Medicinal Mushrooms: Cordyceps, Reishi, and Lion’s ManeMedicinal Mushrooms: Cordyceps, Reishi, and Lion’s Mane
Vitamins & Supplements

Medicinal Mushrooms: Cordyceps, Reishi, and Lion’s Mane

The medicinal mushroom market is booming. Three of the most popular mushrooms have remarkable therapeutic potential to improve health.
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Medicinal mushrooms have captured the attention of researchers, health enthusiasts, and medical practitioners because of their taste and remarkable therapeutic potential.

As consumer demand grows, so does the variety of products incorporating medicinal mushrooms. You can now find supplements, teas, coffee replacements, and other food products featuring three of the most popular medicinal mushrooms: cordyceps, reishi, and lion’s mane.

Each mushroom has a unique list of bioactive compounds, many with anti-inflammatory, anti-cancer, antioxidant, and immunomodulatory properties.

When choosing a mushroom-based supplement for a specific health benefit—whether to relieve stress, boost immunity, or improve energy—it’s important to consider which part of the mushroom to use, its bioactive compounds, and their therapeutic properties.

Therapeutic Properties

Mushrooms are a part of the fungal kingdom, which includes simple single-celled yeasts, complex fruiting bodies, and mold—all of which play crucial roles in our ecosystem. Fungi are a source of several major drugs, including antibiotics and statins. A mushroom has several parts, including the fruiting body, mycelium, and spores, and each has different properties.

The fruiting body is the top of the mushroom, what most people call the mushroom cap, and is typically above ground.

Mushroom mycelium is the underground colony of branching structures similar to a plant’s roots. It consists of microscopic formations called hyphae that absorb nutrients from the soil and transport them to other parts of the mushroom. Mycelium enables the mushrooms to send and receive nutrients from one another to enhance survival. Some fungal species have extensive mycelium, such as the Armillaria, which has hyphae that can cover more than 1,000 acres in the right conditions.

The spores are the equivalent of seeds and are the mushroom’s reproductive organs. A single mushroom can generate billions of microscopic spores. These initiate the mushroom life cycle.

The therapeutic properties vary by mushroom part, so checking whether the label lists the fruiting body, mycelium, or both is important.

(Illustration by The Epoch Times, Shutterstock)
Illustration by The Epoch Times, Shutterstock
“Ideally, you would use a fruiting body product, and that’s the thing that takes the longest to grow; it’s going to have the highest concentration of active compounds,” said Hania Opienski, a naturopathic nutritionist, acupuncturist, and energy medicine specialist on the College of Naturopathic Medicine podcast.

Although the fruiting body typically contains higher levels of therapeutic bioactive compounds, many commercial mushroom products are made from mycelium because it is quicker to get to an end product than waiting for the fruiting body to reach maturity and be harvested to make a supplement, Opienski said.

The structural complexity and bioactive compounds packed inside each type of mushroom play an integral role in its therapeutic effect on the body.

Mechanisms of Action

According to Martin Powell’s “Medicinal Mushrooms: A Clinical Guide,” there are about 14,000 species of mushrooms. About 5 percent are known to produce compounds with widespread physiological activity and therapeutic benefits.

The medicinal properties come from these bioactive compounds that vary in content from one mushroom to another.

Beta-Glucans

The most significant bioactive compounds in mushrooms are beta-glucans, which are polysaccharides (complex carbohydrates) characterized by their ability to modulate the immune system. Beta-glucans have anti-inflammatory, metabolic, and gastrointestinal effects.

The molecular structure of beta-glucans can vary widely in shape and size, depending on the species and what part of the mushroom they come from. Different beta-glucans found across the fungal kingdom can have a variety of effects on the human body.

Triterpenes

Triterpenes are a class of compounds that are alcohol soluble and responsible for mushrooms’ antiviral, anti-inflammatory, and even hypnotic properties.

There are unique triterpenes in mushrooms, most notably the ganoderic acids in reishi mushrooms and the betulinic acid in chaga mushrooms. Research has uncovered more than 300 triterpenoids in reishi alone, many of which are not found in other mushroom species.

Sterols

Mushrooms also produce sterols—principally ergosterol—that have been shown to act against several different types of tumors in animal studies. Sterols work like cholesterol but can lower cholesterol levels in the body. Additionally, ergosterol derivatives have been found to have anti-aging activity in yeast, similar to resveratrol.

Ergosterol is also a precursor to vitamin D, so when a mushroom is exposed to the sun for long periods, it increases the vitamin D content, which is why some vitamin D supplements are made from mushrooms.

Statins

Researchers have discovered that some mushrooms can lower cholesterol because they possess statins such as lovastatin, which is used in cholesterol-reducing drugs. However, it’s important to note that high amounts of mushroom powder would be necessary to achieve this effect.

3 Remarkable Medicinal Mushrooms 

Three mushrooms are in high demand because of their remarkable medicinal properties: cordyceps, reishi, and lion’s mane. These mushrooms have medicinal effects, but also possible side effects for people taking medications. You should discuss any supplements, including medicinal herbs and mushrooms, with your health care provider before taking them.

