, anti-inflammatory
4. Others:
- Trace minerals
- Amino acids
Note: Polysaccharides are considered the primary immune-active fraction.
Immunomodulatory Mechanisms
Key concept: Astragalus is an immune modulator, not just a stimulant. It enhances appropriate immune responses without causing hyper-activation.
1. Macrophage Activation:
TLR4-Mediated Pathway:
Research (Shao et al., 2004; Liu et al., 2017) shows:
- APS binds to TLR4 (Toll-like receptor 4) on macrophage surface
- TLR4 is pattern recognition receptor (normally recognises bacterial LPS)
- Binding activates MyD88-dependent signalling cascade:
- MyD88 adapter protein recruited 2. TRAF6 (TNF receptor-associated factor 6) activated 3. NF-κB (nuclear factor kappa B) and MAPK pathways activated 4. Gene transcription for cytokines, NO production
Functional outcomes:
- Increased phagocytosis: Macrophages engulf bacteria, cellular debris more efficiently
- Cytokine production:
- TNF-α (tumour necrosis factor-alpha): Promotes inflammation, activates other immune cells – IL-1β (interleukin-1 beta): Pro-inflammatory, fever induction – IL-6: Both pro-inflammatory and regulatory
- Nitric oxide (NO) production:
- Antimicrobial (damages bacterial DNA, proteins) – Signalling molecule
M1/M2 Polarisation:
Macrophages exist in different phenotypes:
- M1: Pro-inflammatory, antimicrobial, anti-tumor
- M2: Anti-inflammatory, tissue repair, can promote tumour growth
APS promotes M1 polarisation (Bamodu et al., 2019):
- Enhances antimicrobial and antiviral responses
- Beneficial in infections, potentially in cancer
2. T Cell Modulation:
CD4+ T Helper Cells:
APS affects differentiation and function:
- Enhances CD4+ proliferation (at 1-5 mg/mL concentrations)
- Increases IFN-γ production from CD4+ cells
- IFN-γ = signature Th1 cytokine – Promotes cell-mediated immunity (antiviral, antibacterial)
CD8+ Cytotoxic T Cells:
- Increases CD8+ proliferation and activation
- Enhances cytotoxic function (killing infected/abnormal cells)
- Important for viral clearance, tumour surveillance
Regulatory T Cells (Tregs):
- Some studies show APS can modulate Tregs
- Prevents excessive inflammation
- Balances immune response
3. Natural Killer (NK) Cell Enhancement:
- NK cells kill virus-infected cells and tumor cells
- APS increases NK cell activity and cytotoxicity
- Enhances NK cell proliferation
4. Dendritic Cell Maturation:
- Dendritic cells = “professional antigen-presenting cells”
- Bridge innate and adaptive immunity
- APS promotes DC maturation:
- Increases expression of MHC II, CD80, CD86 (co-stimulatory molecules) – Enhances antigen presentation to T cells – Improves adaptive immune response initiation
5. B Cell and Antibody Production:
B Cell Activation:
- APS activates B cells via membrane immunoglobulin (mIg) receptors
- NOT via TLR4 (different from macrophages)
- Enhances B cell proliferation
Antibody Production:
- Can enhance antibody responses (context-dependent)
- Useful as vaccine adjuvant (boosts vaccine effectiveness)
Clinical and Experimental Evidence
Immune Cell Studies:
Goel et al. (2005):
- Echinacea-astragalus combination vs placebo
- Result: Significant increase in white blood cell counts
- Neutrophils, monocytes, NK cells all increased – Effect sustained over treatment period
Reduced Respiratory Infections:
Multiple studies show:
- Reduced frequency of common colds
- Shorter duration when infections occur
- Particularly effective in immunocompromised or elderly
Vaccine Response Enhancement:
- Studies in elderly: APS supplementation improved antibody response to flu vaccine
- Suggests restoration of age-related immune decline
Mechanism Summary:
APS works through multiple pathways:
- Innate immunity: Macrophages, NK cells, dendritic cells
- Adaptive immunity: T cells, B cells, antibodies
- Cytokine network: Balances pro- and anti-inflammatory signals
- Gene expression: Modulates immune-related genes
Why this matters for winter:
- Long-term use appropriate: Unlike acute immune stimulants (echinacea), astragalus can be used throughout winter
- Builds baseline immunity: Doesn’t overstimulate but enhances readiness
