HERB PROFILE · EDUCATIONAL REFERENCE

Black Cohosh

Botanical nameActaea racemosa (syn. Cimicifuga racemosa)
Plant part usedRhizome and root

Important safety information: Rare serious liver injury has been reported; stop immediately and seek care for dark urine, jaundice, unusual fatigue, nausea, appetite loss or upper abdominal pain. Avoid pregnancy and breastfeeding. Review with liver disease, hormone-sensitive conditions, breast-cancer treatment and all medicines. Choose authenticated products because adulteration and species substitution occur.

Herbal actions

  • Menopause-symptom support in defined extracts
  • Neuroendocrine activity under study
  • Antispasmodic traditionally
  • Anti-inflammatory traditionally
  • Analgesic traditionally

Traditional and practitioner uses

These uses are presented for historical and educational context. They are not treatment claims.

  • Defined preparations for menopausal hot flushes and excessive sweating
  • Traditional use for premenstrual discomfort and dysmenorrhoea
  • Historical musculoskeletal and neuralgic use
  • Not a general hormone replacement and not proven for infertility or labour preparation

Main constituents

Triterpene glycosides including 27-deoxyactein, phenolic and cimicifugic acids, and other specialised metabolites

Preparation overview

Tea: Not preferred. Human research relates to defined commercial extracts rather than ordinary tea or a homemade tincture.

Liquid extract reference: Standardised product-specific; clinical extracts are not interchangeable

Preparation strengths are not interchangeable. Open the interactive guide for the complete evidence notes and sources available for this herb.

Herbilous provides educational information only. It does not diagnose, prescribe, or replace professional medical advice. Seek urgent care for severe or worsening symptoms.