Why You Keep Getting Sick (And It’s Not What You Think)

Sarah’s office is a study in modern immune anxiety. Her desk drawer resembles a small chemist’s shop: vitamin C tablets, zinc lozenges, echinacea capsules, and something called “immune support complex” that cost her nearly forty pounds. She’s got hand sanitiser on her desk, in her handbag, and clipped to her keychain. Every morning, she downs a green smoothie packed with supposed superfoods, and she religiously avoids anyone who so much as sniffles.

Yet here she is again, nursing her third cold this autumn, feeling utterly defeated. Meanwhile, her colleague Mark – who seems to survive entirely on meal deals and has never met a vitamin supplement he could remember to take – hasn’t had so much as a sniffle in two years. He uses the office kitchen tap without wincing, shakes hands freely, and somehow emerges unscathed from every bug that sweeps through their workplace.

If this sounds familiar, you’re not alone. The disconnect between what we think should work and what actually does work when it comes to staying healthy is perhaps one of the most frustrating aspects of modern wellness culture. We’ve been sold a story about immunity that’s rather like trying to fix a leaky roof by painting the walls – it might make us feel better, but it’s not addressing the real problem.

The Trouble with ‘Boosting’ Your Immune System

The language we use around immunity is telling. We talk about “boosting” our immune system as if it were a car engine that simply needs more fuel. But here’s the thing: your immune system isn’t a single entity that can be cranked up like a thermostat. It’s an incredibly complex network of cells, tissues, and processes that need to be in balance, not just amped up.

This is where the conventional approach gets it rather wrong. When we focus solely on “strengthening” immunity through supplements and avoiding germs, we’re missing the bigger picture. It’s rather like trying to make a football team better by giving everyone energy drinks instead of working on their fitness, strategy, and teamwork. You might get a temporary boost, but you haven’t actually improved their ability to play the game.

The reality is more nuanced than the supplement industry would have us believe. Some of the most immunocompromised people I see in clinic are those who’ve been taking immune supplements for years, desperately trying to avoid every possible pathogen. Their systems are either overstimulated and exhausted, or they’ve become so focused on external support that their natural defences have become lazy.

Think about it this way: if you spent years having someone else carry your shopping, your arms would eventually lose strength. The same principle applies to your immune system. When we constantly try to supplement our way out of every potential illness, we may actually be undermining our body’s natural ability to respond appropriately to challenges.

What Chinese Medicine Knows About Real Immunity

Traditional Chinese medicine has a concept called wei qi – often translated as “defensive energy” – that offers a far more sophisticated understanding of what keeps us healthy. Wei qi isn’t just about having enough white blood cells or the right antibodies. It’s about having the constitutional strength to handle whatever life throws at you, whether that’s a virus, stress at work, or simply the changing seasons.

Imagine wei qi as the security system for your body. A good security system doesn’t just have strong locks and alarms – it has intelligent monitoring that can distinguish between a real threat and a delivery person. It responds proportionally to different situations and maintains its vigilance without burning out the guards. This is what balanced defensive energy does: it protects you without overreacting or exhausting itself.

People with strong wei qi don’t necessarily avoid every germ – they encounter the same pathogens as everyone else. The difference is that their systems handle these encounters efficiently, often without the person even realising they’ve been challenged. They might fight off a virus so quickly that they never develop symptoms, or they might have a brief, mild illness that resolves without complications.

This explains why some people seem to catch everything while others sail through flu season unscathed. It’s not necessarily about exposure – it’s about constitutional resilience. The person who never gets sick isn’t living in a bubble; they’re living with a robust defensive system that does its job quietly and efficiently.

The Real Culprits Behind Weak Immunity

If supplements and hand sanitiser aren’t the answer, what actually determines whether you’ll be the person who catches every bug or the one who stays healthy? The answer lies in what Chinese medicine calls your constitutional foundation – the deep reserves of energy and vitality that fuel your defensive systems.

Chronic stress is perhaps the biggest saboteur of defensive energy. When you’re constantly in fight-or-flight mode, your body prioritises immediate survival over long-term health maintenance. It’s rather like running a country during wartime – all resources go to the military while infrastructure projects get shelved. Your immune system becomes focused on inflammatory responses while the more subtle work of maintaining balance gets neglected.

Poor sleep compounds this problem exponentially. During deep sleep, your body performs essential maintenance work, including the production and organisation of immune cells. People who consistently sleep fewer than seven hours per night have been shown to be three times more likely to develop a cold when exposed to the virus. But it’s not just about duration – the quality and timing of sleep matter enormously. Your body runs on circadian rhythms that affect everything from hormone production to immune cell activity.

