Combine elderberries, cinnamon, ginger, and water in a non-reactive saucepan.
Bring to a boil, then reduce to a simmer, Cover and simmer 30 to 40 minutes, until liquid has reduced by half. Remove from heat and cool slightly.
Using a potato masher or back of a ladle, smash the berries carefully to release all the beneficial juices.
Strain, using a cheesecloth so you can squeeze out all the liquid.
When liquid is lukewarm, add the honey or maple syrup.
Pour into a glass mason jar. Label and store in a cool place or in the fridge.
Standard dose: 1 to 4 teaspoons daily as needed for adults.
Note: Children under 1 year of age should never ingest honey or products that contain honey.
Using 1 part honey to 1 part liquid will preserve the syrup for several months, up to one year. If you choose to use less honey, keep the syrup in the fridge and use it within a few weeks.
Yields 2 cups