Supplement

Chinese Hawthorn

Chinese Hawthorn

Evidence TierCWADA NOT PROHIBITED

tuneTypical Dose

250-500 mg twice daily (500-1,000 mg/day total)

watchEffect Window

Start with 2-12 weeks for most practical outcomes.

check_circleCompliance

WADA NOT PROHIBITED

Overview

Clinical Summary

Chinese hawthorn is a Crataegus berry extract used for digestive comfort and adjunct cardiovascular support, but most human data come from mixed hawthorn preparations rather than species-specific trials.

Some extracts show modest reductions in LDL cholesterol or blood pressure in small trials, often alongside improved endothelial function markers. Results are heterogeneous and depend on baseline cardiometabolic risk and dosing. Minority evidence includes antiplatelet activity and improved exercise tolerance, mostly low quality. Interactions with anticoagulants and antihypertensives are plausible for several botanicals.

Traditional digestive use and indirect hawthorn-class cardiovascular evidence support cautious adjunct use, but Chinese hawthorn-specific trial data remain sparse.

Outcomes

What This Is Expected To Influence

Primary Outcomes

  • adjunct symptom support
  • tolerability improvement

Secondary Outcomes

  • function score trend
  • subjective wellbeing

Safety

Contraindications and Interactions

Contraindications

  • Pregnancy/lactation
  • Severe liver or kidney disease
  • Medication interactions

Side effects

  • GI discomfort
  • Drowsiness/sedation (agent-dependent)
  • Headache

Interactions

  • Drug absorption interactions
  • Sedatives/CNS-active agents
  • Anticoagulants

Avoid if

  • Unknown source quality
  • Unstable medical conditions
  • Complex medication stack

Evidence

Study-level References

chinese-hawthorn-SRC-001Meta-analysis of randomized placebo-controlled trials
Sourceopen_in_new

Hawthorn (Crataegus spp.) Clinically Significantly Reduces Blood Pressure in Hypertension. Meta-analysis of randomized placebo-controlled clinical trials. Nutrients. 2025. PMID:40732315.

Population: Adults with hypertension across six randomized placebo-controlled hawthorn trials.

Dose protocol: Meta-analysis of hawthorn preparations used across six placebo-controlled hypertension RCTs

Key findings: Modest systolic blood-pressure reduction, with less certain diastolic effects

Notes: Best current hawthorn-class anchor, but not Chinese hawthorn-specific

Paper content

The current best hawthorn-class human synthesis found a modest systolic blood-pressure reduction, but it pooled mixed hawthorn species and products. It supports cautious adjunct cardiovascular framing, not Chinese hawthorn-specific efficacy claims.

chinese-hawthorn-SRC-002Meta-analysis of randomized placebo-controlled trials
Sourceopen_in_new

Hawthorn (Crataegus spp.) Clinically Significantly Reduces Blood Pressure in Hypertension. Meta-analysis of randomized placebo-controlled clinical trials. Nutrients. 2025. PMID:40732315.

Population: Adults with hypertension across six randomized placebo-controlled hawthorn trials.

Dose protocol: Mixed hawthorn extracts and doses across hypertension populations

Key findings: Supports only cautious adjunct cardiovascular framing, not confident species-specific claims

Notes: Retained because it captures the formulation heterogeneity that limits Chinese hawthorn claims

Paper content

The current best hawthorn-class human synthesis found a modest systolic blood-pressure reduction, but it pooled mixed hawthorn species and products. It supports cautious adjunct cardiovascular framing, not Chinese hawthorn-specific efficacy claims.