1. Cordyceps

Cordyceps may be the most famous type of them all. It’s the fungus responsible for infecting civilization in the HBO series “The Last of Us,” and Joe Rogan touted it on his podcast, saying that he took cordyceps before workout sessions.

“It gives you an extra gear,” Rogan said.

About 750 species of cordyceps originate from China’s high-altitude regions.

Cordyceps are unique because they begin as spores, with some of them infecting and growing inside various insects. Eventually, these mushrooms kill their hosts and start sprouting through the remains.

Cordyceps Sinensis

Cordyceps sinensis (O. sinensis), also known as caterpillar fungus, parasitizes the ground-dwelling ghost moth larva to begin its life cycle, technically making it a parasitic fungus rather than a mushroom.

Historically, O. sinensis has been used to treat several ailments, including lung, kidney, liver, and cardiovascular diseases. In 1993, the Chinese market for O. sinensis exploded when China’s female track team had a series of world-record-breaking times attributed to a tonic made from caterpillar fungus, although an investigation was later launched into whether they had been using banned performance-enhancing drugs.
The cost of O. sinensis has also exploded. A 2024 article in National Geographic said it commonly sells from $20,000 to over $40,000 per kilogram, making it the most expensive mushroom in the world.

Genuine O. sinensis, cultivated by parasitizing ghost moth larvae, is found exclusively on the Tibetan Plateau.

Cordyceps Militaris
Cordyceps militaris can be cultivated with or without insects. The non-insect, grain-based cultivation leads to improved quality control and affordability, and because of that, it’s the most commonly found. What’s more, the chemical profiles of O. sinensis and C. militaris are essentially interchangeable, as they have several of the same bioactive compounds. However, studies show that C. militaris has a much higher content of cordycepin and adenosine than O. sinensis, possibly making C. militaris the better choice.
Wild Cordyceps militaris fungus. (Edwin Butter/Shutterstock)
Wild Cordyceps militaris fungus. Edwin Butter/Shutterstock

Cordyceps Health Benefits

Because O. sinensis is not readily available, the following references to Cordyceps pertain to Cordyceps militaris.

Cordyceps have been gaining attention in the scientific community because of their cordycepin content. Cordycepin is a potent bioactive metabolite created in cordyceps. Research indicates that cordycepin has anti-cancer, antioxidant, and anti-inflammatory properties. Cordyceps are probably best known for their energy-producing qualities and ability to increase the body’s production of adenosine triphosphate (ATP), the primary energy source at the cellular level. Cordycepin is chemically similar to ATP.
A study of 28 adults who consumed a mushroom blend containing cordyceps (C. militaris) while participating in high-intensity exercise over three weeks showed a significant improvement in VO2 max, the amount of oxygen that the body absorbs during vigorous exercise, which indicates cardiovascular fitness.

Cordyceps Risks and Side Effects

Cordyceps are well-tolerated by most people but have been reported to cause dry mouth and gastrointestinal upset, such as nausea and diarrhea. This fungus has hypoglycemic and antiviral effects, so use caution when taking antiviral or anti-diabetic medications.

2. Reishi

Global annual sales of reishi were about $5.3 billion in 2025, and the market is expected to grow to about $7.3 billion by 2030, making it one of the most popular medicinal mushrooms in the world today. Reishi is known as the “mushroom of immortality” in Japanese culture. In China, it goes by the name lingzhi instead of reishi and is known as the “herb of spiritual potency.” For thousands of years, people have used it to improve vitality, immune function, cardiovascular health, and longevity.

Reishi’s scientific name, Ganoderma lucidum, refers to its shiny, fruiting body—“gano,” meaning shiny, and “derma,” meaning skin.

It usually grows on the side of dead or decaying trees in a shelf-like manner. Reishi produced for supplements is cultivated on natural or synthetic logs in controlled conditions.

Reishi (Ganoderma lucidum) growing on a farm. (apiguide/Shutterstock)
Reishi (Ganoderma lucidum) growing on a farm. apiguide/Shutterstock

Reishi Health Benefits

Reishi’s health benefits result from the high beta-glucans, triterpenes, and sterols packed into its cell walls. Extracting these three compounds from the mushroom isn’t easy. They can’t be extracted through eating because they are locked inside the cell walls, so they must be removed with either hot water or alcohol.

The reported health benefits of reishi are impressive, making it one of the world’s most commonly used medicinal mushrooms. Scientists continue to research the mechanisms that make it so powerful. Although it has many potential benefits, such as lowering cholesterol, blood glucose, and high blood pressure, reishi is best known for its other properties.

According to Opienski, reishi is one of the most potent mushrooms for regulating the immune system—dialing it up when it needs to be dialed up, and calming it down when it needs to be calmed down. It’s also known as a nervous system balancer and has been used for millennia in traditional medicine for sleep, stress, anxiety, and depression. “It’s one that is kind of known for calming the nervous system and helping to slow down or reduce the stress response,” she said on the podcast.

