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Black Cohosh (Cimicifuga racemosa) ( Sheng ma)

Black Cohosh, an herb with a long history of use in Native American cultures for gynecological disorders, is currently used throughout the world for its hormone moderating properties. Estrogen levels decline during menopause. This initiates numerous physiological changes commonly associated with menopause, including hot flashes, insomnia, and depression. Black Cohosh extract is quickly gaining popularity as a natural way to moderate and balance hormone levels. The active constituents of Black Cohosh appear to regulate estrogen levels, thereby normalizing hormonal balance and moderating the symptoms that accompany fluctuating hormone levels.

 

Black cohosh extract works largely through the synergistic activity of two types of compounds: phytoestrogens and triterpenes. Phytoestrogens, a class of flavonoids with mild estrogenic activity in the body, appear to have normalizing effects on hormonal levels. In particular, black cohosh extract contains formononetin, an isoflavone phytoestrogen. Triterpene glycosides found in black cohosh extract act synergystically with formononetin to suppress excessive secretion of luteinizing hormone (LH). Sudden increases in LH secretion, which occur in response to declining estrogen levels, appear largely responsible for many symptoms associated with menopause, such as hot flashes, night sweats, insomnia, irritability, heart palpitations, and headaches.

Additionally, the concerted activity of formononetin and triterpenes appears to aid in the regulation of estrogen balance. As with other estrogenic compounds, the active constituents in Black Cohosh extract may have beneficial effects in the cardiovascular and skeletal systems of postmenopausal women. As such, Black Cohosh offers a safe and natural method of balancing fluctuating hormone levels and easing the resulting symptoms that can occur during menopause.

Black Cohosh extract capsules may be a beneficial for women with any Menopause Type®, but is most beneficial in women with estrogen deficiencies.

Menopause types® that may benefit significantly by using this herb include Menopause Types® 4, 5, 6, 10, 11 & 12.

Learn more about your menopause type®. . .

Please review pages 232 - 233 in "What's Your Menopause Type?" See below for a list of actions

and properties.

 

Actions: alterative, anodyne, anti-inflammatory, antihypercholesterolemic, antihypertensive,

antirheumatic, antispasmodic, antituberculotic, antitussive, astringent, bradycardic,

cardiac stimulant, diaphoretic, diuretic, emmenagogue, expectorant, luteinizing-hormone

suppression in menstrual disorders, muscular alterative, nervine, oxytocic, parasympathomimetic,

reproductive alterative, sedative, skeletal alterative, stomachic, uterine tonic, uterine stimulant,

uterine vasodilator, vasodilator

 

Traditional uses: amenorrhea, anorexia nervosa, anxiety, asthma, bites, breast pain, bronchitis,

cardiovascular disease, chorea, circulatory disorders, coughing spasms, menopausal depression,

diabetes mellitus, diarrhea, dropsy, epididymitis, epilepsy, fever, fibrositis, headache, hot flashes,

hypertension, hypothyroidism, hysteria, influenza, intercostal myalgia, leukorrhea, malaise,

malaria, mastitis, meningitis, menopausal symptoms, menstrual cramps, myalgia, nervous tension,

neuralgia, ophthalmia, orchialgia, orchitis, osteoarthritis, painful menstruation, pertussis, petit mal,

PMS, postpartum pain, prostatitis, rheumatism, rheumatoid arthritis, sciatica, sinusitis, snakebite,

sore throat, spermatorrhea, sprain, tendonitis, tinnitus aurium, tuberculosis, uterine cramps,

vaginitis, yellow fever

 

References:

Duker EM, Kopanski L, Jarry H, Wuttke W. Effects of extracts from Cimicifuga racemosa on gonadotropin release in menopausal women and ovariectomized rats. Planta Med 1991;57:420-4.

Ingram, D, Sanders, K, Kolybaba, M, et. al. Case-control study of phytoestrogens and breast cancer. Lancet 1997;350:990-994.

Lieberman S. A review of the effectiveness of Cimicifuga racemosa (black cohosh) for the symptoms of menopause. J Womens Health 1998;7:525-9.

Liske E. Therapeutic efficacy and safety of Cimicifuga racemosa for gynecologic disorders. Adv Ther 1998;15:45-53.

Ramsey LA, Ross BS, Fischer RG. Phytoestrogens and the management of menopause [In Process Citation]. Adv Nurse Pract 1999;7:26-30.

Seidl MM, Stewart DE. Alternative treatments for menopausal symptoms. Systematic review of scientific and lay literature [published

erratum appears in Can Fam Physician 1998 Aug;44:1598]. Can Fam Physician 1998;44:1299-308.

 

 

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