VitMode

Ganoderma sinense (Black Reishi)

A rare, dark-purple bracket fungus known in Chinese medicine as 'Zi Zhi' — unlike Ganoderma lingzhi, this is a genetically distinct species, with its own, smaller body of research: a chemotherapy-support drug registered in China, plus preliminary data on protecting the heart from anthracycline cardiotoxicity.

MNMichał NowakReviewed by dr Anna KowalczykUpdated: July 29, 2026
Early-stage evidence
3.8

Number of studies

2

Safety

Requires caution

Time to effects

Hematological effects were assessed in Chinese clinical trials after several weeks of concurrent use with chemo/radiotherapy.

Who it's for

People interested in the tradition of Chinese medicineCancer patients considering adjunctive supplementation — solely as a topic to discuss with the treating oncologist
Table of contents

TL;DR

A rare, dark-purple bracket fungus known in Chinese medicine as 'Zi Zhi' — unlike Ganoderma lingzhi, this is a genetically distinct species, with its own, smaller body of research: a chemotherapy-support drug registered in China, plus preliminary data on protecting the heart from anthracycline cardiotoxicity.

  • The polysaccharide GSP, registered in China since 2010 as an adjunctive drug, eases leukopenia caused by chemo/radiotherapy
  • Preliminary, mostly preclinical data on antioxidant action that may protect the heart from anthracyclines
  • Traditionally used in Chinese medicine as a liver-supporting tonic
Latin nameGanoderma sinense J.D. Zhao, L.W. Hsu & X.Q. Zhang
FamilyGanodermataceae
Active substancesGSP polysaccharide (beta-glucan)
FormRegistered drug (China) / powdered mycelium in multi-Ganoderma blends
Evidence levelPreliminary — a registered drug in China, but scarce published clinical data
InteractionsChemotherapy and oncology drugs (only under medical supervision), anticoagulant/antiplatelet drugs
StatusNot available as a registered drug in Poland/EU; present only as a component of multi-Ganoderma supplements

Understand

Overview

Ganoderma sinense is a dark-purple bracket fungus growing mainly in China, known in traditional Chinese medicine as Zi Zhi. Unlike Ganoderma lingzhi, which is essentially the same material as most 'reishi' sold today, G. sinense is a phylogenetically confirmed, distinct species. Nearly all available raw material comes from cultivation.

The extracted polysaccharide (GSP) has been a registered adjunctive drug in China since 2010, used alongside chemotherapy and radiotherapy. Research is also underway into a potential cardioprotective effect — protecting heart muscle cells from anthracyclines. Available reviews note, however, that despite GSP's formal registration, published clinical trial data remain very scarce.

Who might this help? Mainly readers interested in the background of Chinese medicine tradition, and — solely as a topic to discuss with a treating oncologist — patients undergoing chemotherapy or radiotherapy, in whom GSP is being studied in China as an adjunctive drug easing leukopenia. There's no standardized dosing available in Poland, and the registered GSP drug isn't available in the EU. Cardioprotection data remain preclinical for now.

Where it's found

Occurs almost exclusively in China, rarely in the wild — nearly all available raw material today comes from cultivation on sawdust substrate or hardwood logs.

History of use

In the classical Chinese classification of lingzhi mushrooms, which distinguishes varieties by the color of the fruiting body, the purple-black variety referred to as 'Zi Zhi' corresponds to today's phylogenetically confirmed Ganoderma sinense. It was traditionally used as a liver-supporting tonic.

Mechanism of action

The main compound studied is the polysaccharide GSP, based on beta-glucans, credited with antioxidant, immunomodulatory, and — in preclinical studies — protective effects on cardiomyocytes exposed to oxidative stress caused by anthracyclines. This mechanism rests mainly on in vitro studies and animal models.

In preclinical models, GSP's cardioprotective action has been linked mainly to reducing oxidative stress markers in cardiomyocytes, rather than to a direct effect on the anticancer mechanism of anthracyclines — which is why it's being considered as a companion therapy rather than a substitute for supervised cardiac protection.

1

Extraction and standardization of GSP

GSP, a polysaccharide with a beta-glucan structure, is obtained from the fruiting body or mycelium.

2

Antioxidant and immunomodulatory action

GSP limits oxidative stress and modulates immune cell activity, which has been linked to easing leukopenia.

3

Potential protection of cardiomyocytes

In animal and in vitro models, GSP limited damage to heart muscle cells exposed to anthracyclines.

4

Lack of confirmation in humans

Despite the drug's formal registration in China since 2010, very few clinical studies in humans are available.

Evidence: early-stage — based on 2 studies in this database.

