Black Cohosh: A Powerhouse Herb to Use and Source Mindfully+ Recipe for Hot Flashes (2024)

Black cohosh (Actaea racemosa) is one of the top-selling herbal supplements in the United States. According to United Plant Savers (UpS), the harvest of black cohosh in our nation is as much as half-a-million pounds in dry weight per year—and 97% of that harvest is wild-sourced! This level of massive-scale wildharvesting has repercussions and raises concerns about the long-term sustainability of this powerhouse herb. Fortunately, unlike some of our other favorite forest-farmed botanicals, black cohosh is easy to cultivate. While this doesn’t address the immediate issue, it does give us hope for a bright future. Let’s take a deeper look at what we can do to support a sustainable future for black cohosh.

Black Cohosh: A Bit of Botany and a Little History

Black cohosh ranges along the East Coast of North America, from as far north as Ontario, Canada south to Georgia and Florida, and west to Indiana and Iowa. It loves the rich, moist soils in the understory of hardwood forests and can often be found on natural slopes and ravines. Black cohosh ranges in height from two to as much as eight feet. It is a dramatic summer bloomer, with big three-part, toothed leaves and tall florets of white flowers on long, towering stalks. To pollinate, it emits a strong, fetid aroma when it blooms, which is attractive to a wide variety of insects. This brings flying visitors who, unbeknownst to them, pick up pollen on their bodies and inadvertently deliver it to other black cohosh as they move from one plant to the next.

The plants reproduce by both seed and spreading roots. The seeds ripen in mid-summer in capsule-like pods. In the autumn, they will rattle in the pod when shaken, which is a sign that they are ready for harvest. However, they require a warm period (late summer and early fall) followed by a cold period (winter) to germinate.

Black cohosh has a long history of use, especially in the Appalachian Mountains, where First Nations Peoples like the Algonquians, Cherokee, and Iroquois used it for everything from snake bites and bee stings, to skin issues, throat and lung problems, backaches, arthritis, and rheumatism, as well as issues with menstruation and menopause. By the 19th century, physicians in North America and Europe were exploring black cohosh for menstrual cramps and arthritis. Today, it is often used in herbal blends to support menopausal symptoms, especially for hot flashes and night sweats.

Is Black Cohosh Endangered?

UpS has placed black cohosh on its “At-Risk” list. In general, this means a plant may be doing okay in some areas of its natural range while being over-harvested in others. Specific to black cohosh, it is still considered abundant in some areas of the central and southern Appalachians.However, it is critically imperiled in Mississippi, Massachusetts, and Illinois, where it is listed by state agencies as an endangered species. It has also been identified as a priority for conservation by the American Herbal Products Association, the U.S. Forest Service, and the U.S. Fish and Wildlife Service because of overall population declines.

Some of the issues for black cohosh have to do with general habitat degradation in the eastern forests, but the overwhelming problem is the sheer amount of continuous wildharvesting for the herbal and medicinal plants industries. According to Nature Serve Explorer, which classifies black cohosh as “vulnerable,” products derived from the dried roots and rhizomes generate over 35 million dollars annually in retail sales. At this time, there are no significant sources of cultivated black cohosh, so the demand for this herbal ally falls almost entirely on the wild population.

There is also another issue that is worth noting in regard to wild-harvested black cohosh. Several plant species are easily mistaken for black cohosh, and wildharvesters inadvertently harvest and sell the wrong plant. Once harvested, it is almost impossible to see a difference in the roots and rhizomes. Responsible herbal companies must authenticate their black cohosh products through lab testing. At Mountain Rose Herbs, our Quality Control Lab has a robust identification program that serves as a model for others in the herbal industry. We test our botanicals using a variety of macroscopic, microscopic, and state-of-the-art High Performance Thin-Layer Chromatography testing to ensure authenticity. But some companies do not have adequate quality control programs to detect adulterants, and this creates a health risk as supplements may be cross-contaminated with other species. DNA sequencing used to analyze black cohosh supplements found that three out of seven capsules tested did not contain any black cohosh DNA, one supplement instead contained Actaea brachycarpa (a species native to China), and another contained only rice DNA.

Take Action to Help Black Cohosh

Ultimately, the path to a happy, sustainable future for black cohosh lies in organic cultivation. With this in mind, UpS launched their Forest Grown Verified Program (FGV) to support forest farmers and create a third-party verification process for non-timber forest-grown products that are produced and harvested in a sustainable and legal manner.” The FGV program provides important growing and life cycle information on five plants: cohosh, ginseng, goldenseal, bloodroot, and ramps, and they hope to expand the program to other native forest herbs, including Solomon’s seal and wild yam.

