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2009-12-02-GingerFortunately we have effective botanical and nutritional medicines to prevent, treat and recover from the flu. These natural approaches support the immune system, rather than overriding the body’s innate wisdom.

~ Donnie Yance, Herbalist

No doubt about it, it’s a bad flu year. Health officials are calling it the worst flu season in over a decade. The virus is worse than usual, more people are getting sick than usual, the vaccine is only about 60% effective for those who did get it, some are unable to get it because of vaccine shortages, and many folks decline the vaccine because of safety concerns.

Interested in knowing what 7 leading herbalists and docs do to personally prevent and treat the flu? I did, too! And since they’re my pals, I asked.

Here’s what they told me:

team.h1Kerry Bone, Herbalist, Co-author of Principles and Practice of Phytotherapy: Modern Herbal Medicine; Director of Research & Development – MediHerb

The 3 main things that I recommend to my patients and do myself are:

  • Plenty of Echinacea root. The dose is crucial. I use my product Echinacea Supreme. My baseline dose is 2.5 g/day in tablet form, or 5 mL of liquid. But in a situation where there is a highly virulent strain around, I double that baseline dose throughout the duration of threat for prevention. Then the trick is to temporarily double or triple this if you feel an infection coming on to ward it off. This works for me the majority of times.Echinacea_purpurea,_jardín_botánico_de_Tallinn,_Estonia,_2012-08-12,_DD_01
  • Probiotics help improve immunity and prevent infection.
  • Wash your hands before anything goes into your mouth.

LowDog-CactusTieraona Low Dog, MD, Herbalist, Fellowship Director, Arizona Center for Integrative Medicine, University of Arizona

After having H1N1 in August of 2009, I have an appreciation for just how sick influenza makes you. The fever and chills were so intense.

Fever Tea

  • Yarrow
  • Elder flowers
  • Peppermint

To prepare: Mix equal parts of the dried herbs. Pour 2 cups of near boiling water over 2 Tbsp herbs. Steep 10 minutes. Strain. Add some honey or maple syrup – this stuff doesn’t taste good but it lowers the fever, makes you sweat, eases headache and joint pain and I truly believe helps you fight off infection faster. Drink ¼ cup every hour, while awake.

Tinctures (assuming these are all 1:5 strengths) for 3-5 days

  • Pleurisy root – 10 drops every 2 hours while awake (up to 8 doses)Boneset
  • Licorice root – 20 drops every 2 hours while awake (up to 8 doses)
  • Boneset leaf/flowering tops – 10 drops every 2 hours while awake (up to 8 doses)

Use these in combination for 3-5 days

  • Elderberry (Gaia or Nature’s Way) – take the maximum recommended dose
  • Loviral (Herbs, Etc) – take as directed
  • Gypsy Cold Care – make strong and drink ¼ cup every hour
  • Zinc lozenges (Zand Elderberry with Zinc) – one every 2 hours
  • Vitamin C

Rosen1Larry Rosen, MD, Co-author, Treatment Alternatives for Children, The Whole Child Center, Oradell, NJ 

For prevention I use:

  • Vitamin D3 to keep blood test levels above 40ng/dl.
  • Probiotics by Klaire Labs Therbiotic Complete, 25B CFU per day mixed strains.
  • Hand washing with soap and water and a natural, essential oil based hand sanitizer (the recipe from my book, based on Thieves’ Blend contains cinnamon, clove, rosemary, eucalyptus, lemon oils with pure aloe vera gel and water). Nourish, exercise, breathe and rest.

davidofficeDavid Winston, Herbalist, President of Herbalist & Alchemist, Inc., founder/director of David Winston’s Center for Herbal Studies

Favorite flu prevention:

  • The Traditional Chinese Medicine formula Jade Wind Screen
  • Andrographis (3-4 ml 4-6 x per day) as both a preventative and treatment
  • N-Acetycysteine – 600 mg twice daily for influenza prevention


  • The Chinese patent medicine Gan Mao Ling is useful for early stage influenza, I think it works better than Yin Qiao San which is often used.
  • Hot Boneset/Yarrow/Ginger/Elder Flower/Chrysanthemum flower tea also is effective for early stage flu. For kids I use Peppermint, Ginger, Elder and Chrysanthemum flowers tea with Elderberry syrup.
  • Finally when someone comes down with the first flu symptoms – headache, scratchy throat, malaise, have them put on flannel PJ’s, drink the hot tea mentioned earlier (8-12 oz), get under the covers and sweat your brains out.  In most cases the next morning you feel like a wrong out dishrag, your bed clothes, sheets, and blankets are soaked, but you do not have the flu and by the afternoon, you are back on your feet.

