Omnia SanaPlant Comparison
Midland Hawthorn vs Lemon balm
A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.
At a glance
Midland Hawthorn and Lemon balm: they share 6 indicated uses (arthritis / joint pain, inflammation (general), insomnia / sleeplessness, …); 4 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Midland Hawthorn | Lemon balm | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 1/10 | 5/10 | Stronger for Lemon balm |
| Inflammation (general) | 1/10 | 5/10 | Stronger for Lemon balm |
| Insomnia / sleeplessness | 1/10 | 5/10 | Stronger for Lemon balm |
| Menstrual cramps | 1/10 | 5/10 | Stronger for Lemon balm |
| Muscle spasm | 1/10 | 5/10 | Stronger for Lemon balm |
| Skin irritation | 1/10 | 5/10 | Stronger for Lemon balm |
Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.
Key Constituents
The principal cardioactive and antioxidant constituents, the basis for extract standardisation.
Additional antioxidant constituents of the flower, leaf and fruit.
The principal phenolic acid of lemon balm, associated with much of its antioxidant and antiviral activity.
The volatile oil (geranial and neral, together called citral, plus citronellal) gives the characteristic lemon scent and has demonstrated anxiolytic activity.
Minor constituents studied for anti-inflammatory activity.
Pharmacological Actions
Traditional & Indicated Uses
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from sedative action
inferred from antispasmodic action
inferred from antispasmodic action
inferred from anti-inflammatory action
inferred from antiviral action
inferred from anti-inflammatory action
inferred from sedative action
inferred from antispasmodic action
inferred from antispasmodic action
Safety, Cautions & Contraindications
Generally safe and well tolerated. High doses may cause low blood pressure and sedation. May interact with cardiac glycosides (digoxin) and antihypertensive drugs. Consult a physician before using with existing heart medications.
Duke (2002) rates hawthorn (Crataegus spp., including C. laevigata) as a triple-plus herb (+++) with Commission E approval (score 2-3) for decreasing cardiac output in functional Stage II heart insufficiency (NYHA). Clinical evidence supports hawthorn standardized extracts (80-500 mg, standardized to flavonoids or procyanidins) for angina, arrhythmia, atherosclerosis, and hypertension. Hawthorn may potentiate digitalis and other cardiac medications and is not considered suitable for self-medication without professional guidance (Duke, 2002).
Generally very safe for adults. Theoretically may interact with thyroid medications and sedatives. Avoid high therapeutic doses during pregnancy. Long-term safety data beyond a few months is limited.
External Ids
Botanical Description
Small deciduous tree or large shrub with thorny branches and glossy, shallowly lobed leaves (less deeply cut than common hawthorn). Clusters of small, five-petalled white (occasionally pink) flowers with a strong scent appear in spring, followed by small red berries (haws), each usually containing two seeds (nutlets).[1]
Perennial herb, 30-70 (up to 150) cm tall, with square, branched, hairy stems typical of the mint family. Leaves are opposite, ovate to heart-shaped with a toothed margin, wrinkled and softly hairy, releasing a strong lemon scent when crushed. Small, pale yellow to white, two-lipped flowers are borne in loose whorls in the leaf axils. The fruit splits into four small nutlets.[6]
Habitat
Grows in woodland, woodland edges, hedgerows and scrub, typically on richer, damper soils than common hawthorn; native to western and central Europe.[1]
Native to southern Europe, the Mediterranean and western Asia, widely cultivated and naturalised in gardens, hedgebanks and waste ground across temperate regions, favouring sunny to lightly shaded, well-drained soils.[6]
Harvesting
Flowers are picked as they open in spring, leaves are picked with the young flowering shoots, and the ripe red berries (haws) are gathered in autumn; all three parts are used, often combined, in hawthorn preparations.[1]
Leaves and flowering tops are cut just before or at the start of flowering (summer), when the volatile-oil content is highest, and dried quickly at low temperature away from direct light, since the aromatic oil is heat- and light-sensitive.[6]
Traditional Uses
Hawthorn flower, leaf and berry have a long European tradition, and substantial modern clinical study, as a cardiovascular tonic - supporting heart function, mild circulatory complaints and calming nervous tension - reflected in its traditional use for 'heart strengthening' and its modern standing as a well-studied botanical for mild heart failure symptoms.[1]
Lemon balm has a long European tradition as a calming, 'cheering' herb for nervous tension, poor sleep and mild anxiety, and as a carminative for indigestion, bloating and cramping; topically it has traditionally been applied to cold sores. Modern clinical trials support anxiolytic and mood-related benefits and antiviral activity against herpes simplex virus, consistent with these traditional uses.[4, 6, 9]
Preparations
Leaf-and-flower extract standardised to flavonoid or oligomeric proanthocyanidin content, taken as tablets or capsules; the best-studied clinical form.
