Omnia SanaPlant Comparison
Midland Hawthorn vs Cacao
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 Cacao: they share 4 indicated uses (arthritis / joint pain, cardiovascular / heart health, inflammation (general), …); 2 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Midland Hawthorn | Cacao | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 1/10 | 3/10 | Stronger for Cacao |
| Cardiovascular / heart health | 1/10 | 10/10 | Stronger for Cacao |
| Inflammation (general) | 1/10 | 3/10 | Stronger for Cacao |
| Skin irritation | 1/10 | 3/10 | Stronger for Cacao |
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.
Theobromine is the dominant methylxanthine and the main stimulant/bronchodilator constituent, with lesser amounts of caffeine.
The principal bioactive polyphenols, responsible for most of cacao's antioxidant and cardiovascular activity.
A trace amine sometimes linked to cacao's reputed mood-elevating effects.
The fat fraction of the seed, classified as emollient and used in both food and topical products.
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 neuroprotective action
inferred from anti-inflammatory 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).
• Stimulant effect (most common issue): cacao naturally contains theobromine (and some caffeine). In larger amounts it can feel like a “gentle coffee”: faster heartbeat, restlessness, trouble sleeping. • Heavy metals (quality matters): cocoa/chocolate can contain cadmium and lead from soil and processing. For frequent use (especially powders, dark chocolate, “ceremonial” paste), choose brands that publish lab tests. • Pregnancy (extra caution late pregnancy): some research suggests very polyphenol-rich foods (including cocoa/dark chocolate) could affect fetal circulation in late pregnancy. This is not “everyone must avoid chocolate,” but high-dose cacao drinks are something to discuss with a clinician if pregnant—especially in the 3rd trimester. • Breastfeeding: moderate chocolate/cacao is usually fine, but very large amounts can affect some infants (stimulation/irritability) because stimulant compounds can pass into milk in small amounts. • If you’re sensitive: cacao can worsen reflux/heartburn, trigger migraines in some people, or cause nausea—especially in strong ceremonial-style servings. • Medication caution: if you take stimulant-sensitive meds, have heart rhythm issues, severe anxiety, or use MAOI antidepressants, treat high-dose cacao drinks like a stimulant and be cautious
Duke (2002) notes that cacao is primarily known for its cardiotonic, CNS-stimulant, and broncholytic activities at the experimental level (score 1). Theobromine is identified as the principal active constituent responsible for mild bronchodilation and cardiovascular stimulation. Cocoa butter is classified as emollient (score 1). Chocolate's content of phenylethylamine may contribute to reported aphrodisiac properties. Duke notes that excessive consumption may be cariogenic and pro-acneic, and cocoa is a known allergen in sensitive individuals (Duke, 2002).
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]
Small evergreen tree (Malvaceae), 4-8 m tall (up to 10 m unpruned), with a dense, spreading crown. Leaves are large, glossy and oblong. Small pink-white flowers are borne directly on the trunk and older branches (cauliflory), followed by large, ridged, football-shaped pods that ripen from green to yellow/orange/red-purple, each containing 20-60 seeds (the cocoa beans) embedded in sweet white pulp.[1]
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 the tropical rainforest understorey of Central and South America (the Amazon and Orinoco basins), now cultivated throughout the tropics within about 20 degrees of the equator (notably West Africa, Southeast Asia and South America), requiring warm, humid, shaded conditions.[1]
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]
Ripe pods are hand-harvested, cut open, and the seeds (with pulp) are removed, fermented for several days - essential for developing chocolate flavour and reducing bitterness - then dried and roasted.[1]
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]
Cacao has an ancient Mesoamerican tradition (Maya and Aztec) as a ceremonial, medicinal and nutritive beverage, valued as a stimulant tonic and considered sacred - 'food of the gods', reflected in the genus name Theobroma. Modern research on its polyphenol (flavanol) content supports cardiovascular, antioxidant, anti-inflammatory and neuroprotective/cognitive benefits, particularly from minimally processed, high-flavanol cocoa.[1]
Preparations
Leaf-and-flower extract standardised to flavonoid or oligomeric proanthocyanidin content, taken as tablets or capsules; the best-studied clinical form.
