Black cohosh, an herb in the buttercup family, has been used in Native American medicine for more than 200 years as a remedy for gynecological disorder, general body aches and pains and colds and coughs. In the 19th century, it turned into a home remedy for the same conditions and now it is widely used by women in some parts of the world for PMS and problems in menopause. Always talk to a doctor before treating yourself for any condition with black cohosh.
Preparation
The herb is a perennial plant native to North America and is also known as black snakeroot and rattleweed. The flowering plant contains sugar compounds, anti-inflammatory compounds and maybe plant based estrogens, according to the University of Maryland Medical Center. It is usually prepared as a tablet or extract, using the roots and underground stems. The recommended dose is 40mg to 80mg per day in tablet form, or 2ml to 4ml of tincture in water or tea three times a day.
Menopausal Symptoms
Traditionally, black cohosh has been used to treat menopausal symptoms including hot flashes, irritability, moods wings and irregular sleep. The mechanical or chemical reasons of how black cohosh are not known. Though some compounds in the herb have shown estrogen activity, evidence remains contradictory. According to the UMMC, many experts believe that black cohosh is a safe alternative for women who opt out of hormonal replacement therapy for menopause. While the American Colelge of Obstetricians and Gynecologists found that studies did not look at safety of black cohosh past six months of use, it recognized the herb as a treatment for menopausal symptoms. Only short-term use of six months or less is currently recommended.
Breast Cancer
Some breast cancer medications can cause the body to undergo hot flashes, which has pushed breast cancer patients to seek black cohosh as a remedy. However, according to the UMMC, numerous studies have shown that the herb is no more effective than a placebo. Moreover, it can possibly interfere with treatment. Patients with a history of breast cancer or who are currently undergoing treatment should speak with their doctors before ingesting black cohosh. According to the Mayo Clinic, there is not enough human research to make treatment recommendations regarding the plant.
Arthritis
Some studies have shown that black cohosh has some anti-inflammatory properties that could help with different types of arthritis. In a review of studies, scientists found that a combination of herbs, including black cohosh, could help to relieve symptoms associated with osteoarthritis. However, according to the Mayo Clinic, there is not enough human research to warrant a treatment recommendation.
Osteoporosis
The plant-based estrogens in black cohosh may help to prevent bone loss and in turn fight osteoporosis, some lab studies have found. The UMMC states that more research is needed.
Precautions
The Food and Drug Administration does not regulate herbs and dietary supplements and quality can vary. Some side effects that have been reported include diarrhea, joint pains, visual dimness and weight gains. Black cohosh may not be safe for people with breast cancer or hormone-sensitive conditions, or for pregnant women, says the UMMC.



Member Comments