- Adaptogenic properties: Helps body manage stress (including cold stress)
Dosing and Preparation
Decoction (Traditional, Preferred):
- Dose: 9-30g dried root slices per day
- Start lower (9-15g) for prevention – Higher (15-30g) during high infection risk or if ill
Method:
- Simmer 3-5 root slices (about 10-15g) in 3-4 cups water
- Simmer 20-30 minutes (longer = stronger extraction)
- Strain, drink 1-2 cups daily
- Can re-simmer same roots once more (weaker but still active)
Soup Ingredient:
- Add slices to broth, soup
- Remove before serving (woody, not pleasant to eat)
- Compounds infuse into broth
Tincture:
- 1:5 ratio in 40% alcohol
- 2-4 mL, 2-3 times daily
- Less traditional but convenient
Powder/Capsules:
- 500-1000mg standardised extract, 2-3 times daily
- Quality varies—choose reputable brands
Timing:
- Prevention: Start 4-6 weeks before peak winter
- Continue: Throughout cold season
- Cycle: Some herbalists recommend 5 days on/2 days off (prevents adaptation), others suggest continuous use fine
Reishi Mushroom: Adaptogenic Immune Support

Phytochemistry
Ganoderma lucidum (Reishi, Lingzhi) fruiting body contains:
1. Polysaccharides (Beta-Glucans):
Structure:
- β-1,3-glucans with
β-1,6-branches - Molecular weight: 400-1,000 kDa (very large molecules)
- Water-soluble (extracted in hot water)
Concentration: 10-50% depending on preparation
2. Triterpenes (Ganoderic Acids):
- Over 130 different triterpenes identified
- Bitter compounds (Reishi’s bitter taste comes from these)
- Alcohol-soluble (require alcohol/dual extraction)
Main triterpenes:
- Ganoderic acid A, B, C, D (dozens of variants)
- Lucidenic acids
3. Proteins and Peptides:
- LZ-8 (Lingzhi-8): Immunomodulatory protein
- Various other bioactive proteins
Note: Polysaccharides and triterpenes have different, complementary actions—best extraction includes both (hot water + alcohol).
Immunomodulatory Mechanisms
1. Beta-Glucan Receptor Activation:
Beta-glucans from Reishi interact with multiple immune cell receptors:
Dectin-1:
- C-type lectin receptor on macrophages, dendritic cells
- recognises β-1,3-glucan structures
- Activation triggers:
- Phagocytosis enhancement – Cytokine production (TNF-
α, IL-6, IL-10) – Reactive oxygen species (ROS) production
Complement Receptor 3 (CR3):
- On macrophages, NK cells, neutrophils
- Beta-glucans bind, enhance:
- Cell adhesion – Phagocytosis – Cytotoxicity
Toll-like Receptors (TLR2, TLR4):
- Some reishi polysaccharides activate TLRs
- Similar pathway to astragalus (NF-κB activation)
2. Natural Killer Cell Enhancement:
Multiple studies show Reishi increases:
- NK cell activity: Ability to kill target cells
- NK cell numbers: Proliferation
- Cytokine production: IFN-γ, TNF-α from NK cells
Mechanism:
- Polysaccharides activate NK cells directly via receptors
- Indirectly via macrophage cytokine production (IL-12 activates NK cells)
3. T Cell and B Cell Modulation:
T cells:
- Enhances T cell proliferation
- Increases CD4+ and CD8+ numbers
- Promotes Th1 response (IFN-γ production)
- Balances Th1/Th2 (important for allergies, autoimmunity)
B cells:
- Can enhance antibody production
- Context-dependent (depends on immune status)
4. Macrophage Activation:
Similar to astragalus:
- Increased phagocytosis
- Enhanced cytokine production
- Improved antigen presentation
- NO production (antimicrobial)
Triterpene Actions (Distinct from Polysaccharides)
Anti-inflammatory:
Ganoderic acids:
- Inhibit histamine release from mast cells
- Reduce allergic responses
- Inhibit inflammatory enzymes
- Modulate cytokine production (reduce excessive inflammation)
Hepatoprotective:
- Protect liver cells from toxins
- Enhance liver detoxification
- Relevant for winter (less fresh vegetables, more toxin exposure, alcohol consumption)
Adaptogenic/Stress-Modulating:
- Affect HPA axis (hypothalamic-pituitary-adrenal)
- Help regulate cortisol
- Improve stress resilience
- Relevant for winter stress (cold, darkness, holiday stress)
Sleep and Nervous System Effects
Traditional use: Reishi called “Mushroom of Immortality,” also “Spiritual Potency”—used for calming mind, improving sleep.
