Herbal treatments can help quiet perimenopausal symptoms, such as night sweats, successfully. However, given the prevalence of xenoestrogens and their increased effects in menopausal women, treatment of night sweats also should include a nutritional component and adaptogens to help women cope with the hormonal changes that are experienced. Actaea racemosa (also known as Cimicifuga racemosa, black cohosh) root, Angelica sinensis (dong quai) root, Verbena spp. (vervain) herb, Melissa officinalis (lemon balm) herb, Salvia spp. (sage) herb, Lycopus spp. (bugleweed) herb, Schisandra chinensis (schisandra) berry, Withania somnifera (ashwagandha) root, Panax quinquefolius (American ginseng) root, and Astragalus membranaceus (astragalus) root all have roles to play in the treatment of perimenopausal night sweats.