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Cordyceps

Cordyceps militaris · also caterpillar fungus, dong chong xia cao

An orange club fungus that parasitises insect larvae. The wild Himalayan species is among the most expensive biological commodities on earth; almost every supplement uses cultivated C. militaris or fermented mycelium instead.

Repeated trials — its best-evidenced use is kidney

Cordyceps, Cordyceps militaris, photographed in Skaskaer Weg, Oßling, Sachsen, DE
Cordyceps militaris, Skaskaer Weg, Oßling, Sachsen, DE. Photograph by Enrico Tomschke, CC BY, via iNaturalist — the observation

Where it stands: 17 registered trials in people, none of which has reported a result; 24 randomised trials published since 1994.



What it has been tried for, and how far that has got

One row per use. The label is counted rather than argued — it is set by how many randomised trials and posted results exist for that use, and nothing else. How that is worked out.

UseHow far it has gotTrialsWith a resultRandomised, publishedReviewsCommonly taken for it
Exercise performanceRepeated trials1040yes
KidneyRepeated trials1048yes
Immune functionA first trial2010—
InflammationA first trial2010—
LiverA first trial2010—
Memory and focusA first trial1010—
Libido and fertilityA first trial0010yes
Lungs and breathingA first trial0011yes
Fatigue and energyBeing tested now4000yes
Cancer, supportive and adjuvantBeing tested now2001—
Gut and microbiomeBeing tested now1000—
Mood and anxietyBeing tested now1000—
NutritionBeing tested now1001—

The doses the protocols actually specify

Taken verbatim from the intervention description each trial filed. These are not recommendations and they are not comparable to each other: some are a whole-mushroom powder, some a purified fraction.

Dose as filedStudyConditionPeople
1 gA Trial to Study the Effects of Ginseng and Cordyceps on Aerobic Capacity, LactaHealthy Subjects With Low Energy Levels75
500 mgThe Combined Effects of Cordyceps and Fartlek Training on Muscle Recovery and BoMuscle Damage, Athletic Performance22
200 mgMetabolic Effects of an Ophiocordyceps Sinensis- and CoQ10-Based Formulation in Hypercholesterolemia, Lipid Metabolism Disorders140
50 mgMetabolic Effects of an Ophiocordyceps Sinensis- and CoQ10-Based Formulation in Hypercholesterolemia, Lipid Metabolism Disorders140
1.68 gThe Efficacy and Safety of Cordyceps Sinensis Mycelium Culture Extract(PaecilomyImmunity80
0.619gEfficacy Study of Herbal Formula CUF2 to Treat Childhood AsthmaAsthma90
4 capsulePrevention of Recurrence With Cordyceps Sinensis in Mycobacterium Avium Complex Mycobacterium Avium Complex Pulmonary Disease300
0.76 gEfficacy and Safety of Cordyceps Sinensis Mycelium Culture Extract(Paecilomyces Immunity90
1.15 gEfficacy and Safety of Cordyceps Sinensis Mycelium Culture Extract(Paecilomyces Immunity90
200 mgEffect of Cordyceps Supplementation Timing on Physiological Responses and AerobiExercise Recovery, Exercise-induced Muscle Damag30
2,000 mgEffect of Cordyceps Supplementation Timing on Physiological Responses and AerobiExercise Recovery, Exercise-induced Muscle Damag30
280 mgEffect of HIFAS MENOPAUSE on Quality of Life in Postmenopausal WomenMenopause, Menopausal Symptoms20
240 mgEffect of HIFAS MENOPAUSE on Quality of Life in Postmenopausal WomenMenopause, Menopausal Symptoms20
100 mgEffect of HIFAS MENOPAUSE on Quality of Life in Postmenopausal WomenMenopause, Menopausal Symptoms20
200mlThe Efficacy and Safety of a Chinese Herbal Medicine for Long COVID Associated FLong COVID152
120 mgVitamin C Plus Cordyceps to Chemotherapy Related Anemia in Pancreatic CancerPancreatic Cancer50
300 mg/dayVitamin C Plus Cordyceps to Chemotherapy Related Anemia in Pancreatic CancerPancreatic Cancer50
2 g/dayVitamin C Plus Cordyceps to Chemotherapy Related Anemia in Pancreatic CancerPancreatic Cancer50
300 mg/dayVitamin C Plus Cordyceps to Quality of Life in Patients With Terminal Stage PancPancreatic Cancer50
2 g/dayVitamin C Plus Cordyceps to Quality of Life in Patients With Terminal Stage PancPancreatic Cancer50
30gA Clinical Evaluation of Baofeikang Granule in Combined Pulmonary Fibrosis and ECombined Pulmonary Fibrosis and Emphysema120
12gA Clinical Evaluation of Baofeikang Granule in Combined Pulmonary Fibrosis and ECombined Pulmonary Fibrosis and Emphysema120
10gA Clinical Evaluation of Baofeikang Granule in Combined Pulmonary Fibrosis and ECombined Pulmonary Fibrosis and Emphysema120
15gA Clinical Evaluation of Baofeikang Granule in Combined Pulmonary Fibrosis and ECombined Pulmonary Fibrosis and Emphysema120
250 mgEffects of Herbal Supplements on Endurance Exercise PerformanceExercise Performance13
225 mgEffects of Herbal Supplements on Endurance Exercise PerformanceExercise Performance13
500mgEvaluation of the Protective Effects of Cordyceps Cicadae on Visual Function andVisual Acuity, Accommodation12
500mgExploring the Eye Care Benefits of Cordyceps Cicadae Across Different Age GroupsVisual Acuity, Accommodation200
500mg/ dayTo Study the Effects of Cordyceps Cicadae on Vision CareMyopia60