Modern research:
- Improves sleep quality (multiple studies)
- Mechanisms unclear but may involve:
- Triterpenes acting on GABA receptors (calming neurotransmitter) – Reducing stress/anxiety (allowing better sleep) – Circadian rhythm modulation
Winter relevance:
- Sleep crucial for immune function
- Winter sleep often disrupted (less light, stress, illness)
- Reishi supports both immunity AND sleep—complementary actions
Clinical Evidence
Immune Enhancement in Athletes:
- Study: Athletes given Reishi vs placebo
- Result: Reduced upper respiratory infections
- Athletes often get sick from training stress – Reishi prevented immune suppression
Quality of Life in Various Conditions:
- Studies in cancer patients, chronic fatigue, etc.
- Improved energy, reduced fatigue
- Enhanced sense of wellbeing
Note: Most studies use standardised extracts (polysaccharide and triterpene content specified). Whole mushroom preparations less studied but traditionally used.
Dosing and Preparation
Decoction (Traditional):
Problem: Reishi is woody, requires long extraction
Method:
- Simmer dried slices (10-15g) in 3-4 cups water
- Simmer 1-2 hours (not minutes—very woody)
- Strain (bitter taste)
- Add honey to improve palatability
- Drink 1-2 cups daily
Dual Extraction (Optimal):
Water extraction:
- Polysaccharides are water-soluble
- Hot water decoction extracts these
Alcohol extraction:
- Triterpenes are alcohol-soluble
- Soak dried mushroom in 40-60% alcohol for 2-4 weeks
- Strain
Combine water and alcohol extracts = full-spectrum preparation
Powder:
- Dried, ground mushroom
- Add to coffee, tea, smoothies, hot chocolate
- Dose: 1-3g daily
- Convenient but may not extract all compounds optimally
Extracts/Tinctures:
- Standardised products specify polysaccharide/triterpene content
- Polysaccharides: Look for >10-30%
- Triterpenes: Look for >2-5%
- Follow product instructions (typically 1-2 mL, 2-3 times daily)
Timing:
- Can use continuously through winter (safe long-term)
- Some take in evening (sleep support)
- Others morning (adaptogenic energy)
- Listen to your body
Synergy:
- Works well with astragalus (complementary immune actions)
- Combines with warming herbs (ginger, cinnamon)
Warming Herbs: Circulation and Thermogenesis
Ginger, Cinnamon, Rosemary: Shared and Distinct Actions
Shared Mechanisms:
1. Circulatory Stimulation:
All three increase peripheral blood flow through:
- Vasodilation: Widening of blood vessels
- Mechanisms vary by herb – Results in warming sensation, improved tissue oxygenation – Enhances immune cell delivery to tissues
2. Anti-inflammatory:
All contain compounds that reduce inflammation:
- Inhibit COX-2, 5-LOX enzymes
- Reduce pro-inflammatory cytokines
- Support respiratory health (reduce airway inflammation)
3. Antimicrobial:
All have compounds active against bacteria, viruses:
- Synergistic with immune-supporting herbs
- Direct pathogen reduction
Ginger (Zingiber officinale)

Active Compounds:
- Gingerols: Fresh ginger (especially [6]-gingerol)
- Shogaols: Dried/heated ginger (more potent, formed from gingerols)
Mechanisms:
1. TRPV1 Receptor Activation:
- Gingerols activate TRPV1 (transient receptor potential vanilloid 1)
- TRPV1 = heat-sensing receptor on sensory nerves
- Activation triggers:
- Release of CGRP (calcitonin gene-related peptide) – CGRP causes vasodilation – Increased blood flow to skin, extremities – Creates warmth sensation
2. COX-2 and 5-LOX Dual Inhibition:
Unlike NSAIDs (which typically inhibit COX only):
- Ginger inhibits BOTH COX-2 AND 5-LOX
- Result: Reduces prostaglandins AND leukotrienes
- Broader anti-inflammatory effect – Particularly good for respiratory inflammation
3. NF-κB Suppression:
- Gingerols/shogaols suppress NF-κB activation
- NF-
