Medical Herbalist – mainly about herbs

Black Cohosh

When a woman asks me what herb can help with menopausal hot flushes, I always suggest Black Cohosh (Cimicifuga racemosa). Although Balck Cohosh does not seem to contain phytoestrogens it does have the effect of improving conditions where there are low levels of oestrogen such as the menopause. It can also be of use in some types of pre-menstrual symptoms such as breast tenderness and headaches or migraines. Its actions are not confined to hormonal imbalances, however, as Black Cohosh is an effective anti-inflammatory herb and finds a use in arthritis and neuralgias such as sciatica and facial neuralgia. It can ease cramps and aching following strenuous exercise, it will calm a viscious cough and has been used to treat whooping cough. Other uses have included tinnitus and scarlet fever. For arthritic conditions you can combine Black Cohosh with Bog Bean (Menyanthes trifoliate) and for coughs it goes well with Elecampane (Inula helenium). Black Cohosh is generally very safe for either gender but it should be avoided if there is any history of liver disease or if you are pregnant or breastfeeding. If you are taking any medication or have a serious health condition it is advisable to consult a qualified practitioner before taking herbal remedies.

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Comments on: "Black Cohosh" (2)

  1. I would also suggest that continued use of Black Cohosh is to be avoided, take for no more than 3 to 4 months then take a break for a few months. Studies suggest continued use can affect even healthy liver tissue.

    • Would you have the references for these studies? I’ve not come across this before. I wouldn’t like to give Black Cohosh over a really long period of time but 3 months seems a short time when using it for Menopause.

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