The fresh or dried roots and underground stems are commonly used to treat a wide range of
ailments like rheumatism, arthritis and muscle pain. It is also a traditional remedy for
menstrual irregularities, premenstrual syndrome and gynecological conditions like menopausal
symptoms (hot flashes, palpitations, night sweats, vaginal dryness, and other symptoms that can
occur during menopause). The stems and roots of the black cohosh are made into strong infusions
(teas), capsules, solid extracts used in pills, or tinctures (liquid extracts).