Adaptogens: A Wellness Craze or a Faithful Health Tool?
Adaptogens: A Wellness Craze or a Faithful Health Tool?
By Jenny Menzel, H.C. Posted 11-02-2022
Reviewed by Bill Rawls, MD
Medical Director of Vital Plan

If you’ve found your way to this article, you’re probably no stranger to the world of holistic health and have heard the term “adaptogen” at some point, along with praise for its power to help people cope with stress. But what are adaptogens, and do they actually combat stress? Plus, is the driving demand for them just a craze — or do they play a role in achieving better health?

Read on to learn:

  • How adaptogens were discovered
  • What qualifies as an adaptogen
  • The effects of adaptogens on cellular health
  • Top recommended adaptogens to try
  • Which herbs to pair for maximum benefits

Why Are They Called Adaptogens?

While ancient medical systems, such as Ayurveda from India, traditional Chinese medicine (TCM) from China, and other cultural medicine systems, have been using adaptogenic plants for roughly 5,000 years, it wasn’t until the 1940s when the term “adaptogen” was coined by Russian scientist Nikolay V. Lazarev to categorize a unique set of stress-resisting herbs. True to its roots in the Latin word adaptare, which means to adjust or modify, adaptogens help us adjust to stress by protecting the cells throughout our body.

What Qualifies as an Adaptogen?

There were originally three criteria that defined a plant or herb as an adaptogen,” says Dr. Bill Rawls, MD, medical director of Vital Plan.

A natural substance is considered an adaptogen if:

  1. It counters stress. Adaptogenic herbs protect against the damage of daily factors like environmental toxins, chemicals, infection, and mental or physical stress.
  2. It creates homeostasis through nonspecific action. Natural adaptogens have nonspecific actions that reduce the impact of stress without side effects, whereas synthetic drugs aim to reduce symptoms of illness through targeted measures that can produce side effects.
  3. It has a low potential for toxicity. When taken in daily therapeutic doses, adaptogens don’t produce toxicity in the body.

Additionally, a fourth criterion has emerged that distinguishes adaptogens from other herbs. Adaptogens are unique because they directly affect the central hormone pathways of the neuroendocrine system that balance the hypothalamic-pituitary-adrenal (HPA axis), a major component involved in creating homeostasis.

How Adaptogens Protect Cellular Health

All adaptogens offer immense health benefits at a cellular level. “We are a complex collection of cells, and whether it’s your heart beating, your liver functioning, or your thyroid gland working — it’s all cellular functions,” explains Dr. Rawls.

But daily encounters with free radicals, toxic substances, radiation, unhealthy foods, and microbes (viruses, bacteria, fungi) chronically stress our cells, says Dr. Rawls. If cellular stress goes unchecked long enough, both symptoms and disease may develop. Enter adaptogenic herbs. “All adaptogenic herbs help protect our cells against these types of assaults,” he explains.

Even when we experience healthy stress like physical exercise, the body goes through a process known as general adaptation syndrome (GAS), which has a three-stage response:

  1. Alarm: The first phase of GAS is the initial shock, or alarm. Examples of alarm include when you feel your stomach drop, your hands tremble, or your heart beats faster after you become stressed.
  2. Resistance: This stage occurs when your body tries to recover from the initial shock. If the stress passes, your stress-related symptoms dissipate, and your body returns to normal. If stress remains, chronic responses may develop, such as headaches, sleeplessness, or appetite changes.
  3. Exhaustion: When the stress is ongoing, the exhaustion phase sets in and may give way to more significant health complaints that disrupt everyday life.

During a pressure-filled event, the adrenal glands respond by producing the hormone cortisol, which initially provides the resistance to stress we need to carry us through the situation. As stress persists, however, cortisol surges can bring us to the exhaustion stage and break down our tissues, eventually leading to widespread inflammation and pain, damaging our cells and dysregulating the HPA axis.

Middle age caucasian woman on back view relaxed with hands on head sitting on the sofa at home.

But here’s where adaptogens really shine — consistently taking them improves our tolerance to stress by helping us stay in the resistance phase longer without leading to exhaustion. By keeping communications between cells and the HPA axis strong, we set our bodies up for optimal repair.

