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Hawthorn is the oldest European medicinal herb. Its flowers, leaves and berries are highly valued, especially as remedies for heart ailments. This plant may offer additional benefits for people with high cholesterol, diabetes and anxiety. Read on to discover more about hawthorn and how to use it safely.
Hawthorns (Crataegus spp.) are thorny trees or shrubs with white flowers and red berries. Although the name “Hawthorn” originally referred to the common hawthorn (C. monogyna), it is now used for the entire genus and even for its relatives (Rhaphiolepis) [1+].
Hawthorns are native to Europe, North America and Asia. They belong to the same family as roses and many edible fruits such as apples, pears, plums and cherries (Rosaceae) .
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Hawthorn is the oldest known medicinal plant in Europe and its use was first documented 2,000 years ago. In European and American folk medicine it is used for [3+, 4+, 2]:
The German Commission E approved the use of hawthorn for mild heart failure in the 1980s. Hawthorn extracts are mainly obtained from common and English (C. laevigata) hawthorn, their hybrids and other European species [3+].
The extracts used in Europe and America are obtained from the berries, leaves and flowers. Berries must contain at least 1% procyanidins, while leaves and flowers need a minimum flavonoid content of 1.5% [1+].
In China, only berries and leaves are used. There are no requirements for the berries, but the leaves must contain at least 7% flavonoids and 0.05% hyperoside [1+].
Health Benefits Of Hawthorn Berry
The berries are also eaten fresh or used to make wine, jam, and candies in both China and Europe [1+].
Flavonoids are most concentrated in flowers. Berries are also rich in them, but the ripe ones less. The leaves are higher in vitexin and oligomeric proanthocyanidins [10, 11+].
Although not FDA approved, hawthorn extract is commercially available as a supplement, especially for heart disease. Regulations set production standards but do not guarantee that they are safe or effective. Talk to your doctor before using hawthorn to avoid unexpected interactions.
Although conventional therapies improve symptoms and reduce mortality, people with heart failure often have a reduced quality of life. Hawthorn can be combined with drugs and implantable devices to improve heart failure .
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Hawthorn extract (240-1,800 mg/day), both alone and as adjunctive therapy, improves mild heart failure according to two meta-analyses and 8 studies of over 4,000 people. It increased pumping power while reducing fatigue and shortness of breath [12, 13, 14, 15, 16, 17, 18, 19, 20, 21].
However, the extract did not improve heart failure symptoms in 2 studies of nearly 3,000 people who were also taking conventional medications; it only reduced the risk of sudden death. However, the dose may have been insufficient, as the majority of people involved had moderate to severe heart failure [22, 23].
Homeopathic remedies for hawthorn are also used, although they may not contain the active compounds. In one trial of over 200 people, homeopathic hawthorn (10-20 drops, 3 times/day) was as effective as conventional medicines. However, the study suffered from several shortcomings (lack of randomization and blinding, evaluation of subjective parameters and short follow-up) [24+].
Blood from the veins can stagnate in the legs in people with heart failure, leading to swelling. In 2 studies of over 1,000 people with heart failure, hawthorn extract (900 mg/day) reduced leg swelling [14, 15].
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In mice and cells, the extract reduced blood leakage from vessels by strengthening their inner lining [25, 26].
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High blood pressure is the most important risk factor for heart disease. Hawthorn extract (500-1, 200 mg/day) reduced blood pressure in 4 clinical trials of nearly 300 people [27+, 28, 29, 30, 18].
The extract also reduced blood pressure in rats and relaxed arteries in tissue studies [31, 32, 33, 34, 35].
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Orthostatic hypotension (literally, “right standing low pressure”) is a condition that causes a sudden drop in blood pressure after standing up quickly.
In Germany, a combination of hawthorn berries and camphor is commonly used to increase blood pressure in people who often suffer from orthostatic hypotension. This drug (5-80 drops/day) worked in 6 clinical trials of over 500 people, but its rapid onset of action suggests that camphor is responsible for the effect [36, 37, 38, 39, 40, 41].
Hawthorn is a time-tested natural remedy for mild heart problems, including heart failure and high blood pressure. It can be safely added to conventional medications and interventions. However, it is probably ineffective when used short-term or on its own in people with more severe heart disease.
However, note that hawthorn is not approved by the FDA for heart disease. You can try this herb if you and your doctor determine that it is suitable for improving your arthritis. Remember that taking hawthorn should never be done in place of what your doctor recommends or prescribes.
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A poor supply of blood and oxygen to the heart can be caused by a blockage in the blood vessels that feed the heart (coronary arteries). This eventually causes chest pain or angina [42+].
Cholesterol buildup in the arteries is the most common cause of chest pain. In a clinical trial of 80 people with chest pain, hawthorn extract (240 mg, 2x/day) combined with exercise prevented artery clogging .
Hawthorn tablets eased chest pain in a Chinese clinical trial of 46 people. However, we were unable to access study specifics to analyze [44+].
In animals and cells, hawthorn extract prevented high blood cholesterol, inflammation, free radical damage to LDL, and thickening of artery walls—all of which increase the risk of clogging [ 45 , 46 , 47 , 48 , 49 , 50 ].
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Coronary arteries can also become clogged by blood clots. Although hawthorn extract prevented platelet clotting in animals and test tubes, a high dose (2,400 mg/day) was ineffective in 16 human trials [51, 52, 53, 54, 55+].
Surgery to unclog the vessels can damage their inner walls, causing narrowing of the vessels. In rats, hawthorn extract prevented this side effect .
In the trial of