The root of Black Cohosh plant have relieving effect in menstrual cramp and also effective in symptoms related to menopause including hot flash sleep problem, inimitability and swinging of mood. Above mention benefit observe by Native Americans. More than two centuries ago Black Cohosh also plays their beneficial role in relieving of physical and behavioral symptom in menopausal condition. It also decreases the ‘apprehension’ and also shows beneficial effect in relief hot flashes. Black Cohosh ability to reduce the number and intensity of hot flashes. It can be utilized in long standing problem of female breast. It also has beneficial effect in soreness of Joints. The presence of ‘estrogen’ in black cohosh provides some beneficial effect in bone erosion.