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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).