HerbMate

Herb comparison

Blue Cohosh (Caulophyllum thalictroides) vs Squaw Vine (Mitchella repens)

Both plants are listed as traditional remedies for 1 of the same condition, which is why they are easy to confuse. Their descriptions and full safety notes are below, free.

Blue Cohosh (Caulophyllum thalictroides) plant

Blue Cohosh (Caulophyllum thalictroides)

Squaw Vine (Mitchella repens) plant

Squaw Vine (Mitchella repens)

Blue Cohosh (Caulophyllum thalictroides) is restricted

Preparation amounts are not shown for this herb. It is toxic, restricted, or otherwise unsafe to self-dose - the margin between a traditional dose and a harmful one is too small to publish as reference material. If you are considering it, that conversation belongs with a doctor or a qualified practitioner, not a website.

About
Blue cohosh is an upright perennial herb reaching 3 feet in height, with large three-lobed leaves, yellow to purple flowers, and striking blue berries. It grows wild in much of eastern North America from Manitoba to Alabama, preferring woodland valleys and damp, north-facing slopes. The name 'cohosh' comes from the Algonquin language, and the plant was a popular remedy among many Native American tribes.
Squaw vine is an evergreen herb that grows up to 1 foot tall, forming mats on the ground. It has rounded shiny leaves, fragrant white flowers on flowering stems, and produces small bright red berries. The plant grows in dry woodland sites in the eastern and central United States.
Safety & precautions
Use only under professional supervision. Do not take during pregnancy or while trying to conceive, as it stimulates uterine contractions and could induce miscarriage. Avoid during heavy menstrual bleeding. NCCIH says the use of blue cohosh to induce labor has been associated with life-threatening complications in the infant, including seizures, and that blue cohosh may cause high blood pressure, high blood sugar and chest pain. The plant can be toxic and can cause contact dermatitis. Not recommended while breastfeeding.
Do not take during pregnancy except under the care of a qualified professional.

Safety text above is printed in full and is never abbreviated. For each plant’s complete precautions, drug and food interactions and preparation notes, open its own page - both are free.

Conditions that list both