Black cohosh, eyaziwa ngokuba yingcambu yenyoka emnyama okanye ingcambu ye-rattlesnake, izalelwa eMntla Melika kwaye inembali ende yokusetyenziswa eUnited States. Ngaphezulu kweenkulungwane ezimbini, abantu bomthonyama baseMelika baye bafumanisa ukuba iingcambu ze-black cohosh zinceda ukukhulula iintlungu zokuya exesheni kunye neempawu ze-menopausal, kuquka i-flusher eshushu, ixhala, ukuguquka kwemizwelo kunye nokuphazamiseka kokulala. Ingcambu ye-hemp emnyama isasetyenziselwa ezi njongo namhlanje.

Isithako esisebenzayo sengcambu yi-terpene glycoside, kwaye ingcambu iqulethe ezinye izithako ze-bioactive, kuquka i-alkaloids, i-flavonoids kunye ne-tannic acid. I-Black cohosh inokuvelisa imiphumo efana ne-estrogen kwaye ilawule ukulinganisela kwe-endocrine, enokunceda ukukhulula iimpawu zokuyeka ukuya exesheni ezifana nokulala, ukukhanya okutshisa, intlungu emva kunye nokulahlekelwa yimvakalelo.

Okwangoku, ukusetyenziswa okuphambili kwesicatshulwa esimnyama se-cohosh kukukhulula iimpawu ze-perimenopausal. Izikhokelo zeAmerican College of Obstetricians kunye neGynecologists malunga nokusetyenziswa kwamayeza esintu kwiimpawu ze-perimenopausal zithi anokusetyenziswa ukuya kutsho kwiinyanga ezintandathu, ngakumbi ukuthomalalisa ukuphazamiseka kokulala, ukuphazamiseka kweemvakalelo kunye nobushushu obutshisayo.

Njengamanye ama-phytoestrogens, kukho iinkxalabo malunga nokhuseleko lwe-black cohosh kubasetyhini abanembali okanye imbali yentsapho yomhlaza webele. Nangona uphando olungakumbi lufunekayo, uphando oluthile lwe-histological ukuza kuthi ga ngoku lubonise ukuba i-black cohosh ayinayo i-estrogen-stimulating effect kwi-estrogen-receptor positive iiseli zomhlaza webele, kwaye i-cohosh emnyama ifunyenwe ukwandisa i-antitumor effect ye-tamoxifen.

Isicatshulwa esimnyama se-cohoshIkwasetyenziselwa ukunyanga ukuphazamiseka kwemithambo-luvo ebangelwa kukuyeka ukuya exesheni, kwaye inefuthe elihle kwiingxaki zokuzala kwabasetyhini ezifana ne-amenorrhea, iimpawu zokuyeka ukuya exesheni ezinjengobuthathaka, ukudakumba, ukugungxula okushushu, ukungazali okanye ukuzala. Ikwasetyenziselwa ukunyanga ezi zifo zilandelayo: i-angina pectoris, i-hypertension, i-arthritis, i-asthma ye-bronchial, i-snakebite, i-cholera, i-convulsions, i-dyspepsia, i-gonorrhea, i-asthma kunye nokhohlokhohlo olungapheliyo njengokhohlokhohlo, umhlaza kunye nesibindi kunye neengxaki zezintso.

Black cohoshayifumanekanga ukusebenzisana namanye amachiza ngaphandle kwe-tamoxifen. Esona siphumo sixhaphakileyo esifunyenwe kwizilingo zeklinikhi yayikungakhululeki kwesisu. Kwidosi ephezulu, i-black cohosh inokubangela isiyezi, intloko ebuhlungu, isicaphucaphu kunye nokuhlanza. Ukongezelela, abafazi abakhulelweyo akufanele basebenzise i-cohosh emnyama kuba inokuvuselela ukutyunjwa kwe-uterine.