Then there’s the digestive connection, which is far more crucial than most people realise. In Chinese medicine, we say that the spleen (which includes digestive function) is the source of acquired qi – the energy we derive from food and drink. If your digestive system is compromised, you’re not efficiently extracting the nutrients needed to fuel your defensive energy. This is why people with chronic digestive issues often seem to catch everything going around.

Perhaps more importantly, your gut houses roughly 70% of your immune system. The health of your intestinal microbiome directly affects your ability to distinguish between helpful and harmful substances. When this system is out of balance – whether from poor diet, stress, antibiotics, or other factors – your immune responses can become confused and inefficient.

Why One Size Fits All Doesn’t Work

This is where the standard approach to immune support falls particularly short. The vitamin C and zinc protocols that work brilliantly for your neighbour might leave you feeling worse, not better. Constitutional differences mean that what strengthens one person’s defensive energy might actually drain another’s.

In Chinese medicine, we recognise several different constitutional patterns when it comes to immune function. Some people have what we call “deficient” patterns – they’re prone to catching things because their overall energy is low. These individuals often benefit from gentle, nourishing support rather than aggressive immune stimulation.

Others have “excess” patterns – they might not catch colds often, but when they do, they’re knocked flat. Their immune systems tend to overreact, creating inflammation and prolonged symptoms. For these people, aggressive immune boosting can make things worse by adding fuel to an already inflammatory fire.

Then there are those with mixed patterns – perhaps strong in some areas but weak in others. They might have good energy but poor sleep, or strong digestion but high stress levels. Their immune support needs to be more nuanced, addressing the specific imbalances rather than applying a one-size-fits-all approach.

This is why the person loading up on every immune supplement in the health food shop might actually be making themselves more vulnerable. If your constitutional pattern doesn’t match the approach you’re taking, you could be working against your body’s natural tendencies rather than supporting them.

Building Real Defensive Energy

So what actually works? The unglamorous truth is that building real immune resilience looks a lot like the basic health advice your grandmother might have given you, but with a bit more sophistication about why these things matter.

Consistent, quality sleep isn’t just about feeling rested – it’s about giving your body the time it needs to maintain and repair your defensive systems. This means not just getting enough hours, but getting them at the right times and in the right conditions. Your bedroom temperature, light exposure, and evening routines all affect the quality of immune-supporting sleep.

Managing stress isn’t just about feeling calmer – chronic stress literally rewires your immune system toward inflammation and away from the balanced responses that keep you healthy. This doesn’t mean you need to eliminate all stress from your life, but rather develop better ways of processing and recovering from it.

Supporting your digestive health goes far beyond taking probiotics. It’s about eating in ways that support your individual constitution, paying attention to how different foods affect your energy and wellbeing, and giving your digestive system the conditions it needs to function optimally.

Regular, appropriate exercise helps maintain the circulation of defensive energy throughout your body. But the keyword here is “appropriate” – the right amount and type of exercise strengthens your system, while too much or too little can actually weaken it.

This doesn’t mean you should ignore practical measures like hand washing and avoiding sick people when possible. But these external measures work best when they’re supporting an already strong internal foundation, not trying to compensate for a weak one.

The Reality Check

The truth about building real immune resilience is that it’s not as quick or dramatic as popping a vitamin C tablet. It takes time to rebuild constitutional strength, and the process looks different for everyone. Some people notice changes within weeks, while others need months of consistent support before they see results.

This doesn’t mean you’re powerless during cold and flu season. There are ways to support your system when you feel something coming on, and there are constitutional approaches that can help even if you’re starting from a place of frequent illness. But the foundation of real immunity is built through the unsexy work of supporting your overall health day by day.

Perhaps most importantly, building real defensive energy means accepting that getting sick occasionally is normal and even healthy. Your immune system needs practice to stay sharp, and completely avoiding all pathogens isn’t actually the goal. The goal is having a system that can handle challenges efficiently and return to balance quickly.

The person who never gets sick isn’t necessarily healthier than the person who gets a brief, mild cold once a year. They’re just working with a different constitutional foundation. Understanding your own patterns and supporting them appropriately is far more effective than trying to follow someone else’s immune protocol.

Building real immune resilience is about playing the long game, supporting your constitutional foundation, and trusting your body’s remarkable ability to protect itself when given the right conditions. It’s not as flashy as the latest immune supplement, but it’s far more reliable – and considerably more affordable than Sarah’s desk drawer pharmacy.

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