κB = master regulator of inflammation - Reduces multiple inflammatory pathways
4. Antiplatelet Activity:
- Inhibits thromboxane synthesis
- Reduces platelet aggregation (clumping)
- Improves blood flow, reduces clotting risk
- Caution with blood thinners (see safety section)
Clinical Evidence:
- Morning sickness: Multiple RCTs show 1g ginger effective
- Osteoarthritis: Modest pain reduction (comparable to NSAIDs in some studies)
- Muscle soreness: Reduces post-exercise pain
Cinnamon (Cinnamomum verum/cassia)

Active Compounds:
- Cinnamaldehyde: 60-75% of essential oil
- Polyphenols: Antioxidants
- Coumarin: Higher in cassia cinnamon (see safety)
Mechanisms:
1. Thermogenic Effect:
- Increases metabolic rate slightly
- Enhances glucose metabolism
- Creates internal warmth (not just taste sensation)
2. Insulin Sensitivity:
- Polyphenols mimic insulin action
- Improve glucose uptake into cells
- Relevant for winter (carb-heavy comfort foods)
3. Antimicrobial:
- Cinnamaldehyde: Broad-spectrum antibacterial, anti-fungal
- Mechanism: Disrupts microbial cell membranes
- Effective against respiratory pathogens
4. Anti-inflammatory:
- Inhibits NF-κB
- Reduces inflammatory cytokines
Clinical Evidence:
- Blood sugar: Modest reduction in diabetics (meta-analyses show small effect)
- Antimicrobial: Strong in vitro activity (clinical studies limited)
Rosemary (Rosmarinus officinalis)

Active Compounds:
- Rosmarinic acid: Polyphenol (30-40% of polyphenol content)
- 1,8-Cineole: Monoterpene (volatile oil)
- Carnosic acid, carnosol: Diterpenes
Mechanisms:
1. Cholinergic Effects:
- Some compounds enhance acetylcholine activity
- Improves cognitive function
- Enhances alertness (useful for winter sluggishness)
2. Circulatory Stimulation:
- Increases peripheral blood flow
- Mechanisms less defined than ginger but effect observed
- Traditional use for cold hands/feet
3. 1,8-Cineole (Eucalyptol):
- Expectorant: Stimulates mucus secretion, aids clearance
- Antimicrobial: Disrupts bacterial membranes
- Bronchodilator: Relaxes airways
- Shared compound with eucalyptus (respiratory benefits)
4. Antioxidant:
- Rosmarinic acid, carnosic acid = potent antioxidants
- Protect cells from oxidative stress
- Support overall health
Clinical Evidence:
- Cognitive function: Aromatherapy studies show improved memory, alertness
- Respiratory: Traditional use supported by constituent analysis (1,8-cineole)
Synergistic Combinations
Ginger + Cinnamon:
- Complementary warming mechanisms
- Both anti-inflammatory, antimicrobial
- Create powerful warming tea
Rosemary + Thyme:
- Both contain 1,8-cineole
- Synergistic respiratory support
- Antimicrobial overlap
All three combined:
- Multi-target approach
- Circulation, warmth, immunity, respiratory support
- Traditional chai spice blend uses similar concept
Formulation Strategies for Winter
Principles of Winter Formulation
1. Synergy Over Single Herbs:
Winter challenges are multifaceted:
- Immune stress
- Respiratory vulnerability
- Cold exposure
- Reduced vitamin D
- Indoor confinement
Single herb rarely addresses all. Formulas provide:
- Pharmacokinetic synergy: One herb enhances another’s absorption
- Pharmacodynamic synergy: Herbs act on different targets for greater effect
- Buffering: Herbs balance each other (warming + cooling, stimulating + calming)
2. Include Multiple Immune Mechanisms:
- Innate immunity: Astragalus, reishi (macrophages, NK cells)
- Antimicrobial: Garlic, thyme (direct pathogen reduction)
- Warming/circulatory: Ginger, cinnamon (enhance delivery, comfort)
- Respiratory support: Thyme, rosemary (local action in airways)
- Adaptogenic: Astragalus, reishi (stress resilience)
3. Balance Stimulation and Modulation:
Avoid: Pure stimulation (echinacea continuously)
