Black cohosh has a long history. It also has a modern evidence problem. Traditional tissue states that indicate use, time-limited application, safety boundaries, and the liver-safety frame that must accompany any discussion of this plant. People reach for it because hot flashes, night sweats, sleep disruption, irritability, and cycle changes can wear a person down fast. Black cohosh sounds gentler than hormone therapy. It’s sold today as “menopause support,” “hormone balance,