Although you might see a variety of herbs labeled as “adaptogens,” not every herb counteracts stress and facilitates the HPA-axis balance. Adaptogens also balance and protect cells, but they’re most effective when used on a routine basis as they have cumulative effects. To help you understand where to begin, check out these six adaptogen recommendations:

6 Adaptogens for Stress Support and Balance

yellow rhodiola flowers on stem

Rhodiola

Considered one of Rawls’ favorite adaptogens, Rhodiola rosea is a well-studied herb known for its impressive ability to protect against a vast range of mental and physical stressors. For instance, one study found that rhodiola minimized high-altitude sickness due to its ability to oxygenate the tissue.

ashwaganda leaves, dull green color with small flowers in the middle

Ashwagandha

India native Withania somnifera, more commonly called ashwagandha, is a time-tested revitalizer that regulates mood and sleep cycles by influencing the HPA axis. It’s also used to recover from exercise. It helps support muscle strength and reduced muscle strain, according to a study published in the Journal of the International Society of Sports Medicine.

pile of Panax Ginseng roots

Panax Ginseng

Arguably the most widely used and researched adaptogens, Panax ginseng has been shown to modulate signaling in cell pathways, increase blood circulation, boost antioxidants, lower blood pressure, and improve overall cardiac function. The name Panax means “all healing,” so it’s no wonder it tops the charts of important adaptogens.

pile of Eleuthero mulch pieces

Eleuthero

Also known as Siberian ginseng, Eleutherococcus senticosus isn’t actually part of the ginseng family, as it has different active chemicals. An invigorating herb, eleuthero is a true adaptogen that supports physical vitality, relieves mental strain, and builds resilience to physical stress. One study found that consuming 800 mg daily for eight weeks increased endurance time by 23% and enhanced oxygenation by 12% in recreational (non-competitive) males.

reishi mushroom close up, growing on bark

Reishi

A prominent medicinal mushroom, reishi is perhaps best known for its immune-protective qualities, but the “elixir of life” also protects the liver, kidneys, cardiovascular system, and supports the adrenals in times of stress. What’s more, reishi acts on the nervous system to reduce nervousness and promote more restful sleep.

pile of black shilajit powder

Shilajit

Primarily found in the Himalayan mountains, shilajit is not an herb in the strict sense of the word but a by-product of fermentation with soil bacteria. High in humic and fulvic acid, this herbomineral not only offers cell protection, but it also has immense benefits to gut health, fertility, and immunity. As an adaptogen, it stabilizes the HPA axis and preserves mitochondrial function.

Pair Your Adaptogens to Create Synergy

“People tend to look at one adaptogen and think they’ll take it and experience its benefits, but all herbs work best when they synergize with other herbs,” says Dr. Rawls. Here are other herbs to consider taking daily with adaptogens that have cross coverage, provide complimentary benefits, and have a high safety profile.

Turmeric powder in wooden bowl and fresh turmeric root on grey concrete background. Banner with copy space

Turmeric

Famous for its anti-inflammatory effects, turmeric can help cut through brain fog, cool inflamed joints, enhance digestion, and clear the skin on top of inhibiting infections.

green, round leaves of gotu kola

Gotu Kola

Another herb widely used in ancient medicine, gotu kola is best known for improving cognitive function by boosting blood circulation in the brain and throughout the body. The herb may also help brighten skin and strengthen immunity.

Ripe red haw berries on a thorny hawthorn tree branch

Hawthorn

Best known for its heart benefits, hawthorn also supports the cardiovascular, digestive, and nervous systems and connective tissues with its anti-inflammatory properties and high antioxidant profile.

pile of pine bark mulch

Pine Bark Extract

High in antioxidants, pine bark extract is best used to strengthen skin, joints, tendons, and ligaments. It’s also good for toning the cardiovascular system, which contributes to strong veins and arteries needed for a healthy heart.

purple milk thistle flower

Milk Thistle

A top go-to for detoxing the liver, milk thistle also promotes healthy bile flow to support cells in the digestive tract and protects the kidneys by regenerating the kidney cells.

ginkgo leaves, bright green leaves growing on twig

Ginkgo

Known as a memory tonic, ginkgo biloba (often shortened to ginkgo) targets cellular repair in the brain and eyes while increasing blood flow throughout the body, making it a top choice for boosting circulation and brainpower.

