We investigated the effects of Cimicifuga racemosa (CR) plant extracts on the changes in levels of the cerebral monoamines norepinephrine (NE), dopamine (DA), and serotonin (5-HT), the respective metabolites 3-methoxy-4-hydroxyphenylglycol (MHPG), 3,4-dihydroxyphenylacetic acid (DOPAC), and 5-hydroxyindoleacetic acid (5-HIAA), and plasma corticosterone in mice subjected to acute immobilization stress. Single oral administration of the CR extract (1,000 mg/kg) significantly attenuated plasma corticosterone levels that had been increased as a result of enforced immobilization. Acute immobilization stress caused significant changes in the corresponding amine-to-metabolite ratios in the hypothalamus, hippocampus, and cortex; however, CR-extract treatment significantly attenuated the MHPG/NE change in the hypothalamus, and the 5-HIAA/5-HT changes in each region of the brain. Our results suggest that the CR extract interacts not only with the hypothalamic-pituitary-adrenal (HPA) axis but also with the sympathetic adrenomedullary (SAM) system under stress conditions. Thus the CR extract can alleviate acute stress responses by suppressing the changes of amine-to-metabolite ratio in brain.Cimicifuga racemosa (CR) is a member of the Ranunculaceae family that is indigenous to eastern North America, with a range that extends as far as south Florida. Dried CR rhizomes are known as black cohosh and have been widely used as herbal dietary supplements for almost five decades. Historically, Native American women ingested CR water extract for pain relief during menstruation and childbirth. In recent years, ethanolic and isopropanolic extracts of CR have been used for the treatment of general menopause symptoms including hot flushes, profuse sweating, irritability, and anxiety, and its popularity has grown among women hoping to avoid the potential toxicity of classical hormonereplacement therapy (2). We previously showed that CR extracts had antistress activities in mice in which plasma corticosterone and aspartate aminotransferase (AST) levels were increased as a result of enforced immobilization: a single oral administration of CR extract (1,000 mg/kg) significantly attenuated these increases (23). Previous studies have reported that acute immobilization stress not only elicits activation of the hypothalamic-pituitary-adrenal (HPA) axis but also affects the metabolism of monoamines such as norepinephrine (NE), dopamine (DA), and serotonin (5-HT) in the brain. And these amine-to-metabolite ratios are increased by acute immobilization stress. Furthermore, the relationships among NE, DA, and 5-HT play an important role in regulation of the sympathetic adrenomedullary (SAM) system under stress conditions (5,20,31). Several studies have reported that the neuronal activities of serotonergic and dopaminergic pathways innervating the striatum, hippocampus, hypo-