Black Cohosh (Cimicifuga Racemosa)

Black Cohosh has been used by Native Americans for more than two hundred years after they discovered the root of the plant helped relieve menstrual cramps and symptoms of menopause. These days it is still used for menopausal symptoms such as hot flashes/flushes, irritability, mood swings and sleep disturbances. It is also used for PMS, menstrual irregularities, uterine spasms and has been indicated for reducing inflammation associated with osteoarthritis, rheumatoid arthritis and neuralgia.

Reduce Menopausal Symptoms:

Herbal researcher Dr. James Duke has this to say about Black Cohosh; “Black cohosh really should be better known in this country, especially with our aging population and the millions of women who are now facing menopause. Recognized for its mild sedative and anti-inflammatory activity, black cohosh can help with hot flashes and other symptoms associated with that dramatic change of life called menopause. It’s also reported to have some estrogenic activity. Herbalist Steven Foster refers to a study that compared the effects of conventional estrogen replacement therapy with black cohosh. That study looked at 60 women, younger than 40 years old, who had had complete hysterectomies and were experiencing abrupt menopause. In all groups, treatment with black cohosh compared favorably with conventional treatment.”

“Native Americans used the roots and rhizomes of this member of the buttercup family to treat kidney ailments, malaria, rheumatism, and sore throats. Early American settlers turned to it for bronchitis, dropsy, fever, hysteria and nervous disorders, lumbago, rattlesnake bites, and yellow fever. It’s also reportedly well known for easing PMS and menstrual irregularities.”

This estrogenic activity, notes Dr. Duke, can contribute to a ‘mastogenic’ effect; the natural enlargement of the breasts. Black Cohosh has also been used to induce labor and should not be used during pregnancy.

Research:

A dozen studies or more conducted throughout the 1980’s and 1990s confirm that the long-standing use of black cohosh for menopausal symptoms has scientific validity. For example, in a German study involving 629 women, black cohosh improved physical and psychological menopausal symptoms in more than 80% of the participants within four weeks. In a second study, 60 menopausal women were given black cohosh extract, conjugated estrogens, or diazepam (a leading anti-anxiety medication) for three months. Those who received black cohosh reported feeling significantly less depressed and anxious than those who received either estrogens or diazepam. In another study, 80 menopausal women were treated for 12 weeks with black cohosh extract, conjugated estrogens, or placebo. Black cohosh improved anxiety, menopause, and vaginal symptoms. In addition, the number of hot flashes dropped from 5 to less than 1 average daily occurrences in the black cohosh group compared to those taking estrogen in whom hot flashes dropped from 5 to 3.5 daily occurrences.

 black cohosh

Given these examples, and results of other studies, some experts have concluded that black cohosh may be a safe and effective alternative to estrogen replacement therapy (ERT) for women who cannot or will not take ERT for menopause.

Preliminary studies also suggest that black cohosh may help reduce inflammation associated osteoarthritis and rheumatoid arthritis. In a review of scientific studies, researchers concluded that a combination of black cohosh, willow bark (Salix spp.), sarsaparilla (Smilax spp.), guaiacum (Guaiacum officinale) resin, and poplar bark (Populus tremuloides) may help relieve symptoms of osteoarthritis.

Latin Names:

Actaea racemosa L, Cimicifuga racemosa, Cimicifuga heracleifolia, Cimicifuga dahurica, Cimicifuga foetida

Also, Known As:

Black Cohosh, Black Snakeroot, Bugbane, Squawroot, Bugwort, Rattleroot, Rattleweed, Richweed, Cimicifuga, Sheng ma, Chinese Black Cohosh

 Properties Of Black Cohosh:

Mild sedative, relaxant, and anti-inflammatory. Contains glycosides (sugar compounds), isoferulic acids and, possibly, phytoestrogens (plant-based estrogens). Diaphoretic, antipyretic, antifungal and antibacterial.

Medicinal Use:

Menopause; Hot flashes, irritability, mood swings and sleep disturbances PMS Menstrual irregularities Uterine spasms.

Reducing inflammation associated with osteoarthritis and rheumatoid arthritis. Neuralgia.

Black cohosh has an estrogen-like effect, and women who are pregnant or lactating should not use the herb. Large doses of this herb may cause abdominal pain, nausea, headaches, and dizziness. Women taking estrogen therapy should consult a physician before using black cohosh.

Large doses of black cohosh cause symptoms of poisoning, particularly nausea and dizziness, and can also provoke a miscarriage.

Black cohosh should not be used by those who have full-blown measles or those who are having trouble breathing. It should also not be used by those with excess in the upper regions and deficiency in the lower part of the body.

Side Effects and Precautions:

  • United States Pharmacopeia experts suggest women should discontinue use of black cohosh and consult a health care practitioner if they have a liver disorder or develop symptoms of liver trouble, such as abdominal pain, dark urine, or jaundice. There have been several case reports of hepatitis (inflammation of the liver), as well as liver failure, in women who were taking black cohosh. It is not known if black cohosh was responsible for these problems. Although these cases are very rare and the evidence is not definitive, scientists are concerned about the possible effects of black cohosh on the liver.
  • Some people taking black cohosh have experienced side effects such as stomach discomfort, headache, or rash. In general, clinical trials of black cohosh for menopausal symptoms have not found serious side effects.
  • Although concerns have been raised about possible interactions between black cohosh and various medications, a 2008 review of studies to date concluded that the risk of such interactions appears to be small.
  • It is not clear if black cohosh is safe for women who have had hormone-sensitive conditions such as breast cancer or for pregnant women or nursing mothers.
  • Black cohosh should not be confused with blue cohosh (Caulophyllum thalictroides), which has different properties, treatment uses, and side effects than black cohosh. Black cohosh is sometimes used with blue cohosh to stimulate labor, but this therapy has caused adverse effects in newborns, which appear to be due to blue cohosh.
  • Tell all your health care providers about any complementary health approaches you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.