Black Cohosh (Actaea racemosa)

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Black Cohosh

黑升麻 (Hēi Shēng Má) · Actaea racemosa

A North American herb primarily used for menopausal symptoms — hot flashes, night sweats, and mood disturbances. One of the most studied herbs for women's health.

Evidence Score
7/10
Good Evidence
Safety
Use with caution

Good For

Key Benefits

May support hormonal balance

Traditionally used for menstrual health and reproductive wellness

How to Take

Typical dose: Follow product label directions. Typical range: 500-1500mg daily as standardized extract
Forms: capsule, powder, tea/decoction
Timing: Take with food unless otherwise directed. Allow 2-4 weeks for full effects with tonic herbs
Start with lower doses and increase gradually. Quality and standardization vary between brands.

Safety & Interactions

Possible Side Effects

  • Digestive discomfort at higher doses
  • May cause drowsiness or stimulation depending on the herb
  • Allergic reactions possible in sensitive individuals

Do Not Use If

  • Pregnancy and breastfeeding (insufficient safety data)
  • Children under 12 without professional guidance
  • Scheduled surgery (stop 2 weeks before)

Drug Interactions

  • May interact with prescription medications
  • May affect blood sugar or blood pressure medications
  • Consult pharmacist before combining with other supplements

Traditional Use

In Traditional Chinese Medicine, 黑升麻 (Hēi Shēng Má) has been used for centuries. It nourishes blood and supports the liver's role in regulating menstruation according to TCM theory.

Modern Research

Moderate research exists for this herb, including some clinical trials and substantial preclinical data. While not as extensively studied as top-tier herbs, the evidence supports several traditional uses. More human trials would strengthen the evidence base.

View all studies on PubMed for Actaea racemosa

Where to Buy

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