Every registered study that names it

From ClinicalTrials.gov, filtered to studies that name Cordyceps militaris or a synonym in the title, summary or intervention. Studies that have posted results come first.

RegisterStudyConditionPeopleStatusResult postedDose in the protocol
NCT07310108Evaluation of Cordyceps Militaris M2-116-04 for Its Potential Sport and Exercise Nutrition Applications in Hea
Cordyceps Militaris, Placebo
Aerobic, Exercise32Completed——
NCT06138444Effect of Cordyceps Militaris Beverage on the Immune Response
Functional beverages from the submerged fermentation of Cordyceps mili
Healthy40Completed——
NCT07729943A Trial to Study the Effects of Ginseng and Cordyceps on Aerobic Capacity, Lactate Kinetics, and Nitric Oxide
Panax ginseng, Cordycep Militaris
Healthy Subjects With Low Energy Levels75Recruiting—1 g
NCT07726979The Combined Effects of Cordyceps and Fartlek Training on Muscle Recovery and Bone Health in Soccer Players
Fartlek Training Program, Cordyceps sinensis Supplementation
Muscle Damage, Athletic Performance22Completed—500 mg
NCT07755566Effect of Oral Papilozumib on Vaginal and Intestinal Microbiota in Human Papillomavirus (HPV)-Positive Women
Papilozumib
Papillomavirus Infections21Completed——
NCT07852481Metabolic Effects of an Ophiocordyceps Sinensis- and CoQ10-Based Formulation in Mild-to-Moderate Hypercholeste
CORDICOL, Placebo
one ingredient in a multi-herb preparation
Hypercholesterolemia, Lipid Metabolism Disorders140Not yet recruiting—200 mg, 50 mg
NCT02814617The Efficacy and Safety of Cordyceps Sinensis Mycelium Culture Extract(Paecilomyces Hepiali, CBG-CS-2) on Prom
Cordyceps sinensis mycelium culture extract 1.68 g, Placebo
Immunity80Completed—1.68 g
NCT01718548The Effects of Cordyceps Sinensis and Lingzhi on Cardiovascular Fitness and Cognitive Function
Cordyceps Sinensis (CS) and Lingzhi, Tea and Flour
Physical Fitness, Executive Function100Unknown——
NCT00636103Efficacy Study of Herbal Formula CUF2 to Treat Childhood Asthma
CUF2, Placebo
one ingredient in a multi-herb preparation
Asthma90Completed—0.619g
NCT07174076Prevention of Recurrence With Cordyceps Sinensis in Mycobacterium Avium Complex Pulmonary Disease
cordyceps sinesis capsule, cordyceps sinesis capsule placebo
Mycobacterium Avium Complex Pulmonary Disease300Recruiting—4 capsule
NCT02244372Efficacy and Safety of Cordyceps Sinensis Mycelium Culture Extract(Paecilomyces Hepiali, CBG-CS-2) on Promotio
Cordyceps sinensis mycelium culture extract 0.76 g, Cordyceps sinensis
Immunity90Completed—0.76 g, 1.15 g
NCT07664345Effect of Cordyceps Supplementation Timing on Physiological Responses and Aerobic Adaptation in Athletes
Pre-Exercise Cordyceps Sinensis, Post-Exercise Cordyceps Sinensis
Exercise Recovery, Exercise-induced Muscle Damage30Completed—200 mg, 2,000 mg
NCT04821258Effect of the Nutraceutical "MICODIGEST 2.0" on the Complications After Surgery for Colorectal Cancer
MICODIGEST 2.0 supplement, Placebo supplement
Colorectal Cancer, Surgery--Complications48Completed——
NCT07017426Fuzheng Huayu Tablets Reduce the Occurrence of Re-Decompensation Events in Patients With First Decompensation
