All herbs
Traditional part

Black Cohosh

Actaea racemosa

Contested / mixed evidenceModerate — observe cautionsInteractions: ModeratePregnancy: Caution
Benefits summary

A Native American root widely used for menopausal symptoms like hot flashes.

Traditional & historical use

Traditional use (indigenous-americas): A Native American root widely used for menopausal symptoms like hot flashes.

Modern claims

A Native American root widely used for menopausal symptoms like hot flashes.

How it may work

Active constituents are under study; evidence ranges from traditional use to preliminary human trials.

Benefit–risk at a glance
Potential benefits
  • A Native American root widely used for menopausal symptoms like hot flashes.
Most credible evidence

Evidence strength: mixed.

Key uncertainties
  • See the evidence level above
Known risks
  • Rare reports of liver injury; mixed trial evidence.
Who should avoid
  • Liver disease
  • Pregnancy
Risks

Rare reports of liver injury; mixed trial evidence.

Interactions

May interact with prescription medications — review with a clinician if you take any.

Special populations

Use caution in pregnancy, breastfeeding, for children, and with chronic disease unless cleared by a clinician.

Sourcing & growing

Choose reputable, tested suppliers; correct identification is essential for wild-harvested plants.

Dr. Bull's read

One of the better-studied women's herbs, though results are inconsistent.

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