Dried leaf steeped in hot water, the classic way of taking lemon balm for calming and digestive support.
Encapsulated dry extract, the form used in clinical trials studying lemon balm for anxiety and mood; follow product-specific dosing.
Concentrated leaf extract cream applied to cold sores (herpes labialis) at the earliest sign of an outbreak.
Tincture of the dried leaf, 2-6 ml one to three times daily per the EU herbal monograph. Educational reference only, not a prescription.
Dosage
The EU herbal monograph on Crataegus spp., folium cum flore gives dry extracts in divided daily doses of 240-900 mg (single dose 80-450 mg) or, for one quantified extract, 570-1750 mg daily (single dose 190-350 mg), in adults and elderly. If symptoms persist longer than 2 weeks a doctor should be consulted, and hawthorn is never used as a substitute for prescribed heart medication without medical supervision. Educational reference only, not a prescription.
The EU herbal monograph gives 1-2 g of the comminuted leaf and flower in 150 mL of boiling water as an infusion, up to 4 times daily (maximum 6 g daily), in adults and elderly. Educational reference only, not a prescription.
The EU herbal monograph gives 1.5-4.5 g of the comminuted leaf in 150 mL of boiling water as an infusion, 1-3 times daily, in adolescents over 12, adults and elderly; a liquid extract at 2-4 mL and a tincture at 2-6 mL, both 1-3 times daily, are also listed. If symptoms persist longer than 2 weeks a healthcare practitioner should be consulted. Not recommended under 12 years. Educational reference only, not a prescription.
References
Drug Class Interactions
Lookalikes Review
Pairings
Not documented
Lemon balm and passionflower are both gentle, GABA-acting calming herbs often blended together in anti-anxiety and sleep formulas; combined use may deepen relaxation but also add to drowsiness.[17, 19]
References & Sources
- Fong, H.H.S. and Bauman, J.L (2002) 'Hawthorn', Journal of Cardiovascular Nursing, 16(4), pp. 1-8. doi:10.1097/00005082-200207000-00002 Traditional / reference
https://doi.org/10.1097/00005082-200207000-00002 - Orhan, I.E (2018) 'Phytochemical and Pharmacological Activity Profile of Crataegus oxyacantha L. (Hawthorn) - A Cardiotonic Herb', Current Medicinal Chemistry, 25(37), pp. 4854-4865. doi:10.2174/0929867323666160919095519 Traditional / reference
https://doi.org/10.2174/0929867323666160919095519 - Ahmadipour, B., Kalantar, M., Abaszadeh, S. and Hassanpour, H (2024) 'Antioxidant and antihyperlipidemic effects of hawthorn extract (Crataegus oxyacantha) in broiler chickens', Veterinary Medicine and Science, 10(3), pp. e1414. doi:10.1002/vms3.1414 Preclinical
https://doi.org/10.1002/vms3.1414 - Rigelsky, J.M. and Sweet, B.V (2002) 'Hawthorn: pharmacology and therapeutic uses', American Journal of Health-System Pharmacy, 59(5), pp. 417-422. doi:10.1093/ajhp/59.5.417 Meta-analysis / review
https://doi.org/10.1093/ajhp/59.5.417 - Saeedi, G., Jeivad, F., Goharbari, M., Gheshlaghi, G.H. and Sabzevari, O (2018) 'Ethanol Extract of Crataegus Oxyacantha L. Ameliorate Dietary Non-Alcoholic Fatty Liver Disease in Rat', Drug Research, 68(10), pp. 553-559. doi:10.1055/a-0579-7532 Preclinical
https://doi.org/10.1055/a-0579-7532 - Mecheri, A., Benabderrahmane, W., Amrani, A., Boubekri, N., Benayache, F., Benayache, S. and Zama, D (2019) 'Hepatoprotective Effects of Algerian Crataegus oxyacantha Leaves', Recent Patents on Food, Nutrition & Agriculture, 10(1), pp. 70-75. doi:10.2174/2212798410666180730095456 Preclinical
