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Black Cohosh - Non-Timber Forest Products

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Borrelli, F.; Ernst, E. 2002. Cimicifuga racemosa: a systematic review of<br />

its clinical efficacy. European Journal of Clinical Pharmacology. 58:<br />

235-241.<br />

Reviews four randomized clinical trials on the use of black cohosh to treat<br />

menopausal symptoms in women, and summarizes in vitro and in vivo<br />

assays to determine the mechanism of action of the medicinal constituents<br />

in the rhizome. The randomized clinical trials yielded conflicting results:<br />

three studies showed that black cohosh significantly improved physical<br />

and psychological symptoms of menopause, though one of these studies<br />

also showed significant improvement in the placebo group. The fourth<br />

study showed no change in symptoms. The differing results may be due to<br />

variations in dosage, number of participants, and/or duration of the study.<br />

Early research on mice and rats indicated estrogenic effects; recent studies,<br />

however, have suggested a dopaminergic activity. Because earlier research<br />

did not use standardized extracts, estrogenic results may have been caused<br />

by contaminants.<br />

Keywords: Clinical studies, physiological actions, research reviews.<br />

Borrelli, F.; Izzo, A.A.; Ernst, E. 2003. Pharmacological effects of<br />

Cimicifuga racemosa. Life Sciences. 73(10): 1215-1229.<br />

Investigates the physiological actions of black cohosh by analyzing in<br />

vivo and in vitro experiments. Early studies suggested that black cohosh<br />

increased uterine weight and induced menstruation in ovariectomized<br />

rats by binding to estrogen receptors, reducing levels of luteinizing<br />

hormone. The chemical constituent believed to cause these phytoestrogenic<br />

effects was later identified as an adulterant not found in black cohosh<br />

roots and rhizomes. Current research using a standardized extract at<br />

recommended doses suggests that black cohosh reduces hot flashes through<br />

a dopaminergic effect on the brain. The effects of black cohosh on estrogensensitive<br />

cancer has not yet been determined; research has produced<br />

conflicting results.<br />

Keywords: Cancer, chemical constituents, clinical studies, hot flashes,<br />

luteinizing hormone, physiological actions, research reviews.<br />

Brücker, A. 1960. Essay on the phytotherapy of hormonal disorders in<br />

women. Medizinische Welt. 44: 2331-2333. Abstract available at http://<br />

www.chiro.org/nutrition/ABSTRACTS/Essay_on_the_Phytotherapy.<br />

shtml. [Date accessed: September 13, 2004].<br />

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