Until cultivation becomes the norm, however, there is not enough cultivated black cohosh to meet demand and we continue to rely on wildharvesting. Therefore, it is imperative that we support sustainable wildharvesting. FGV certification is ideal, but not always possible at this time. So it is up to the consumer (that’s you and me) to pay attention to what we purchase. Take a few minutes to find out where and how your cohosh was harvested so you can rest assured that you are purchasing only sustainably harvested roots. At Mountain Rose Herbs, we purchase black cohosh that is sustainably harvested on private land and our herbal extract is made from FGV certified roots.

All of that said, the very best way to ensure you are supporting the future of healthy, sustainable black cohosh is to grow your own and/or support community growers! Black cohosh can be grown from either seeds or rhizome cuttings. It requires well-drained, moist soil and prefers full or partial shade, particularly the shade of hardwood trees, so it can often be successfully grown in raised beds in the woods (this is “woods cultivated” cohosh) or in raised beds under an artificial shade cover (this is called “shade grown”). You must make sure to add goodly amounts of compost and/or other organic material and it prefers a pH of 5-6. If you have a larger piece of wooded land in the right region, black cohosh can also be grown in a lower density, low-input method that mimics how it naturally grows in the wild (referred to as “wild simulated”). With enough moisture, it will tolerate more light and soil variations than some other forest-grown botanicals like ginseng or goldenseal.

We sell black cohosh seeds from our friends at Strictly Medicinal Seeds, and you can also purchase live black cohosh roots directly from them. However, we suggest you first look locally for roots or seeds from your area; these may have a distinct advantage over options ordered from other bioregions. You can learn more about growing black cohosh at the Forest Farming Community and UpS websites.

Black cohosh is a remarkable, resilient botanical that needs immediate attention in order to thrive across its traditional range. We know the answer is cultivation, but it’s going to take time and consumer demand for organic, cultivated options. We all have the power to impact the future of black cohosh.

Rosemary Gladstar’s Hot Flash Relief Tincture

Rosemary Gladstar's books are always a source of inspiration and this recipe for hot flash relief from her book Herbal Recipes for Vibrant Health.

Ingredients

  • 2 parts cultivated or sustainably harvested organic black cohosh
  • 2 parts organic motherwort
  • 2 parts organic sage leaf
  • 1 part organic blue vervain
  • 1 part organic vitex berries
  • 80-100 proof organic vodka, gin, or brandy

Simpler’s or “Folk” Method Directions

  1. Choose a sterilized, dry jar that is just large enough to hold all ingredients and enough alcohol to cover by 2-3 inches above herbs. Herbs may swell in size and must be completely submerged without a lot of airspace in the jar above the alcohol.
  2. Put herbs in jar by parts to fill about 1/2 - 3/4 full.
  3. Pour in alcohol to the neck of the jar to cover plants completely. You will want the alcohol to be 2-3 inches above the herbs.
  4. Cover with an airtight non-metal lid or place a piece of wax paper over the jar top if using a metal lid to keep alcohol from coming in contact with metal.
  5. Label jar with ingredients, alcohol used, and date.
  6. Store in dark, cool area and shake daily for 6-8 weeks.
  7. Strain tincture through fine cheesecloth. Squeeze to get all the herbal goodness from the herbs.
  8. Bottle in cobalt or amber bottles for long-term storage.
  9. Label bottles with ingredients, including alcohol used, and date.

Pro Tips:

  • For more information about making tincutres, see our How to Make Herbal Tinctures blog.
  • If you do not consume alcohol, this blend can also be made as an infusion.
  • If you cannot find cultivated or sustainably harvested organic black cohosh, Rosemary recommends eliminating the black cohosh from this blend and doubling the organic vitex berries (2 parts instead of 1 part).
  • This hot flash tincture blend can also be made with premade tinctures. Simply add each of the extracts in the ratios listed above. Mountain Rose Herbs also offers a house-made blend that has many of the same ingredients.

*You will notice that Mountain Rose Herbs is sometimes out of stock of black cohosh. This is a result of our unwavering commitment to only sourcing through sustainable methods. People, plants, and planet will always come before profit to us, and sometimes that means that certain precious botanicals will be out of stock until we can consciously and sustainable offer them.

Want to Learn More About Forest Farming?

You may also enjoy:

  • A Forest Grown Future for Pennsylvania's Precious Ginseng
  • Endangered White Sage: Procuring Organic Cultivated Salvia Apiana
  • Trillium: An Age-Old Ally That Needs our Help

Black Cohosh: A Powerhouse Herb to Use and Source Mindfully+ Recipe for Hot Flashes (5)

Black Cohosh: A Powerhouse Herb to Use and Source Mindfully+ Recipe for Hot Flashes (2024)

FAQs

How do you use black cohosh for hot flashes? ›

For black cohosh tincture, that equals 2 to 4 ml, 1 to 3 times per day in water or tea. Two capsules or tablets typically provide the recommended daily dose. Although used traditionally, teas may not be as effective in relieving menopausal symptoms as the standardized extract of black cohosh.