https://doi.org/10.2174/2212798410666180730095456 - Benabderrahmane, W., Lores, M., Benaissa, O., Lamas, J.P., de Miguel, T., Amrani, A., Benayache, F. and Benayache, S (2019) 'Polyphenolic content and bioactivities of Crataegus oxyacantha L. (Rosaceae)', Natural Product Research, 35(4), pp. 627-632. doi:10.1080/14786419.2019.1582044 Preclinical
https://doi.org/10.1080/14786419.2019.1582044 - Ali, M., Muhammad, S., Shah, M.R., Khan, A., Rashid, U., Farooq, U., Ullah, F., Sadiq, A., Ayaz, M., Ali, M., Ahmad, M. and Latif, A (2017) 'Neurologically Potent Molecules from Crataegus oxyacantha; Isolation, Anticholinesterase Inhibition, and Molecular Docking', Frontiers in Pharmacology, 8, pp. 327. doi:10.3389/fphar.2017.00327 Preclinical
https://doi.org/10.3389/fphar.2017.00327 - Cuevas-Duran, R.E., Medrano-Rodriguez, J.C., Sanchez-Aguilar, M., Soria-Castro, E., Rubio-Ruiz, M.E., Del Valle-Mondragon, L., Sanchez-Mendoza, A., Torres-Narvaez, J.C., Pastelin-Hernandez, G. and Ibarra-Lara, L (2017) 'Extracts of Crataegus oxyacantha and Rosmarinus officinalis Attenuate Ischemic Myocardial Damage by Decreasing Oxidative Stress and Regulating the Production of Cardiac Vasoactive Agents', International Journal of Molecular Sciences, 18(11), pp. 2412. doi:10.3390/ijms18112412 Preclinical
https://doi.org/10.3390/ijms18112412 - Alp, H., Soner, B.C., Baysal, T. and Sahin, A.S (2014) 'Protective effects of Hawthorn (Crataegus oxyacantha) extract against digoxin-induced arrhythmias in rats', Anatolian Journal of Cardiology, 15(12), pp. 970-975. doi:10.5152/akd.2014.5869 Preclinical
https://doi.org/10.5152/akd.2014.5869 - Rothfuss, M.A., Pascht, U. and Kissling, G (2001) 'Effect of long-term application of Crataegus oxyacantha on ischemia and reperfusion induced arrhythmias in rats', Arzneimittel-Forschung, 51(1), pp. 24-28. doi:10.1055/s-0031-1299998 Preclinical
https://doi.org/10.1055/s-0031-1299998 - Khan, A., Akram, M., Thiruvengadam, M., Daniyal, M., Zakki, S.A., Munir, N., Zainab, R., Heydari, M., Mosavat, S.H., Rebezov, M. and Shariati, M.A (2022) 'Anti-anxiety Properties of Selected Medicinal Plants', Current Pharmaceutical Biotechnology, 23(8), pp. 1041-1060. doi:10.2174/1389201022666210122125131 Meta-analysis / review
https://doi.org/10.2174/1389201022666210122125131 - Rastogi, S., Pandey, M.M. and Rawat, A.K.S (2015) 'Traditional herbs: a remedy for cardiovascular disorders', Phytomedicine, 23(11), pp. 1082-1089. doi:10.1016/j.phymed.2015.10.012 Meta-analysis / review
https://doi.org/10.1016/j.phymed.2015.10.012 - European Medicines Agency (2016) 'European Union herbal monograph on Crataegus spp., folium cum flore'. Traditional / reference
https://scholar.google.com/scholar?q=European%20Union%20herbal%20monograph%20on%20Crataegus%20spp.%2C%20folium%20cum%20flore - Hendel, N. and Hendel, M (2014) 'Hedgerow Medicine'. Traditional / reference
https://scholar.google.com/scholar?q=Hedgerow%20Medicine - Pittler, M.H., Guo, R. and Ernst, E (2008) 'Hawthorn extract for treating chronic heart failure'. Traditional / reference