Fuzheng Huayu tablets, Placebo Comparator
Decompensated Hepatitis B Cirrhosis432Not yet recruiting——
NCT07755553Effect of a Mushroom Extract-Containing Topical Cosmetic Formulation During Breast Radiotherapy
Mushroom extract-containing topical cosmetic formulation, Usual moistu
one ingredient in a multi-herb preparation
Radiation Dermatitis, Breast Cancer50Completed——
NCT07752641Effect of HIFAS MENOPAUSE on Quality of Life in Postmenopausal Women
HIFAS MENOPAUSE
one ingredient in a multi-herb preparation
Menopause, Menopausal Symptoms20Completed—280 mg, 240 mg
NCT05684952The Efficacy and Safety of a Chinese Herbal Medicine for Long COVID Associated Fatigue
Shenlingcao Oral Liquid
one ingredient in a multi-herb preparation
Long COVID152Unknown—200ml
NCT05304299Alleviating Effects Against High Intraocular Pressure by Oral Intake of Cordyceps Cicadae Mycelia
Cordyceps Cicadae Mycelia
Supplement46Completed——
NCT06601283Vitamin C Plus Cordyceps to Chemotherapy Related Anemia in Pancreatic Cancer
Vitmain C plus herbal medicine
one ingredient in a multi-herb preparation
Pancreatic Cancer50Recruiting—120 mg, 300 mg/day
NCT06598033Vitamin C Plus Cordyceps to Quality of Life in Patients With Terminal Stage Pancreatic Cancer
VC plus herbal medicine
one ingredient in a multi-herb preparation
Pancreatic Cancer50Recruiting—300 mg/day, 2 g/day
NCT02805699A Clinical Evaluation of Baofeikang Granule in Combined Pulmonary Fibrosis and Emphysema Treatment
Baofeikang Granule, Placebo
one ingredient in a multi-herb preparation
Combined Pulmonary Fibrosis and Emphysema120Unknown—30g, 12g
NCT03929575Effects of Herbal Supplements on Endurance Exercise Performance
Placebo of calcium, Rhodiola
one ingredient in a multi-herb preparation
Exercise Performance13Completed—250 mg, 225 mg
NCT05130905RiteStart Personal Nutritional Dietary Study
RiteStart Supplement
one ingredient in a multi-herb preparation
Healthy Nutrition20Completed——
NCT07135193Evaluation of the Protective Effects of Cordyceps Cicadae on Visual Function and Anti-Fatigue Performance in E
Cordyceps cicadae, Blank control
Visual Acuity, Accommodation12Active not recruiting—500mg
NCT07135180Exploring the Eye Care Benefits of Cordyceps Cicadae Across Different Age Groups
Cordyceps cicadae, Blank control
Visual Acuity, Accommodation200Active not recruiting—500mg
NCT03479294Real-World Study on Adjuvant Therapy Combined With Shenlingcao Oral Liquid in Patients for Stage II and IIIA N
Shenlingcao Oral Liquid
Carcinoma, Non-Small-Cell Lung, Chemotherapy, Adjuvant9Terminated——
NCT04063735Alleviating Effects Against Dry Eye by Oral Intake of Cordyceps Cicadae Mycelia
Cordyceps Cicadae Mycelia, Placebo
Dry Eye, Supplement97Completed——
NCT01155076Effects of a Vitality Dietary Supplement on Physical and Mental Function in Middle-aged Adults
Vitality Product, Placebo
one ingredient in a multi-herb preparation
Health-related Quality of Life116Completed——
NCT05778409To Study the Effects of Cordyceps Cicadae on Vision Care
Cordyceps cicadae extract
Myopia60Completed—500mg/ day

