Black Cohosh

Christopher Hobbs:

“Black cohosh is commonly used for women’s ailments, such as menopause disorders (including hot flashes), PMS, dysmenorrhea, and to facilitate labor in the last 2 weeks of pregnancy (best to consult an herbalist before using). It is also a remedy for rheumatism, bronchitis, tinnitis, and hysteria and is a known muscle relaxant. In Chinese medicine it is used for organ prolapses, headaches, measles, and sore gums due to superficial heat.

Black Cohosh has a taste of SWEET, ACRID, BITTER and a temperature of COOL.”

Modern Clinical Uses

Today, black cohosh is primarily used by herbalists and naturopaths to relieve menopausal symptoms, including hot flashes, night sweats, mood swings, and sleep disturbances. It’s also occasionally used to alleviate menstrual pain and promote menstrual regularity.

Chemistry

Black cohosh contains a variety of chemical compounds, including triterpene glycosides (such as actein and 27-deoxyactein), flavonoids, tannins, and aromatic acids. The roots and rhizomes are the primary parts used in preparations.

Pharmacology

Black cohosh’s mechanism is not fully understood, though it is thought to work via selective estrogen receptor modulation, potentially binding weakly to estrogen receptors or influencing serotonin pathways, which may impact mood and vasomotor symptoms like hot flashes.

Clinical Trials

Research on black cohosh is mixed. Some studies suggest it is effective in reducing menopausal symptoms, particularly hot flashes, while others show little to no effect. However, black cohosh is often included in clinical recommendations as a complementary option due to its low-risk profile and potential benefits.

Summary

Black cohosh has historical and modern uses for menopausal relief, though more robust clinical trials are needed to confirm its efficacy. It is considered safe for short-term use but should be used with caution in individuals with liver concerns.

Generated by ChatGPT; edited by Christopher Hobbs.