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Historically, Black Cohosh has been used for a range of conditions. Native Americans and U.S. colonialists used it for amenorrhea, bronchitis, chorea, dropsy, fever, hysteria, itch, lumbago, nervous disorders, snakebite, yellow fever, and uterine disorders.
Interest in black cohosh and other dietary supplements from women seeking alternative treatments for symptoms associated with the menopausal transition, including hot flashes and night sweats, anxiety and depression, and vaginal dryness has increased recently in the wake of findings from the Women's Health Initiative (WHI), which pointed to a shift in the risk/benefit balance of hormone therapy due to cardiovascular events, stroke, breast cancer, blood clots, and other conditions.
It is used for a variety of complaints, but has become well known in the Western World for its beneficial effect on hormone functioning due to its phyto-estrogenic properties. Black Cohosh is also used by herbalists to prevent miscarriage. Many women miscarry very early in pregnancy and may not even realize that they have been pregnant.
Preparations of black cohosh consist of the fresh or dried rhizome with attached roots of Cimicifuga racemosa in effective dosage.
The drug contains triterpene glycosides.
Daily dosage as recommended by Commission E Monographs: Extracts with alcohol 40 - 60 percent (v/v) corresponding to 40 mg of drug.
Recent clinical studies carried out in Germany have confirmed that Cimicifuga is strongly estrogenic and that it is effective in relieving menopausal symptoms.
It has as its main constituents triterpene glycosides, cinnamic acid derivatives, chromone, isoflavones, tannins and salicylic acid.
(refer also to statements below)
There are no known contraindications to this herb
There are few direct side-effects, except for occasional gastric discomfort, and rare hepatic (liver) dysfunction .
Some authorities have suggested that medicinal quantities of black cohosh may increase the effects of synthetic hormones in susceptible women, e.g. women taking HRT or the contraceptive pill.
Because of its oestrogen-like effects, it is thought that it may promote metastasis of breast cancer tissue. (In an experiment done on mice, black cohosh increased metastasis of cancer to the lungs, but did not cause an increased incidence of breast cancer.)
Black cohosh should not be used during pregnancy or lactation.
There are no known interactions with other drugs
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News Comment
Prevent Breast Cancer with Black Cohosh
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By Carey Rossi A recent study, which found that black cohosh extract can stop breast cancer growth, adds to a growing body of research that suggests that ...
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Fort Worth Star Telegram, TX - 13 Mar 2008
Other alternative therapies such as black cohosh and red clover are sometimes helpful; phytoestrogens including soy have been more disappointing. ...
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WJZ, MD - 16 Sep 2007
Of immediate interest are ginseng, goldenseal and black cohosh . Researchers are seeking funds to test the compounds. Retired US Agriculture Department ...
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... Beneficial herbs include dong quai, sage, red clover, black cohosh and soy. The best researched of these herbs are black cohosh and soy. ...
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Wilkes Barre Times-Leader, PA - Oct 2006
... findings led many doctors to withdraw their prescribing of hormonal replacement therapy, recommending instead herbal alternatives like black cohosh , red clover ...
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....the new study shows that many women are instead turning to herbal and soy products to ease their menopausal symptoms. The most commonly used herbal products ... were ginkgo biloba, ginseng, St. John's wort, black cohosh or a combination product....
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Response Source (press release), UK - 5 Apr 2006
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... Measured by the number of requesting companies, Goldenseal is the most sought after species this year, followed by Black Cohosh root, Ginseng, Catnip, Dandelion ...
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... Dr. Ed Sauter, an MU professor of surgical oncology, is conducting a study of the use of an herb called black cohosh . Sauter is ...
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