Adaptogenic herbs are believed to help the body manage stress by modulating the hypothalamic-pituitary-adrenal (HPA) axis — the hormonal system that initiates your stress response and keeps your body in balance. That word "modulating" matters. Unlike a stimulant that revs you up or a sedative that shuts you down, an adaptogen is thought to act more like a thermostat: sensing where the system has drifted and nudging it back toward a stable state. Here is how that system works, and where adaptogens are believed to intervene.
Understanding the Body's Stress Response: The HPA Axis
Any kind of stress — physical, emotional, hormonal, even the things you eat and drink — affects your body's systems, as UCLA Health's explainer on adaptogens puts it. The system that coordinates your response is the HPA axis, a three-organ relay running from your brain down to your kidneys. When experts say adaptogens "interact with the HPA axis," this relay is what they mean.
The sequence begins in the hypothalamus, a small region at the base of the brain. In response to a stressor, cells in its paraventricular nucleus release corticotropin-releasing hormone (CRH) — the first hormonal signal of the stress response. CRH travels a short distance to the pituitary gland, sitting just below the hypothalamus, and prompts it to secrete adrenocorticotropic hormone (ACTH).
ACTH then enters the bloodstream and reaches the adrenal glands, which sit atop the kidneys. There, it triggers the synthesis and release of stress glucocorticoids — cortisol in humans (cortisosterone in rodents, as scientific reviews note when describing animal studies). Cortisol is the hormone most people associate with stress, and it drives a wide range of physiological responses, from mobilizing energy to sharpening alertness.
Crucially, this is a self-regulating loop rather than a one-way signal. Once cortisol rises high enough, it feeds back on the hypothalamus and pituitary, dampening further CRH and ACTH release. In a well-functioning system, the response switches on when needed and switches off when the stressor passes. The problem with chronic stress is that this loop can stay engaged, keeping cortisol elevated long after it serves a purpose — and that sustained activation is what adaptogen research aims to address.