The compounds the research names

Formula and mass from PubChem. Naming a compound is not a claim that it does anything in a person.

cordycepin

C10H13N5O3

251.24 g/mol · PubChem CID 6303

adenosine

C10H13N5O4

267.24 g/mol · PubChem CID 60961

mannitol

C6H14O6

182.17 g/mol · PubChem CID 6251


What it looks like in the field

Research-grade observations, each by a different photographer. Every one links to the record it came from.

Cordyceps, Cordyceps militaris
California, US, Mandy Hackney · CC BY
Cordyceps, Cordyceps militaris
Oignies-en-Thiérache, 5670 Viroinval, Belgium, Gilles San Martin · CC BY-SA

In the kitchen

What it tastes like

Mild, slightly nutty, a little savoury.

How it is cooked

The cultivated orange clubs go into soups and broths, and are simmered with chicken or duck in Chinese home cooking. Most supplements are a fermented mycelium rather than the fruiting body.


Where it has been recorded, and when it fruits

14,033 verified occurrence records with coordinates, from GBIF. This is where people have recorded it, which follows where recorders live as much as where the fungus grows — read the shape, not the ranking.

Records by country

Netherlands3,972
United Kingdom2,984
United States1,462
Sweden1,221
Denmark1,091
Norway747
France431
Belgium404
Germany301
Spain233
Austria116
Canada116

Records by month

JFMAMJJASOND

Most records fall in Oct. Northern-hemisphere recorders dominate the dataset, so a southern population would not show here.

iNaturalist separately holds 2,660 research-grade observations of it.


What has been reported going wrong

38 voluntary reports to the US Food and Drug Administration name a product by this mushroom's name. A report is someone saying something happened after taking something. It is not a finding that the product caused it, the FDA says so itself, and nobody knows how many people took the product without reporting anything.

What was reported

Loss Of Consciousness4
Vomiting4
Headache3
Hepatic Enzyme Increased3
Abdominal Pain Upper2
Blood Pressure Increased2
Diarrhoea2
Gastrointestinal Obstruction2
Hypersensitivity2
Malaise2
Muscle Spasms2
Asthenia1

How it was recorded

Other Serious Outcome23
Hospitalization15
Other Serious or Important Medical Event11
Visited Emergency Room11
Life Threatening5
Visited a Health Care Provider5
Other Outcome2
Allergic Reaction1
Disability1

Every report, every species


The newest randomised trials and reviews

Indexed in Europe PMC. Titles and journals only — follow the link to read the paper where the publisher allows it.

