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Black Cohosh - Non-Timber Forest Products

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Stiehler, K. 1959. On the use of a standardized Cimicifuga extract in<br />

gynecology. Ärztliche Praxis. 11(26): 916-917.<br />

Concludes that black cohosh produces a normalizing effect by intervening<br />

with (without interfering with) hormonal mechanisms while still under<br />

pituitary control, in a study based on clinical observations of 53 patients.<br />

The author states that black cohosh was found useful for treating both<br />

premenopausal and menopausal symptoms and irregular menstruation with<br />

a shortened follicular phase in juveniles, but was not useful for menstrual<br />

disorders in general. A mild mood-enhancing effect was noted.<br />

Keywords: Case studies, medicinal uses, mood, physiological actions.<br />

Stoll, W. 1987. Phytotherapy influences atrophic vaginal epithelium.<br />

Therapeuticon. 1: 23-31. Abstract available at http://www.chiro.org/<br />

nutrition/ABSTRACTS/Phytotherapy_Influences_Atrophic.shtml. [Date<br />

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

Evaluates the effectiveness of black cohosh for treating symptoms of<br />

menopause. A double-blind study was conducted with 80 women for<br />

three months, comparing Remifemin ® and a low-dose estrogen treatment<br />

to a placebo. At the end of the study, women taking Remifemin ® showed<br />

significant improvement on the Kupperman Menopausal Index (measuring<br />

neurovegetative symptoms), the Hamilton Anxiety Scale (measuring<br />

psychological complaints), and proliferation of vaginal epithelium. The<br />

estrogen dose was too low for any significant results.<br />

Keywords: Assessment scales, clinical studies, medicinal uses, Remifemin ® .<br />

Stolze, H. 1982. An alternative to treat menopausal complaints.<br />

Gynakologe. 3: 14-16.<br />

Reviews objective evaluations by 131 general practitioners and<br />

gynecologists and subjective evaluations by 629 of their patients on<br />

the effectiveness of a black cohosh treatment (40 drops Remifemin ®<br />

liquid twice/day) for menopausal complaints, in an open, multi-center,<br />

retrospective study. Favorable results were achieved in 80 percent of cases<br />

after six to eight weeks of treatment, and included varying degrees of relief<br />

from neurovegetative symptoms such as hot flashes, sweating, headache,<br />

vertigo, heart palpitation, and tinnitus. Varying degrees of relief were also<br />

found from psychiatric symptoms such as nervousness and irritability, sleep<br />

disturbances, and depressive moods. Symptoms were completely removed<br />

in 49 percent of cases, and 37.8 percent experienced improvement (but not<br />

cessation) of symptoms. Seven percent of the cases experienced transient<br />

69

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