- Can overstimulate immune system
- May cause fatigue, inflammation
Prefer: Modulators (astragalus, reishi) as base
- Use stimulants (echinacea) acutely when needed
- Warming herbs (ginger) are generally safe continuously
4. Address Individual Needs:
- Cold person: Emphasise warming herbs (ginger, cinnamon)
- Dry cough: Add demulcents (marshmallow, liquorice)
- Anxiety/stress: Include reishi, lemon balm
- Frequent infections: Astragalus base, garlic regularly
Winter Formula Examples
Formula 1: Long-Term Immune Tonic (Prevention)
Purpose: Daily use throughout winter to build immune resilience
Composition:
- Astragalus root: 30% (immune modulation, adaptogenic)
- Reishi mushroom: 25% (immune enhancement, sleep support, stress)
- Ginger root: 20% (warming, anti-inflammatory, circulation)
- Cinnamon bark: 15% (warming, antimicrobial, metabolic)
- Liquorice root: 10% (harmonising, demulcent, anti-inflammatory, sweet)
Rationale:
- Astragalus base: Long-term immune building without overstimulation
- Reishi: Complementary immune pathways, addresses winter stress/sleep
- Warming herbs (ginger, cinnamon): Counter cold exposure, improve circulation
- Liquorice: Harmonises formula (traditional use), adds sweetness, soothes airways
Preparation:
Decoction method:
- Combine 2 tablespoons mixed herb blend in 4 cups cold water
- Bring to boil, reduce heat
- Simmer roots/bark (astragalus, reishi, ginger, cinnamon, liquorice) 20-30 minutes
- Strain, drink 1-2 cups daily
Timing: Start 4-6 weeks before peak winter, continue through cold season
Cost (NZ): Approximately $1-2 per day using bulk herbs
Formula 2: Acute Respiratory Support (Active Illness)
Purpose: Use when cold, flu, or respiratory infection present
Composition:
- Thyme: 30% (antimicrobial, antispasmodic, expectorant)
- Elderberry: 25% (antiviral, immune-enhancing)
- Garlic: 20% (antibacterial, antiviral, immune)
- Ginger: 15% (anti-inflammatory, warming, nausea relief)
- Liquorice: 10% (demulcent, anti-inflammatory, expectorant)
Rationale:
- Thyme dominant: Primary respiratory herb—kills pathogens, calms cough, clears mucus
- Elderberry: Specific antiviral for flu
- Garlic: Broad-spectrum antimicrobial, immune boost
- Ginger: Reduces inflammation, warms, settles stomach (helpful if nauseous)
- Liquorice: Soothes irritated throat, loosens mucus, anti-inflammatory
Preparation:
Hot infusion (thyme, liquorice):
- Simmer ginger 10 minutes in 3 cups water
- Remove from heat
- Add thyme, licorice
- Steep covered 10-15 minutes
- Strain
Fresh garlic:
- Crush 2-3 cloves, let sit 10 minutes
- Add to honey or eat with food
- 3-4 times daily
Elderberry syrup:
- 1 tablespoon, 3-4 times daily
- Can add to tea above
Dosing: 3-4 cups tea daily plus garlic and elderberry while symptomatic
Formula 3: Warming Digestive/Immune Broth
Purpose: Nourishing food-as-medicine, gentle immune support
Composition:
- Bone or vegetable broth base: 8 cups
- Astragalus root: 3-5 slices
- Reishi mushroom: 1-2 slices
- Ginger: Large thumb-sized piece, sliced
- Garlic: 6-8 cloves, whole
- Onion: 1 large (with skin—quercetin in skin)
- Cinnamon stick: 1-2
- Bay leaf: 2-3
- Miso or sea salt: To taste (added at end)
Method:
- Combine all ingredients in large pot
- Simmer 2-4 hours (low heat)
- Strain, discard solids
- Season with miso/salt
Use:
- Drink 1-2 cups daily as immune tonic
- Use as base for soups
- Freeze in portions
Benefits:
- Nutrient-dense (minerals from broth, vegetables)
- Immune-supporting herbs extracted into liquid
- Warming, comforting
- Easy to digest (important when ill)
References
Seasonal Immunology & Vitamin D
Dopico, X. C., et al. (2021). Widespread seasonal gene expression reveals annual differences in human immunity and physiology. Nature Communications, 12(1), 997.