YearStudyJournalKindCitations
2026Acute Cordyceps militaris supplementation and elevated resting oxygen uptake with faster reaction times: A randomized cr open accessPLoS OneRandomised trial0
2025Edible and Medicinal Fungi as Candidate Natural Antidepressants: Mechanisms and Nutritional ImplicationsMol Nutr Food ResReview or meta-analysis11
2025Efficacy of Xiaoyao-san preparations in treating Hashimoto's thyroiditis: a meta-analysis and systematic review open accessFront PharmacolReview or meta-analysis1
2024Effect of the Administration of <i>Cordyceps militaris</i> Mycelium Extract on Blood Markers for Anemia in Long-DistanceNutrientsRandomised trial3
2024A randomized controlled clinical trial examining the effects of Cordyceps militaris beverage on the immune response in h open accessSci RepRandomised trial13
2024<i>Cordyceps sinensis</i> accelerates stem cell recruitment to human skeletal muscle after exerciseFood FunctRandomised trial6
2024A systematic review on polysaccharides from fermented Cordyceps sinensis: Advances in the preparation, structural characInt J Biol MacromolReview or meta-analysis17
2024Therapeutic efficacy and pharmacological mechanism of Bailing capsule on chronic obstructive pulmonary disease: a meta-a open accessPharm BiolReview or meta-analysis3
2024Fermented <i>Ophiocordyceps sinensis</i> mycelium products for preventing contrast-associated acute kidney injury: a sys open accessRen FailReview or meta-analysis4
2024Adjuvant treatment with Cordyceps sinensis for lung cancer: A systematic review and meta-analysis of randomized controllJ EthnopharmacolReview or meta-analysis10
2024Efficacy of traditional Chinese medicine <i>Cordyceps sinensis</i> as an adjunctive treatment in patients with renal dys open accessFront Med (Lausanne)Review or meta-analysis3
2024Effects and safety of &lt;i&gt;Ophiocordyceps sinensis&lt;/i&gt; preparation in the adjuvant treatment for dialysis pati open accessFront PharmacolReview or meta-analysis4
2024<i>Ophiocordyceps sinensis</i> preparations combined with the renin-angiotensin system inhibitor for diabetic kidney dis open accessFront PharmacolReview or meta-analysis4
2023Effect of Adding <i>Cordyceps sinensis</i> Extract and Probiotic to the Diet on Productive Performance of BroilerArch Razi InstRandomised trial2
2023Efficacy and safety of <i>Ophiocordyceps sinensis</i> in the treatment of Hashimoto's thyroiditis: a systematic review a open accessFront PharmacolReview or meta-analysis7
2021[Cordyceps sinensis combined with Jujing Pills for male infertility]Zhonghua Nan Ke XueRandomised trial0
2021Effects of Concurrent Training and a Multi-Ingredient Performance Supplement Containing <i>Rhodiola rosea</i> and <i>CorJ Diet SupplRandomised trial4
2019<i>Rhodiola/Cordyceps</i>-Based Herbal Supplement Promotes Endurance Training-Improved Body Composition But Not Oxidativ open accessNutrientsRandomised trial16
2017Clinical Effects of a Commercial Supplement of Ophiocordyceps sinensis and Ganoderma lucidum on Cognitive Function of HeInt J Med MushroomsRandomised trial8
2016A double-blind, randomised, placebo-controlled trial of Ganoderma lucidum for the treatment of cardiovascular risk facto open accessSci RepRandomised trial50
2015Cordyceps militaris Enhances Cell-Mediated Immunity in Healthy Korean MenJ Med FoodRandomised trial35
2014An improved dosage regimen of sertraline hydrochloride in the treatment for premature ejaculation: an 8-week, single-bliJ Clin Pharm TherRandomised trial9
2012[Clinical research of xinganbao capsule on the treatment of chronic hepatitis B liver fibrosis]Zhongguo Zhong Xi Yi Jie He Za ZhiRandomised trial3
2010Effect of Cs-4 (Cordyceps sinensis) on exercise performance in healthy older subjects: a double-blind, placebo-controlleJ Altern Complement MedRandomised trial25