Hawthorn Berry (Crataegus monogyna)

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Medicinal Profile of

Hawthorn Berry

(Crataegus monogyna)

Hawthorn Berry (Crataegus monogyn), from the flowering hawthorn tree, has been treasured in European, Chinese, and Native American traditions as a heart-strengthening remedy. Often called a “cardiac tonic,” it gently supports circulation, strengthens the heart muscle, and balances blood pressure over time. Unlike acute stimulants, hawthorn works slowly and deeply, making it a terrain-rebuilding ally for hypofunctional or weakened cardiovascular states. Its rich flavonoids and oligomeric procyanidins also provide antioxidant and vascular-protective benefits.

  • 👉 Tastes describe the initial impression a herb leaves on the tongue, and they reveal its deeper actions in the body, shaping digestion, circulation, and tissue response.

    Sweet – Nourishing and building; promotes tissue strength, stability, and energy.

    Sour – Digestive stimulant; mildly heating and awakening; enhances circulation and appetite.

    Bitter – Clearing and detoxifying; reduces excess heat and stagnation; stimulates digestion in a cooling way.

    Astringent – Drying and tightening; tones tissues, reduces excess moisture, and creates firmness.

  • 👉Qualities describe the felt nature of a substance or practice, and how it acts in the body beyond nutrients or chemistry.

    In medicinal/therapeutic doses:

    Drying – Reduces excess fluids or dampness.

    Circulating – Increases warmth, stimulates circulation and metabolism.

    Light – Easy to digest, uplifts, reduces heaviness.

    Liquefying – Loosens stagnation, thins mucus, improves flow.

    In food-like doses, hawthorn feels nourishing and moistening (sweet aspect) → gently restorative, tissue-building, and harmonizing.

  • 👉 Terrain patterns describe the body’s functional state, showing when a herb is most helpful or aggravating, while affinities identify the organ systems or tissues where its actions are most directly felt.
    👉 To learn more about these patterns in depth, read this blog.

    Hypofunction (Primary Indicated Terrain Pattern) – Low energy, slowed metabolism, weak digestion or immunity.

    Cardiovascular System (Affinity)Terrain-rebuilding: strengthens heart muscle, improves circulation, enhances resilience.

    Nervous System (Affinity)Supportive: calms tension-related palpitations, soothes nervous heart.

    Warranted: Berry decoction, syrup, or capsule. Dose: 3–5 g dried berry daily as decoction or in capsules; syrup 1–2 tsp daily.

    ———————————————————

    Fluid Congestion and Stagnation (Secondary Indicated Terrain Pattern) – Accumulation of dampness, mucus, or waste causing heaviness, swelling, or blockage.

    Cardiovascular System (Affinity)Terrain-rebuilding: improves venous return, balances blood pressure.

    Renal System (Affinity) – Supportive: aids in relieving fluid stagnation when linked to weak heart function.


    Warranted: Long-term daily use as tea, decoction, or capsule. Dose: 2–3 g dried berry daily.

  • 👉 Nutritional values give the measurable nutrients that a food contributes to the diet.

    (per 100 g fresh berry)

    Calories: ~80 kcal, Carbohydrates: ~20 g, Dietary fiber: ~3 g, Vitamin C: ~18–20 mg, B-vitamins: trace amounts (B2, B3, B6), Minerals: calcium (~20 mg), iron (~1 mg), magnesium (~13 mg), potassium (~120 mg).

  • Tea / decoction – Dried berries simmered gently.

    Syrup – Classic cardiovascular tonic preparation.

    Capsules / tablets – Standardized extracts for long-term use.

    Tincture – Berry extract for convenience; often combined with leaf and flower.

  • 👉 Medicinal actions describe the specific ways a food influences organ systems and body functions.

    Cardiovascular System

    Cardiotonic – Strengthens and nourishes the heart muscle.

    Vasodilator – Improves blood flow, reduces vascular resistance.

    Hypotensive (gentle) – Helps regulate high blood pressure.

    Antioxidant – Protects vascular tissue from oxidative damage.

    Antiarrhythmic (mild) – Stabilizes irregular heartbeats.

    Nervous System

    Nervine supportive – Calms anxiety linked to heart palpitations.

    Adaptogenic (mild) – Supports resilience under stress.

    Digestive & Metabolic Systems

    Hypolipidemic – May reduce cholesterol and triglycerides.

    Digestive tonic – Traditionally used for sluggish digestion.

  • 👉 Constituents are the natural compounds in a food that give rise to its actions in the body.

    Flavonoids (vitexin, hyperoside, rutin) – Antioxidant, vasodilatory.

    Oligomeric procyanidins (OPCs) – Cardioprotective, vessel-strengthening.

    Phenolic acids – Anti-inflammatory, antioxidant.

    Triterpenes – Supportive in vascular integrity.

    Pectin – Gentle digestive support.

  • Second Degree – Gentle but systemic, requires consistent use over time for best results.

  • Cardiac glycosides (digoxin) – May potentiate effects.

    Beta-blockers, ACE inhibitors, diuretics – May enhance or alter action.

    Antihypertensives – Additive effect on lowering blood pressure.

  • Generally safe – Well tolerated with long-term use.

    Children – Safe in food-like doses.

    Pregnancy & breastfeeding – Limited safety data; best avoided in concentrated extract form.

    Heart medications – Should be monitored by a practitioner to avoid overlap.

  • Traditional Sources

    European folk medicine – Long used as a “heart berry” and circulatory tonic.

    Chinese medicine – Shan Zha (Crataegus pinnatifida) used for digestion and circulation.

    Modern Sources

    Tadi, P. P., et al. (2018). “Hawthorn (Crataegus spp.): Cardiovascular health benefits.” Planta Medica, 84(1), 12–26.

    Walker, A. F., et al. (2002). “Hypotensive effects of hawthorn for hypertension: a randomized controlled trial.” Phytotherapy Research, 16(1), 48–54.

    USDA FoodData Central (2024). Nutrient data for hawthorn berries.

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