Cimicifuga racemosa (Black Cohosh) — Hermetica Encyclopedia
Herbs (Global Traditional) · Native American

Cimicifuga racemosa (Black Cohosh)

Provisional Strong Scorebotanical

Hermetica Superfood Encyclopedia

Evidence review status: unreviewed

Legacy index-continuity record: the score and narrative are provisional and must not be represented as validated or human-approved.

Review flags: AWAITING_SEMANTIC_VALIDATION

Provisional Summary

Black cohosh (Cimicifuga racemosa) contains triterpene glycosides that modulate hormonal activity through LH suppression and opioid receptor activation. This herb primarily targets menopausal symptoms, particularly hot flashes and mood disturbances.

Screened PMID Records
Reported Benefits
Pending
Synergy Review
At a Glance
CategoryHerbs (Global Traditional)
GroupNative American
Public Score StatusProvisional Strong
Primary Keywordblack cohosh benefits
Cimicifuga racemosa close-up macro showing natural texture and detail — rich in estrogenic, anti-inflammatory, analgesic
Cimicifuga racemosa (Black Cohosh) — botanical close-up

Origin & History

Cimicifuga racemosa growing in North America — natural habitat
Natural habitat

Black cohosh (Cimicifuga racemosa) is a perennial plant native to North America, belonging to the buttercup family. The medicinal portions are derived from the plant's roots and rhizomes, typically extracted using 70% ethanol or methanol and standardized to triterpene glycosides content.

Black cohosh has been used in Native American traditional medicine for centuries to treat women's health issues, particularly menopausal symptoms. The plant has a long history of use in North American herbalism, though specific details about traditional preparation methods are not documented in current research.Traditional Medicine

Research Narrative (Provisional)

The research dossier indicates a notable absence of specific human clinical trials, RCTs, or meta-analyses with PubMed PMIDs. While black cohosh is commonly studied for menopausal symptoms and some extracts have shown LH suppression in menopausal women and ovariectomized rats, the active constituents and mechanisms remain undetermined.

Preparation & Dosage

Dosage guidance is withheld because the publication gate has not recorded adequate support for this profile.

Nutritional Profile

Black Cohosh (Cimicifuga racemosa) rhizome and root contain negligible macronutrients in typical therapeutic doses (300–500 mg standardized extract). Primary bioactive compounds include: Triterpene glycosides (actein, 23-epi-26-deoxyactein, cimicifugoside) at approximately 2–3% dry weight concentration, standardized in commercial extracts to 2.5% triterpene glycosides calculated as 27-deoxyactein. Phenolic compounds include caffeic acid derivatives (fukinolic acid, cimicifugic acids A–H) at roughly 0.1–0.5% dry weight, and isoferulic acid. Flavonoids (formononetin historically reported but largely absent or trace-level in most chemotype analyses, <0.005%). Cycloartane-type triterpenes constitute the principal pharmacologically active fraction. Alkaloids include N-methylcytisine and related quinolizidine alkaloids at trace concentrations (<0.01%). Tannins and resins contribute to approximately 15–20% of crude rhizome extract by weight. Volatile oils present at <1% include salicylic acid precursors. Starch and polysaccharides represent the bulk non-active fraction (~40–50% crude rhizome). Bioavailability data is limited; triterpene glycosides undergo intestinal hydrolysis releasing aglycone forms (e.g., actein) which are preferentially absorbed; first-pass hepatic metabolism is significant. No clinically meaningful vitamin, mineral, or dietary fiber content is delivered at standard therapeutic doses.

Reported Mechanism (Provisional)

Mechanism of Action

Black cohosh's triterpene glycosides, particularly actein and cimicifugoside, suppress luteinizing hormone (LH) release from the anterior pituitary. The extract also binds to μ-opioid receptors in the brain, potentially modulating temperature regulation and pain perception. Additional anti-inflammatory effects occur through nitric oxide inhibition in microglial cells.

Clinical Narrative (Provisional)

Preliminary animal studies demonstrate LH suppression, while in-vitro research shows μ-opioid receptor binding activity. Limited human trials suggest modest improvements in hot flash frequency and intensity, though sample sizes remain small (typically 50-200 participants). Current evidence is primarily preclinical, with human studies showing mixed results and requiring larger, longer-duration trials for definitive conclusions.

Also Known As

Actaea racemosaBlack snakerootBugbaneRattleweedSquawrootMacrotysFairy candleRattle-top

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These statements have not been evaluated by the Food and Drug Administration. This content is for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease.
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