Evidence supporting the use of: Black cohosh
For the body system: Uterus

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Synopsis

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

Black cohosh (Actaea racemosa) has a long history of use in Native American and Western herbal traditions, particularly as a remedy for women's reproductive health issues. Traditionally, it has been used for symptoms related to menopause, menstrual discomfort, and to "support" the uterus by easing cramps and promoting menstrual flow. The root was often prepared as a tea or tincture for these purposes.

However, the scientific evidence directly supporting black cohosh as a uterine tonic or for uterine health is limited. Most clinical studies have focused on its effects on menopausal symptoms such as hot flashes, with mixed results. There is little robust scientific research demonstrating a direct benefit for uterine function, tone, or health. The purported mechanism—mild estrogenic activity or interaction with serotonin receptors—remains controversial and not well understood in the context of uterine support.

In summary, the use of black cohosh to support the uterus is primarily based on traditional and historical practices, with limited scientific validation specifically for the uterus as a body system. Its main modern use is for menopausal symptom relief rather than direct uterine support.

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