Evidence supporting the use of: Cohosh
For the health condition: PMS Type P

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Synopsis

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

Black Cohosh (Actaea racemosa, formerly Cimicifuga racemosa) has a long history of use in traditional herbal medicine, particularly within Native American and early North American herbalist practices. It has been employed primarily for women's reproductive health, including symptoms associated with menstruation and menopause. The use of black cohosh for PMS Type P (characterized by pain, such as cramps and backache) is based largely on its historical application as an "antispasmodic" and its reputation for alleviating menstrual discomfort. Early herbal texts and compendia cite black cohosh as beneficial for "rheumatic pains, neuralgia, and uterine cramps." However, its traditional use has been broader than PMS types specifically and often overlaps with general menstrual and menopausal complaints.

Scientific investigation into black cohosh has mainly focused on its effects on menopausal symptoms, with mixed results. There are few high-quality clinical studies that evaluate its efficacy specifically for PMS pain. Laboratory studies suggest possible anti-inflammatory and muscle relaxant effects, but direct clinical evidence for PMS Type P is lacking. The evidence rating of 2 reflects that while black cohosh is frequently mentioned in traditional contexts for menstrual pain, scientific validation specific to PMS Type P is limited. Its use for this indication remains based on historical precedent rather than robust clinical trials.

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