Black Cohosh (Cimicifuga racemosa)

Black Cohosh contains a natural precursor to estrogen (i.e., the body uses these elements as raw materials to produce its own hormones and only in the amount it needs), an antispasmodic, and emmenagogue. It was widely used by the American Indians and later by American colonists for the relief of menstrual cramps and menopause. Recent scientific investigation has upheld the use of black cohosh in treating both dysmenorrhea and menopause. . Clinical studies have shown that this Cimicifuga extract relieves not only hot flashes, but also depression and vaginal atrophy. In a large open study involving 131 doctors and 629 female patients, cimicifuga extract produced clear improvement in menopausal symptoms in over eighty percent of patients within six to eight weeks. As shown in the table, both physical and psychological symptoms were relieved. Most patients reported noticeable benefits within four weeks after the initiation of cimicifuga therapy. After six to eight weeks, complete resolution of symptoms was achieved in a large percentage of patients. Cimicifuga was well tolerated; there was no discontinuation of therapy, and only seven percent of patients reported mild transitory stomach complaints.