Evidence supporting the use of: Black cohosh
For the health condition: PMS Type D

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Black cohosh (Actaea racemosa, formerly Cimicifuga racemosa) is an herb native to North America, traditionally used by Native Americans and later by European settlers for a variety of women's health concerns, including menstrual irregularities and menopausal symptoms. PMS Type D is characterized by symptoms such as depression, mood swings, and emotional disturbances during the premenstrual phase. The traditional use of black cohosh has focused more on alleviating menopausal symptoms (such as hot flashes and mood changes) and general menstrual discomfort, rather than specifically targeting PMS Type D. However, because of its reputed effects on mood and hormonal balance, black cohosh has sometimes been used as a folk remedy for premenstrual mood disturbances. Scientific evidence supporting its effectiveness for PMS, and specifically PMS Type D, is limited. Most clinical studies have evaluated black cohosh for menopausal symptoms, with mixed results. Only a few small trials and anecdotal reports suggest potential benefit for general premenstrual symptoms, and these are often of low quality or lack controls. There are no robust, well-designed clinical trials that demonstrate significant benefit for PMS Type D specifically. The herb is believed to exert mild estrogenic or serotonergic effects, which might theoretically influence mood, but this has not been conclusively established in the context of PMS. Therefore, its use for PMS Type D is based primarily on tradition and extrapolation rather than solid scientific validation.

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