Black cohosh has commonly been used to treat symptoms of menopause, premenstrual syndrome (PMS), painful menstruation, acne, weakened bones (osteoporosis), and for starting labor in pregnant women. Black cohosh has also been tried for a lot of additional uses, such as anxiety, rheumatism, fever, sore throat, and cough, but it is not often used for these purposes these days. Some people also apply black cohosh directly on the skin. This is because there was some thought that black cohosh would improve the skin’s appearance. Similarly, people used black cohosh for other skin conditions such as acne, wart removal, and even the removal of moles, but this is seldom done anymore.