https://scholar.google.com/scholar?q=Hawthorn%20extract%20for%20treating%20chronic%20heart%20failure - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - Tankanow, R., Tamer, H.R., Streetman, D.S., Smith, S.G., Welton, J.L., Annesley, T., Aaronson, K.D. and Bleske, B.E (2003) 'Interaction study between digoxin and a preparation of hawthorn (Crataegus oxyacantha)', Journal of Clinical Pharmacology, 43(6), pp. 637-642. doi:10.1177/0091270003253417 Randomized trial
https://doi.org/10.1177/0091270003253417 - Pittler, M.H., Guo, R. and Ernst, E (2008) 'Hawthorn extract for treating chronic heart failure', Cochrane Database of Systematic Reviews, 2008(1), pp. CD005312. doi:10.1002/14651858.CD005312.pub2 Meta-analysis / review
https://doi.org/10.1002/14651858.CD005312.pub2 - Pittler, M.H., Guo, R. and Ernst, E (2008) 'Hawthorn extract for treating chronic heart failure', Cochrane Database of Systematic Reviews, 2008(1), pp. CD005312. doi:10.1002/14651858.CD005312.pub2 Meta-analysis / review
https://doi.org/10.1002/14651858.CD005312.pub2 - Ghasemzadeh Rahbardar, M. and Hosseinzadeh, H (2024) 'Therapeutic potential of hypnotic herbal medicines: A comprehensive review', Phytotherapy Research, 38(6), pp. 3037-3059. doi:10.1002/ptr.8201 Meta-analysis / review
https://doi.org/10.1002/ptr.8201 - Block, K.I., Gyllenhaal, C. and Mead, M.N (2004) 'Safety and efficacy of herbal sedatives in cancer care', Integrative Cancer Therapies, 3(2), pp. 128-148. doi:10.1177/1534735404265003 Meta-analysis / review
https://doi.org/10.1177/1534735404265003
- Mathews, I.M., Eastwood, J., Lamport, D.J., Cozannet, R.L. and others (2024) 'Clinical Efficacy and Tolerability of Lemon Balm (Melissa officinalis L.) in Psychological Well-Being: A Review', Nutrients, 16(20), pp. 3545. doi:10.3390/nu16203545 Meta-analysis / review
https://doi.org/10.3390/nu16203545 - Ghazizadeh, J., Sadigh-Eteghad, S., Marx, W., Fakhari, A. and others (2021) 'The effects of lemon balm (Melissa officinalis L.) on depression and anxiety in clinical trials: A systematic review and meta-analysis', Phytotherapy Research, 35(12), pp. 6690-6705. doi:10.1002/ptr.7252 Meta-analysis / review
https://doi.org/10.1002/ptr.7252 - Shahsavari, K., Shams Ardekani, M.R., Khanavi, M., Jamialahmadi, T. and others (2024) 'Effects of Melissa officinalis (lemon balm) consumption on serum lipid profile: a meta-analysis of randomized controlled trials', BMC Complementary Medicine and Therapies, 24(1), pp. 146. doi:10.1186/s12906-024-04442-0 Meta-analysis / review
https://doi.org/10.1186/s12906-024-04442-0 - Petrisor, G., Motelica, L., Craciun, L.N., Oprea, O.C. and others (2022) 'Melissa officinalis: Composition, Pharmacological Effects and Derived Release Systems-A Review', International Journal of Molecular Sciences, 23(7), pp. 3591. doi:10.3390/ijms23073591 Meta-analysis / review
https://doi.org/10.3390/ijms23073591 - Heshmati, J., Morvaridzadeh, M., Sepidarkish, M., Fazelian, S. and others (2020) 'Effects of Melissa officinalis (Lemon Balm) on cardio-metabolic outcomes: A systematic review and meta-analysis', Phytotherapy Research, 34(12), pp. 3113-3123. doi:10.1002/ptr.6744 Meta-analysis / review
https://doi.org/10.1002/ptr.6744 - Shakeri, A., Sahebkar, A. and Javadi, B (2016) 'Melissa officinalis L. - A review of its traditional uses, phytochemistry and pharmacology', Journal of Ethnopharmacology, 188, pp. 204-228. doi:10.1016/j.jep.2016.05.010 Meta-analysis / review
