There’s a long history to the medical uses of Black Cohosh. Native Americans have used it as a diuretic and to treat fatigue. European settlers used preparations of the roots to treat fever, menstrual problems, and pain following childbirth. Into the 19th century, black cohosh became a staple ingredient in medicines for “women’s complaints.” Over time, it faded from use in the U.S. while still being used in Europe. New studies in the U.S., however, are investigating the safety and long-term effectiveness of black cohosh and there’s an almost mainstream resurgence of its use for treatment of women’s health concerns.

Black cohosh is considered a menopause tonic for a number of reasons. It can improve mood and soothe anxiety. Also, herbal practitioners recommend it for taming hot flashes, night sweats, and vaginal dryness. It’s commonly prescribed for women who – for medical reasons – don’t take conventional hormone replacement therapy.

Tinctures, capsules and standardized extract are available for medicinal use. The specific dose of this herb will depend on your individual needs and health concerns. Black Cohosh should not be used during pregnancy or nursing. It is not recommended for persons who have a heart condition or liver disease. Always check with your holistic health practitioner before using an herbal remedy.

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Mars, Bridgitte & Fiedler, Chrystle. Home Reference Guide to Holistic Health & Healing. (Beverly, MA: Fair Winds Press. (2015) pp. 183. “Black Cohosh” Accessed on March 23, 2016:
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