Do not use during pregnancy without the supervision of a qualified health care practitioner. Avoid if you have heart disease or high blood pressure.

Acrive Ingredients


United States

Blue Cohosh, United States, Wildcrafted

Caulophyllum thalictroides

Alkaloids, including the Lupin-type alkaloids Caulophylline, Methylcytosine, Anagyrine, Baptifoline and Magnoflorine. Saponins such as Caulosaponi, and Resin.
Blue cohosh is a member of the barberry family and is indigenous to North America. The root of the plant was widely used by Native Americans for various conditions of significance to women, which gave rise to alternative common names like squaw root and papoose root.

​The main active constituent in blue cohosh root is caulosaponin, a glycoside that occurs in this plant exclusively. Because this compound isn’t water soluble, black cohosh root is most commonly prepared as an alcohol-based tincture. However, aside from exerting potential estrogen-like effects, caulosaponin increases blood flow by causing blood vessels to constrict. Consult your physician before using this herb if you have a history of stroke, high blood pressure, diabetes or glaucoma.

Caulophyllum thalictroides, blue cohosh a species of Caulophyllum (family Berberidaceae), also called squaw root or papoose root, is a flowering plant in the Berberidaceae (barberry) family. It is a
medium-tall perennial with blue berry-like fruits and bluish-green foliage.

It is used as a medicinal herb by American Indians. Many Native
American tribes, and later European herbologists and mid-wives,
would use this herb in conjunction with other herbs and fluids for
abortive and contraceptive purposes.  Blue cohosh is a plant.
“Cohosh” is from the Algonquin Indian word meaning "rough," and
it refers to the appearance of the roots. The root is used to make
​medicine.Blue cohosh is used for stimulating the uterus and starting labor; startingmenstruation; stopping muscle spasms; as a laxative; and for treating colic, sore throat, cramps, hiccups, epilepsy, hysterics, inflammation of the uterus, and joint conditions.

​In foods, the roasted seeds of blue cohosh are used as a coffee substitute.

​Blue cohosh is considered to be one of the best herbs to bring on menstruation, and is one of the traditional herbs used to induce labor in natural childbirth. It contains the phytochemical calulopsponin which actively stimulates uterine contractions and promotes blood flow to the pelvic region.  Blue cohosh is generally used in combination with other herbs, often black cohosh, to treat menstrual disorders. The herb's powerful antispasmodic properties are helpful in relieving the menstrual cramps of a painful period. 

​The Iroquois used it to treat arthritis - research also suggests the plant possesses some anti-inflammatory and anti-rheumatic properties. 

Preparation Methods & Dosage :
​Blue cohosh can be prepared as a tea or a tincture. The brew is dark, bitter, but a powerful remedy for the woes of menopause, arthritis pain. Blue cohosh extract is widely available in capsule form.Safety Issues  / There are many serious safety concerns with blue cohosh. Some of the compounds found in blue cohosh, such as caulophyllosaponin, methylcytosine, and caulosaponin, appear to constrict coronary vessels, limiting blood flow to the heart and reducing its ability to pump.  One published case report documents profound heart failure in a child born to a mother who used blue cohosh to induce labor.  Severe medical consequences were seen in another child as well.   Other blue cohosh constituents are known to interfere with the ability of a newly fertilized ovum to implant in the uterus, damage the uterus and thyroid, and cause severe birth defects in cattle and laboratory rats.  Given these reports, the availability of safe alternatives for stimulating labor, and the lack of studies to document the herb's efficacy and safety, NAT strongly advises against using blue cohosh.


Part of Plant Used

Roots and Rhizome

Dried, powdered

Use in tea blends and infusions. May also be encapsulated as a dietary supplement.