RoyUpton-zoomedRoy Upton, Herbalist, Director of the American Herbal Pharmacopoeia

As soon as you feels symptoms coming on:

  • Take hot ginger baths daily – The water needs to be hotter than a regular hot bath to kick sweating in, but not burning. While in the bath, drink a hot cup of ginger tea, then go to bed.  To prepare the bath, use a handful of grated fresh ginger steeped in 1 gallon of water for 15 minutes. Keep the pot or jar covered while steeping.
  • Take Yin qiao, a Chinese herbal cold remedy, with Andrographis – equivalent of about 3 g Yin Qiao per dose 4 times daily; andrographis approximately 1 g equivalent daily.
  • Elderberry Syrup – 1 Tbs every waking hour for first 2 days of symptoms
  • Eat a diet of hot broths (miso and seaweed); no dairy; nothing cold or raw; light fare; plenty of hot
  • Ginger or peppermint tea. If you have a fever; peppermint, elder flower, and yarrow tea is a favorite standby. If aching bone symptoms with fever are predominant, add boneset (Eupatorium perfoliatum) and take 1 cup every few hours. It’s very bitter but effective.

yanceDonnie Yance, Herbalist author of Herbal Medicine, Healing and Cancer, Founder of the Mederi Foundation and Natura Health Products

I recommend the following protocol for enhancing immunity and recovery from the flu:

  • Adaptogens are essential for prevention and for recovery and should be taken daily, except during the acute phase of an illness (indicated by fever). When traveling, during times of increased stress, or when you have been exposed to a virus, I recommend doubling the dosage of Vital Adapt or Power Adapt and taking ImmuCare I or II. I also recommend a double dose of adaptogens during the recovery phase, which is usually 3-4 days after exposure, for up to 2 weeks. Adaptogens improve ability of the immune system to 1) Recognize, 2) Respond, and 3) Recover.
  •  Take Flew Away at the first sign of symptoms and continue until symptoms have abated. The herbs in Flew Away combat the virus, ease symptoms such as fever and muscle pain, and help to hasten recovery. The formula includes elderberry, which inhibits viral replication; propolis, a powerful antiviral; and boneset, forsythia, and yarrow, which are traditionally used to stimulate diaphoresis and expel toxins.
  • Spray Throat and Gland Spray, S-Clear and Silvercillin (Designs for Health) directly into your mouth and throat several times a day; these products contain potent anti-virals that attack the virus where it lives and multiplies – in the mucous membranes.
  •  Additional nutrients and botanicals for prevention and recovery include Botanabol, Night Gain, Innate Response zinc, N-acetyl-Cysteine and a good probiotic (Jarro-dophilus or BioImmersion).
  • I recommend a diaphoretic tea of the following herbs: peppermint, elder flowers, yarrow, honeysuckle, boneset, linden, and ginger. Drink several cups a day; in the evening soak in a hot Epsom salt bath, go to bed, get under the covers and sweat. This old-fashioned remedy helps to stimulate immune function and alleviates flu-related aches and pains.
  • Eat light and nourishing foods such as this delicious Hot and Sour Soup.


  • 1 tablespoon olive oil
  • 1 red bell pepper, chopped
  • 2-3 green onions, chopped
  • 2 cups water
  • 2 cups vegetable broth
  • 1 tablespoon soy sauce
  • 1 tablespoon red wine vinegar
  • ¼ teaspoon crushed red pepper flakes (optional)
  • 1/8 teaspoon ground black pepper
  • 1 tablespoon cornstarch
  • 3 tablespoons water
  • 1 tablespoon toasted sesame oil
  • 6 ounces frozen snow peas
  • 1 (8 ounce) package firm tofu, cubed
  • 1 (8 ounce) can sliced water chestnuts, drained


  • Heat olive oil in a large saucepan over medium heat. Add red bell pepper and green onions and sauté for 5 minutes.
  • Add 2 cups water, broth and soy sauce, reduce heat to medium low and simmer for 5 minutes.
  • In a separate medium bowl, combine vinegar, red pepper flakes, ground black pepper, cornstarch, 3 tablespoons water and sesame oil. Add to soup and simmer for 5 additional minutes, or until soup becomes thick and bubbly.
  • Add tofu, snow peas and water chestnuts and continue cooking 10 minutes, or until heated through.

DSC_0296 - Version 2Aviva Romm, MD, Herbalist (and yours truly)

Of course, I have a few of my own favorite recipe to share, in addition to concurring with those above. I’ve had the flu before and know – it’s awful. Here’s my favorite remedy for the horrible aches and pains with the flu. It’s my personal (and much safer!) alternative to ibuprofen and tylenol.

Equal parts black cohosh and Jamaican dogwood tincturesJamaican-Dogwood-Extract-29819:

Combine the tinctures and take 3 mL (about 60 drops). Repeat in 15 minutes, then again in 15 minutes the first time you take it. Thereafter take about 60 drops every 2 hours. This can be given to kids 7 and over, only. Divide your child’s weight over 150, ie for a 30 pound child: 30/150 = 1/5 and give that fraction of the above dose. So for a 30 pound child 1/5 of 60 drops. Make sense?

Do NOT exceed this dosing. If you experience headache or shortness of breath, discontinue, though these would be rare side effects. This remedy will help you to sleep (that is, don’t drive while you’re taking it!)

And for a quick cough remedy that’s safe for kids and adults:

Combine equal parts of echinacea glycerite, elderberry syrup, anise seed tincture, and catnip tincture. Mix and give 1 dropper 4-6 times/day. Continue for up to a week and if there’s a tendency for recurrent coughs stay on it for several weeks. The echinacea prevents recurrence, the elder is a respiratory immune tonic, the catnip relaxing and the anise mucolytic and a respiratory antispasmodic.

I personally use HerbPharm, Gaia Herbs, Natura Health ProductsMediHerb, and Herbalist and Alchemist — all excellent companies with high quality products (I have no financial stake in any herb companies). Mountain Rose is a fantastic on-line source for ordering your herbs, especially ones you can’t find locally, or in small amounts.

January 23, 2013 by JJ Pursell

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