Add dried elderberries (or fresh berries) and 4 cups of water to a large pot or medium saucepan, along with the ginger and cloves. (Do not eat raw berries, unripe berries, or red elderberries — they contain cyanogenic glycosides and are not safe to eat.) Bring to a gentle boil over medium-high heat, then reduce to medium heat and simmer until the mixture has reduced by about half.
Bring to a gentle boil over medium-high heat, then reduce to medium heat and simmer until the mixture has reduced by about half. With dried elderberries: simmer 40–45 minutes. With fresh elderberries: simmer 25–30 minutes. Then, strain through a fine mesh strainer and press berries with the back of a wooden spoon to remove all the juice.
Allow the elderberry juice to cool to room temperature, then stir in the raw honey (or maple syrup). I like to place mine in the fridge for at least half an hour before adding the honey. Mixing while hot can reduce the medicinal benefits of the raw honey.
Transfer to a clean glass jar. The shelf life is about 2 months in the fridge, or freeze in small amounts for longer storage.