Opienski also said that reishi is considered the mushroom of eternal youth because of its potent anti-inflammatory and antioxidant properties.

“Oxidation and inflammation are two of the things that cause cellular aging,” she said, noting that reishi could help to prevent these.

Although all mushrooms possess adaptogenic properties, reishi is one of the best-known adaptogens, which is a plant or mushroom that helps the body adapt to stress and calm down. If someone is anxious or overstimulated, taking reishi may help to calm down their nervous system.

Reishi’s fruiting bodies have high levels of triterpenes that contribute to their anti-cancer properties, reducing the expression of matrix metalloproteinase, an enzyme that facilitates the spread of cancer cells. Reishi mushrooms also limit the attachment of cancer cells to the lining of blood vessels to stop their spread throughout the bloodstream.
The anti-tumor effects of reishi were shown in cell cultures to help treat lung, soft tissue, liver, white blood cell, breast, ovarian, colon, and bladder cancers.

Opienski said that because of its anti-inflammatory effect, reishi can help treat either an enlarged prostate or prostate cancer.

A systematic review found that patients on anti-cancer regimens containing reishi were 1.27 times more likely to respond to chemotherapy and radiotherapy. One study found that 65 percent of patients with advanced lung cancer reported an increased quality of life after taking reishi.

Reishi Risks and Side Effects

Mild side effects of reishi include nausea and insomnia. More severe side effects, while rare, include liver toxicity, chronic diarrhea, pseudo-parasitosis (the delusion that one is infested with parasites), and increased eosinophils, a type of white blood cell.

People taking anticoagulants should use caution when using reishi products because of the increased risk of bleeding. Reishi can also increase the immune response, so people taking immunosuppressants should talk to their health care provider before taking it.

Reishi can also lower blood pressure, so taking it with medication for hypertension may cause blood pressure to go too low.

The same goes for anti-diabetic medications; Reishi may cause blood glucose levels to go too low.

3. Lion’s Mane

Lion’s mane (Hericium erinaceus) isn’t the typical mushroom with a cap and stem. Instead of gills that release spores, it has what look like “teeth.” It grows on dead trees or logs and is relatively common to find when walking around in the woods during the late summer and fall.

Research shows that lion’s mane has unique bioactive compounds with several health benefits.

The edible lion’s mane mushroom (Hericium erinaceus) grows on a tree. (Kirsanov Valeriy Vladimirovich/Shutterstock)
The edible lion’s mane mushroom (Hericium erinaceus) grows on a tree. Kirsanov Valeriy Vladimirovich/Shutterstock

Lion’s Mane Health Benefits 

Two bioactive compounds exclusive to lion’s mane, hericenones and erinacines, help to support brain health, the immune system, and the digestive tract. Traditionally, lion’s mane was known for improving digestive health by preventing the bacteria that cause gastric ulcers, but recently, it has become better known for its potential benefits to the brain.

1. Potential Brain Benefits

The bioactive compounds hericenones and erinacines set lion’s mane apart from other mushrooms because they can easily cross the blood-brain barrier and stimulate nerve growth factor (NGF) production. NGF has a critical role in developing neurons and can protect parts of the brain from damaging inflammation affected by neurodegenerative diseases, such as multiple sclerosis.
Lion’s mane may also help to improve symptoms of dementia. One study showed that adults ages 50 to 80 who took 250 milligrams of lion’s mane three times daily for 16 weeks scored higher on cognitive tests than the placebo group and had overall better cognitive ability when taking supplements. However, their test scores decreased four weeks after the study group discontinued lion’s mane.
There is also evidence that lion’s mane may help to relieve the symptoms of depression and reduce anxiety and stress. In a 2010 study, participants who ate cookies with half a gram of a lion’s mane fruiting body supplement for four weeks reported less anxiety than those who consumed the placebo cookies. Researchers believed that the increase in NGF contributed to the anti-anxiety effects.

2. NGF and the Gut-Brain Axis

NGF isn’t limited to neurological health. It plays a significant role in regulating several systems within the body, and its deficiency can be associated with heart disease, Type 2 diabetes, and other inflammatory diseases.

Lion’s mane was traditionally used to treat gastrointestinal problems such as gastric ulcers and chronic gastritis. New evidence suggests that the NGF in lion’s mane
can balance gut bacteria, which helps to heal the gut lining. Increased NGF can also heal the intestinal and nervous systems, promoting the “gut–brain axis,” the two-way communication between the central nervous system (brain) and the gastrointestinal tract’s enteric nervous system (gut). When the gut–brain axis is disrupted, it can result in physical and mental health conditions, including irritable bowel syndrome, depression, and anxiety.

Lion’s Mane Risks and Side Effects

Lion’s mane has a few reported side effects, including stomach upset and skin rash when taken at higher doses. It can also slow clotting times and should be taken with caution by anyone on a blood thinner. Lion’s mane may also lower blood sugar and shouldn’t be taken with hypoglycemic medications.
While primarily known to help the body adapt to stress and anxiety, ashwagandha may also protect the brain, increase endurance, and improve sexual function.
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