https://doi.org/10.1016/j.jep.2016.05.010 - Zam, W., Quispe, C., Sharifi-Rad, J., Lopez, M.D. and others (2022) 'An Updated Review on The Properties of Melissa officinalis L.: Not Exclusively Anti-anxiety', Frontiers in Bioscience (Scholar Edition), 14(2), pp. 16. doi:10.31083/j.fbs1402016 Meta-analysis / review
https://doi.org/10.31083/j.fbs1402016 - Chang, J.Y., Balch, C., Puccio, J. and Oh, H.S (2023) 'A Narrative Review of Alternative Symptomatic Treatments for Herpes Simplex Virus', Viruses, 15(6), pp. 1314. doi:10.3390/v15061314 Meta-analysis / review
https://doi.org/10.3390/v15061314 - Ulbricht, C., Brendler, T., Gruenwald, J., Kligler, B. and others (2005) 'Lemon balm (Melissa officinalis L.): an evidence-based systematic review by the Natural Standard Research Collaboration', Journal of Herbal Pharmacotherapy, 5(4), pp. 71-114. doi:10.1080/j157v05n04_08 Meta-analysis / review
https://doi.org/10.1080/j157v05n04_08 - Stojanovic, N.M., Mladenovic, M.Z., Maslovaric, A., Stojiljkovic, N.I. and others (2021) 'Lemon balm (Melissa officinalis L.) essential oil and citronellal modulate anxiety-related symptoms - In vitro and in vivo studies', Journal of Ethnopharmacology, 284, pp. 114788. doi:10.1016/j.jep.2021.114788 Preclinical
https://doi.org/10.1016/j.jep.2021.114788 - European Medicines Agency (HMPC) (2013) 'Community herbal monograph on Melissa officinalis L., folium'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-melissa-officinalis-l-folium_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-melissa-officinalis-l-folium_en.pdf - Hoffmann, D (2003) 'Medical Herbalism'. Traditional / reference
https://scholar.google.com/scholar?q=Medical%20Herbalism - Kennedy, D.O. et al (2002) 'Modulation of mood and cognitive performance following acute administration of Melissa officinalis', 27(2), pp. 256--261. doi:10.1016/s0091-3057(02)00777-3 Randomized trial
https://doi.org/10.1016/s0091-3057(02)00777-3 - Petersen, M. and Simmonds, M.S.J (2003) 'Rosmarinic acid', 62(2), pp. 121--125. Traditional / reference
https://scholar.google.com/scholar?q=Rosmarinic%20acid - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - Ghasemzadeh Rahbardar, M. and Hosseinzadeh, H (2024) 'Therapeutic potential of hypnotic herbal medicines: A comprehensive review', Phytotherapy Research, 38(6), pp. 3037-3059. doi:10.1002/ptr.8201 Meta-analysis / review
https://doi.org/10.1002/ptr.8201 - Block, K.I., Gyllenhaal, C. and Mead, M.N (2004) 'Safety and efficacy of herbal sedatives in cancer care', Integrative Cancer Therapies, 3(2), pp. 128-148. doi:10.1177/1534735404265003 Meta-analysis / review
https://doi.org/10.1177/1534735404265003 - Haybar, H., Javid, A.Z., Haghighizadeh, M.H., Valizadeh, E., Mohaghegh, S.M. and Mohammadzadeh, A (2018) 'The effects of Melissa officinalis supplementation on depression, anxiety, stress, and sleep disorder in patients with chronic stable angina', Clinical Nutrition ESPEN, 26, pp. 47-52. doi:10.1016/j.clnesp.2018.04.015 Randomized trial
https://doi.org/10.1016/j.clnesp.2018.04.015 - Keck, M.E., Nicolussi, S., Spura, K., Blohm, C., Zahner, C. and Drewe, J (2020) 'Effect of the fixed combination of valerian, lemon balm, passionflower, and butterbur extracts (Ze 185) on the prescription pattern of benzodiazepines in hospitalized psychiatric patients', Phytotherapy Research, 34(6), pp. 1436-1445. doi:10.1002/ptr.6618 Clinical study
https://doi.org/10.1002/ptr.6618
Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.