An increase in life expectancy creates prerequisites for the appearance of more patients with cognitive impairments. Early diagnosis, treatment and rehabilitation of cognitive disorders improves the quality of life of patients, prevents the development of dementia, and is of great social importance. Herbal medicines are highly effective in the treatment of mild and moderate cognitive impairment, affect various links of pathogenesis, have minor side effects. The most effective of them are: galantamine from snowdrop tubers; hyperzine from sawtooth grass; ginkgo two-lobed flavanoids; biologically active substances of medicinal sage and periwinkle.