For over 2,000 years, Reishi extract has been used as a “cure-all” herbal remedy in Chinese Medicine, with the oldest written record of any medicinal mushroom in Shen Nong’s Herbal Classic. Although it may not be totally accurate to claim that Reishi extract cures everything, traditional as well as modern use indicates that it may be a powerful anti-inflammatory agent in a large host of conditions, including arthritis.

While researching scientific papers in preparation for this article, seventeen out of nineteen presented positive results in using Reishi extract to treat inflammatory conditions. This appears to validate the traditional use of the herb in China, where it has long been used as an analgesic, and prescribed to treat inflammation and arthritis. Only two studies out of the nineteen that are referenced for this article showed inconclusive results. Both of those studies were conducted at the same institution. (1,2)

An American study conducted in 1993 by Lin et al. concluded that a water extract of Ganoderma lucidum (Reishi) demonstrated “significant anti-inflammatory activity.” (4) A study out of India ten years later found that an extract of Reishi decreased inflammation in conditions of acute edema and chronic edema by 56% and 60%. (3) Seven additional research papers were found during the writing of this article that all concluded that Reishi is a potent anti-inflammatory medicinal mushroom. (5,6,7,8,9,10,11)

Other research has been conducted on Reishi extract that relate specifically to arthritis. In 2006, Kenneth Blum et al. published findings in support of both the effectiveness and safety of using Reishi extract for “joint health,” providing “clinical evidence” to back up their claim. (12)

Also in 2006, a paper by Xi Bao et al. concluded that Reishi in conjunction with another Chinese herbal remedy might exert a beneficial immunomodulatory effect in patients with rheumatoid arthritis. (13)

The answer as to how, precisely, Reishi extract accomplishes this “immunomodulatory effect” may have been given by another Chinese study the following year, which states that an isolated Reishi polysaccharide peptide “significantly inhibited” RASF, which is an indicator of rheumatoid arthritis. (RASF stands for “Rheumatoid Arthritis Synovial Fibroblasts.”) (14)

Five additional studies are included in the references that report positive findings between Reishi and arthritis. (15,16,17) One goes so far as to state that Reishi shows favorable results when compared to prednisone, and is free from the side effects. (18) In extension of this, a separate study also found that not only was Reishi extract free of the side effects of prednisone, it could also help balance the existing side effects of prednisolone* such as cell toxicity and proteinuria. (*Prednisolone is the active compound of prednisone. The liver breaks down prednisone and converts it to prednisolone.) (19)

In conclusion, the body of research does seem to support the use of Reishi extract in cases of arthritis. Remember that it is important to always work with a licensed medical practitioner when using any herb for medicinal purposes.

Note on name confusion: The name “Reishi” is Japanese for the perennial tree mushroom that American naturalists refer to as “Varnished Conk.” In China, it is known as “Ling Zhi.” All these names usually refer to the species Ganoderma lucidum, which for the sake of distinction from other types of Reishi may sometimes be called “Common Reishi” or “Red Reishi.”

Other species frequently referred to as Reishi include: Ganoderma tsugae (Hemlock Reishi, common on Hemlocks in Eastern U.S.), Ganoderma sinense (“Black Reishi), Ganoderma resinaceum (Red Reishi), Ganoderma japonicum (Purple Reishi) and Ganoderma neo-japonicum (no common name or simply Reishi).