How fast does black cohosh work for hot flashes? ›

In a 2018 study of 80 menopausal women who were experiencing hot flashes, those who supplemented with 20 milligrams (mg) of black cohosh daily for 8 weeks reported significantly fewer and less severe hot flashes than before they started the supplement.

Who should avoid black cohosh? ›

Black cohosh may not be safe for: Women who are pregnant (although it is sometimes used to induce labor) Women who have -- or have had -- breast cancer or uterine cancer.

What does black cohosh do to the female body? ›

Today, black cohosh is most commonly used for menopausal symptoms, including hot flashes (also called hot flushes) and night sweats (together known as vasomotor symptoms), vagin*l dryness, heart palpitations, tinnitus, vertigo, sleep disturbances, nervousness, and irritability [5,6].

What should you not take with black cohosh? ›

What Other Drugs Interact with Black Cohosh ?
  • Black Cohosh has no known severe interactions with other drugs.
  • Serious interactions of black cohosh include: daclizumab.
  • Black Cohosh has no known moderate interactions with other drugs.
  • Mild interactions of black cohosh include: nevirapine. tamoxifen. tenofovir DF. zidovudine.

Should I take black cohosh in the morning or at night? ›

Black cohosh dietary supplements are made from the plant's roots and underground stems. They are generally sold as pills, powders, teas, and liquid extracts. Black cohosh can generally be consumed at any time of the day. Some studies report improvements in symptoms after taking black cohosh for two to three months.

Can you lose weight taking black cohosh? ›

Black cohosh is not traditionally used as a weight loss herb, and there is little research supporting its use. However, a few small studies suggest that it could help regulate appetite and support estrogen-related weight gain.

How to stop hot flashes fast? ›

Lifestyle changes to improve hot flashes
  1. Dress in layers that can be removed at the start of a hot flash.
  2. Carry a portable fan to use when a hot flash strikes.
  3. Avoid alcohol, spicy foods, and caffeine. ...
  4. If you smoke, try to quit, not only for hot flashes, but for your overall health.
  5. Try to maintain a healthy weight.
Sep 30, 2021

Which is better for hot flashes, evening primrose or black cohosh? ›

Both herbs were effective in reduction of severity of hot flashes and improvement of the quality of life, but it seems that black cohosh is more effective than primrose oil because it was able to reduce the number of hot flashes too.

What is the best over the counter medicine for hot flashes? ›

Dietary supplements commonly considered for menopause symptoms include:
  • Plant estrogens. ...
  • Black cohosh. ...
  • Ginseng. ...
  • Dong quai. ...
  • Vitamin E. Taking a vitamin E supplement might offer some relief from mild hot flashes.

Does black cohosh raise BP? ›

Side Effects of Black Cohosh

Black cohosh may also cause dizziness, excessive sweating, and, in high doses, low blood pressure. Because a few people have developed liver problems, the U.S. Pharmacopeia (USP) has recommended that black cohosh products be labeled with a warning that they may be toxic to the liver.

Does black cohosh raise estrogen levels? ›

In some parts of the body, black cohosh might increase the effects of estrogen. In other parts of the body, black cohosh might decrease the effects of estrogen. Black cohosh should not be thought of as an “herbal estrogen” or a substitute for estrogen.

How quickly does black cohosh work? ›

How long does it take for black cohosh supplements to work? Studies indicate that women begin to experience symptom relief four weeks after starting black cohosh supplements. Eight weeks showed even more noticeable benefits (Mohammad-Alizadeh-Charandabi, 2013; Mehrpooya, 2018).

How much black cohosh should I take to stop hot flashes? ›

Based on clinical use of commercial products, the current recommended black cohosh dose for management of symptoms of menopause is 40 to 80 mg/day, often in divided doses. Therapeutic effects generally begin after 2 weeks of treatment, with maximum effects usually occurring within 8 weeks.

What herb is good for hot flashes? ›

Black Cohosh. The herb has been used to treat hot flashes and other menopausal symptoms for many years without permanent effects on estrogen receptors (20, 21). Terpene glycosides are the active compounds found in the plant roots.

Why can you only take black cohosh for 6 months? ›

Most studies have used black cohosh for less than 6 months, so we don't know about its long-term effects. We need more research to find out, and to be sure it's safe to have. Common side effects are stomach pain, feeling or being sick, or skin rashes.

Is black cohosh or evening primrose oil better for hot flashes? ›

Both herbs were effective in reduction of severity of hot flashes and improvement of the quality of life, but it seems that black cohosh is more effective than primrose oil because it was able to reduce the number of hot flashes too.

Does black cohosh like sun or shade? ›

Cultivation Practices. Black cohosh prefers a rich, moist, soil that is high in organic matter. In its natural habitat, it is usually found in shaded or partially shaded areas, although it will grow in full sun.

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