Benefits

The polysaccharide GSP, registered in China since 2010 as an adjunctive drug, eases leukopenia caused by chemo/radiotherapy
Preliminary, mostly preclinical data on antioxidant action that may protect the heart from anthracyclines
Traditionally used in Chinese medicine as a liver-supporting tonic

Common myths

MythBlack reishi (Ganoderma sinense) is just a dark, more exclusive variant of ordinary reishi.

FactIt's a distinct, phylogenetically confirmed species, with its own name in Chinese medicine and its own line of research.

Forms & variants

Ganoderma sinense (Black Reishi) comes in several forms that differ in bioavailability and use case — the form you pick genuinely matters for how effective the supplementation is.

GSP tablets (drug registered in China)

Not available or registered in Poland or the EU.

Best for: Not applicable to the Polish market

Powdered mycelium/fruiting body in 'multi-Ganoderma' blends

The most common form available in practice.

Best for: Budget, general immune support

Practice

Frequently asked questions

Unlike Ganoderma lingzhi, which taxonomically is in practice the same material as most 'reishi' sold today, Ganoderma sinense is a distinct species with a research base centered on GSP, registered in China.

Dosage & timing

Typical dose

No standardized dosing for standalone dietary supplements on the Western market

Form

Fruiting-body or spore extract — rarely available as a single product, more often a component of 'multi-Ganoderma' blends

Any decision to use it — especially in combination with cancer treatment — should always be discussed with the treating physician.

Best times to take it

  • Spread across 2–3 doses during the day, with a meal

What to combine with

Good combinations

Lion's ManeA common combination in mushroom 'stacks' aimed at immunity

Cordyceps militarisA popular pairing supporting immunity and energy

Safety

Side effects & contraindications

Possible side effects

Limited independent safety data outside Chinese clinical trials

Possible gastrointestinal discomfort at higher doses

Contraindications

Liver disease — caution

Clotting disorders and planned surgery

Pregnancy and breastfeeding

People undergoing cancer treatment: use ONLY after consulting the treating oncologist

Interactions

Chemotherapy and other oncology drugs — combine only under medical supervision

Anticoagulant/antiplatelet drugs

Immunosuppressive drugs

Is it worth taking?

Who it's for

  • People interested in the tradition of Chinese medicine
  • Cancer patients considering adjunctive supplementation — solely as a topic to discuss with the treating oncologist

Not for

  • Liver disease — caution
  • Clotting disorders and planned surgery
  • Pregnancy and breastfeeding
  • People undergoing cancer treatment: use ONLY after consulting the treating oncologist

Evidence

Worth knowing

In the classical lingzhi classification, the purple-black variety ('Zi Zhi') corresponds to today's Ganoderma sinense.

Studies

GSP has been a registered adjunctive cancer-treatment drug in China since 2010 — yet publicly available, published clinical trial data on it are practically nonexistent.

Jiang Y et al., Biomedicine & Pharmacotherapy, 2017

Overview of Ganoderma sinense polysaccharide — an adjunctive drug used during concurrent Chemo/Radiation therapy for cancer treatment in China

Early-stage evidence

Jiang Y, et al. · Biomedicine & Pharmacotherapy · 2017

A review describing GSP as an adjunctive drug registered in China since 2010. The authors note that publicly available, published clinical trial data are practically nonexistent.

View study

Ganoderma sinense polysaccharide: An adjunctive drug used for cancer treatment

Early-stage evidence

Zhang Y, Jiang Y, Zhang M, Zhang L · Progress in Molecular Biology and Translational Science · 2019

A review chapter summarizing the anticancer, antioxidant and immunomodulatory action of GSP as an adjunctive therapy.

View study

Sources & bibliography

Citations are illustrative for this demo version and require full bibliographic verification by the editorial team before production publication.

Compare with similar entries

About the authors of this entry

MN

Author

Michał Nowak

Clinical Dietitian

Michał specializes in metabolic nutrition, intermittent fasting and sports supplementation.

61 publications on this site

AK

Medical review

dr Anna Kowalczyk

Editor-in-Chief, Molecular Biology

Anna oversees the editorial process and scientific review of every publication in the knowledge base. She previously researched autophagy and mitochondrial biology.

50 publications on this site

Published: October 5, 2025Updated: July 29, 2026

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Comments (2)

  • KW

    Kasia W. 2 weeks ago

    Very clearly explained, especially the interactions section — I hadn't seen it laid out this well anywhere else.

  • MT

    Marek T. a month ago

    Are you planning to update this with the newest study from this year? I saw an interesting meta-analysis.