Fad or Fixture?

So, are adaptogens just another fad? Without a doubt, adaptogens have faithfully stood the test of time and will likely continue to as science uncovers the true nature of their inner workings for stress reduction and how they foster better cellular health.

“Modern drugs artificially dampen symptoms and do nothing to counteract cellular stress,” states Rawls. “I want to get people thinking of adaptogens and herbs not just to solve an acute problem but to build a foundation for health to protect against illness and practice self-care at the cellular level.”

The Cellular Wellness Solution

Discover more in Dr. Bill Rawls’ new #1 Bestselling book: The Cellular Wellness Solution: Tap Into Your Full Health Potential with the Science-Backed Power of Herbs.

An eye-opening and empowering book that the world needs right now: The Cellular Wellness Solution will fundamentally change how you think about herbs and the powerful role they play in cultivating wellness at the cellular level.”

Mark Hyman5 stars
Mark Hyman, MD
Fourteen-time #1 New York Times Bestselling Author

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References
1. Christa S. In: The Essential Guide to Western Botanical Medicine. Arcata, CA: Christa Sinadinos; 2020:429-434.
2. Filov VA. Biography of Nikolay Vasilievich Lazarev. International Journal of Toxicology. 2002;21(4):235-236. doi:10.1080/10915810290096423
3. Kim JH. Pharmacological and medical applications of Panax ginseng and ginsenosides: a review for use in cardiovascular diseases. J Ginseng Res. 2018;42(3):264-269. doi:10.1016/j.jgr.2017.10.004
4. Kuo J, Chen KW, Cheng IS, Tsai PH, Lu YJ, Lee NY. The effect of eight weeks of supplementation with Eleutherococcus senticosus on endurance capacity and metabolism in human. Chin J Physiol. 2010;53(2):105-111. doi:10.4077/cjp.2010.amk018
5. Liao LY, He YF, Li L, et al. A preliminary review of studies on adaptogens: comparison of their bioactivity in TCM with that of ginseng-like herbs used worldwide. Chin Med. 2018;13:57. Published 2018 Nov 16. doi:10.1186/s13020-018-0214-9
6. Panossian AG, Efferth T, Shikov AN, et al. Evolution of the adaptogenic concept from traditional use to medical systems: Pharmacology of stress- and aging-related diseases. Med Res Rev. 2021;41(1):630-703. doi: 10.1002/med.21743
7. Sharma P, Misra K. Rhodiola sp.: The herbal remedy for high-altitude problems. Management of High Altitude Pathophysiology. 2018:81-92. doi:10.1016/b978-0-12-813999-8.00005-7
8. SELYE H. Stress and the general adaptation syndrome. Br Med J. 1950 Jun 17;1(4667):1383-92. doi: 10.1136/bmj.1.4667.1383
9. Wankhede S, Langade D, Joshi K, Sinha SR, Bhattacharyya S. Examining the effect of Withania somnifera supplementation on muscle strength and recovery: a randomized controlled trial. J Int Soc Sports Nutr. 2015;12:43. Published 2015 Nov 25. doi:10.1186/s12970-015-0104-9

About the Medical Director
Dr. Bill Rawls
Dr. Rawls is a licensed medical doctor in North Carolina and a leading expert in integrative health. He has extensive training in alternative therapies, and is the Medical Director of Vital Plan, a holistic health and herbal supplement company in Raleigh, NC.
  • Dr. Bill Rawls

    ABOUT BILL RAWLS, M.D.

    Dr. Rawls’ groundbreaking approach to wellness comes from decades of practicing medicine, extensive research in alternative therapies, and firsthand experience helping thousands find their path to wellness. Dr. Rawls is a best-selling author, Medical Director and Co-Founder of Vital Plan, a holistic health company and Certified B Corporation.

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