Killestein, J., et al. (2002). Circannual rhythm of serum levels of the soluble IL-2 receptor, IL-6 and TNF-alpha in multiple sclerosis. Acta Neurologica Scandinavica, 106(5), 268-272.
Martineau, A. R., et al. (2017). Vitamin D supplementation to prevent acute respiratory tract infections: Systematic review and meta-analysis of individual participant data. BMJ, 356, i6583.
Cantorna, M. T. (2010). Mechanisms underlying the effect of vitamin D on the immune system. Proceedings of the Nutrition Society, 69(3), 286-289.
Garlic & Allicin
Ankri, S., & Mirelman, D. (1999). Antimicrobial properties of allicin from garlic. Microbes and Infection, 1(2), 125-129.
Reiter, J., et al. (2017). Diallylthiosulfinate (Allicin), a volatile antimicrobial from garlic (Allium sativum), kills human lung pathogenic bacteria, including MDR strains, as a vapour. Molecules, 22(10), 1711.
Reiter, J., et al. (2020). Allicin, a natural antimicrobial defence substance from garlic, inhibits DNA gyrase activity in bacteria. International Journal of Medical Microbiology, 310(1), 151359.
Josling, P. (2001). Preventing the common cold with a garlic supplement: A double-blind, placebo-controlled survey. Advances in Therapy, 18(4), 189-193.
Astragalus
Shao, B. M., et al. (2004). A study on the immune receptors for polysaccharides from the roots of Astragalus membranaceus, a Chinese medicinal herb. Biochemical and Biophysical Research Communications, 320(4), 1103-1111.
Liu, Q. Y., et al. (2017). Astragalus polysaccharides exerts immunomodulatory effects via TLR4-mediated MyD88-dependent signaling pathway in vitro and in vivo. Scientific Reports, 7, 44822.
Bamodu, O. A., et al. (2019). Astragalus polysaccharides (PG2) enhances the M1 polarization of macrophages, functional maturation of dendritic cells, and T cell-mediated anticancer immune responses in patients with lung cancer. Nutrients, 11(10), 2264.
Reishi
Wachtel-Galor, S., et al. (2011). Ganoderma lucidum (Lingzhi or Reishi): A medicinal mushroom. In I. F. F. Benzie & S. Wachtel-Galor (Eds.), Herbal Medicine: Biomolecular and Clinical Aspects (2nd ed.). CRC Press.
General References
Bone, K., & Mills, S. (2013). Principles and practice of phytotherapy: Modern herbal medicine (2nd ed.). Churchill Livingstone.
Rongoā Māori Disclaimer: This guide does not represent rongoā Māori preparation methods or traditional Māori medicine-making. Rongoā Māori is a complete healing system with its own protocols, karakia (prayers), and cultural practices that cannot be separated from te ao Māori (the Māori worldview). For rongoā Māori knowledge and treatment, please consult qualified rongoā practitioners through Te Paepae Motuhake or other appropriate Māori health services.
Medical Disclaimer: This guide is for educational purposes only and is not medical advice. Always consult qualified healthcare practitioners before using herbal remedies, especially if pregnant, nursing, taking medications, or having medical conditions. The mechanisms described represent current scientific understanding and may be updated as research progresses. Individual responses to herbs vary. Seek immediate medical attention for serious symptoms, high fevers, or concerning health changes.
Note on Pricing: All prices mentioned in this guide are approximate and based on New Zealand suppliers as of December 2025. Prices vary by supplier, season, and market conditions. We recommend checking current prices with your local suppliers.

