Cimicifuga plays a very important part in the therapeutics of gynecology. It is a remedy for atony of the reproductive tract. In the painful conditions incident to imperfect menstruation, its remedial action is fully displayed. By its special affinity for the female reproductive organs, it is an efficient agent for the restoration of suppressed menses. It is even a better remedy in that variety of amenorrhoea termed "absentio mesium". In dysmenorrhoea it is surpassed by no other drug, being of greatest utility in irritate and congestive conditions of the uterus and appendages, characterized by tensive, dragging pains, resembling the pains of rheumatism. If the patient be despondent and chilly, combineCimicifuga with Pulsatilla, especially in anemic subjects. It is a good remedy for the reflex "side-aches" of the unmarred woman; also for mastitis and mastodynia. It should be remembered in rheumatism of the uterus, and in uterine leucorrhoea, with a flabby condition of the viscus, its effects are decided. When there is a disordered action or lack of functional power in the uterus, giving rise to sterility, Cimicifugaoften corrects the impaired condition and cures. Reflex mammary pains during gestation are met by it, and in rheumatic subjects it promptly relieves such ovarian troubles as ovarialgia and neuralgia, the pain being of an aching character. Orchialgia and aching sensations of theprostate are conditions calling for Cimicifuga, and as a tonic it is not without good effects in spermatorrhoea.

Cimicifuga has proved a better agent in obstetrical practice than ergot. It produces natural intermittent uterine contractions, whereas ergot produces constant contractions, thereby endangering the life of the child, or rupture of the uterus. Where the pains are inefficient, feeble, or irregular, Cimicifuga will stimulate to normal action. It is an excellent"partus praeparator" if given for several weeks before confinement. It is a diagnostic agent to differentiate between spurious and true labor pains, the latter being increased, while the former are dissipated under its use. It is the best and safest agent known for the relief of after-pains, and is effectual in allaying the general excitement of the nervous system after labor.

Cimicifuga exerts, a powerful influence over the nervous system, and has long been favorably known as a remedy for chorea. It may be used alone or with Valeriana, equal parts. It is, particularly useful here when associated with amenorrhoea, or when the menstrual function fails to act for the first time. Its action is slow, but its effects, are permanent. It has been used successfully as an antispasmodic in hysteria, epilepsy when due to menstrual failures, asthma and kindred affections, periodical convulsions, nervous excitability, pertussis, delirium tremens and many other spasmodic affections.

For headache, whether congestive or from cold, neuralgia, dysmenorrhoea, or from la grippe, it is promptly curative. As a palliative agent in phthisispulmonalis, good results are obtained, in that it lessens cough, soothes the pain, especially the "aching" under the scapulae, lessens secretions and allays nervous irritability. Fevers, intermittent and remittent have been benefited by it; well-marked antiperiodic and tonic virtues having been observed in the drug. In the exanthemata, it is a valuable agent, controlling pain, especially the terrible "bone aches" of smallpox, rendering the disease much milder. Inscarlatina and measles, it relieves the headache and the backache preceding the eruptions. It is stated that it has been used in the south with some success as a prophylactic against variola. Cimicifuga exerts a tonic influence over both the serous and mucous tissues of the system, and will be found a superior remedy in the majority of chronic diseases of these parts. In all cases where acidity of the stomach is present, this should first be removed, or some mild alkaline preparation be administered in conjunction with the remedy, before any beneficial change will ensue. As a remedy for pain, Cimicifuga is a very prompt agent, often relieving in a few hours, painful conditions that have existed for a long time