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.
Large clinical trials of cocoa flavanol supplementation for cardiovascular prevention have used around 500 mg/day of cocoa flavanols. Educational reference only, not a prescription; treat concentrated cacao as a mild stimulant (theobromine, some caffeine) and moderate intake accordingly, especially in pregnancy, with heart-rhythm conditions, or on stimulant-sensitive medication.
References
Drug Class Interactions
Not documented
Lookalikes Review
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
- Tan, T.Y.C., Lim, X.Y., Yeo, J.H.H., Lee, S.W.H. and others (2021) 'The Health Effects of Chocolate and Cocoa: A Systematic Review', Nutrients, 13(9), pp. 2909. doi:10.3390/nu13092909 Meta-analysis / review
https://doi.org/10.3390/nu13092909 - Sesso, H.D., Manson, J.E., Aragaki, A.K., Rist, P.M. and others (2022) 'Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events: the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial', The American Journal of Clinical Nutrition, 115(6), pp. 1490-1500. doi:10.1093/ajcn/nqac055 Randomized trial
https://doi.org/10.1093/ajcn/nqac055 - Rimbach, G., Melchin, M., Moehring, J. and Wagner, A.E (2009) 'Polyphenols from cocoa and vascular health-a critical review', International Journal of Molecular Sciences, 10(10), pp. 4290-4309. doi:10.3390/ijms10104290 Meta-analysis / review
https://doi.org/10.3390/ijms10104290 - Garcia, J.P., Santana, A., Baruqui, D.L. and Suraci, N (2018) 'The Cardiovascular effects of chocolate', Reviews in Cardiovascular Medicine, 19(4), pp. 123-127. doi:10.31083/j.rcm.2018.04.3187 Meta-analysis / review
https://doi.org/10.31083/j.rcm.2018.04.3187 - Andujar, I., Recio, M.C., Giner, R.M. and Rios, J.L (2012) 'Cocoa polyphenols and their potential benefits for human health', Oxidative Medicine and Cellular Longevity, 2012, pp. 906252. doi:10.1155/2012/906252 Meta-analysis / review
https://doi.org/10.1155/2012/906252 - Matsumoto, C (2018) 'Cocoa Polyphenols: Evidence from Epidemiological Studies', Current Pharmaceutical Design, 24(2), pp. 140-145. doi:10.2174/1381612823666171115095720 Meta-analysis / review
https://doi.org/10.2174/1381612823666171115095720 - Rusconi, M. and Conti, A (2010) 'Theobroma cacao L., the Food of the Gods: a scientific approach beyond myths and claims', Pharmacological Research, 61(1), pp. 5-13. doi:10.1016/j.phrs.2009.08.008 Meta-analysis / review
https://doi.org/10.1016/j.phrs.2009.08.008 - Kang, H., Lee, C.H., Kim, J.R., Kwon, J.Y. and others (2017) 'Theobroma cacao extract attenuates the development of Dermatophagoides farinae-induced atopic dermatitis-like symptoms in NC/Nga mice', Food Chemistry, 216, pp. 19-26. doi:10.1016/j.foodchem.2016.07.141 Preclinical
https://doi.org/10.1016/j.foodchem.2016.07.141 - Yasuda, A., Natsume, M., Osakabe, N., Kawahata, K. and others (2011) 'Cacao polyphenols influence the regulation of apolipoprotein in HepG2 and Caco2 cells', Journal of Agricultural and Food Chemistry, 59(4), pp. 1470-1476. doi:10.1021/jf103820b Preclinical
https://doi.org/10.1021/jf103820b - Visioli, F., Bernaert, H., Corti, R., Ferri, C. and others (2009) 'Chocolate, lifestyle, and health', Critical Reviews in Food Science and Nutrition, 49(4), pp. 299-312. doi:10.1080/10408390802066805 Meta-analysis / review
https://doi.org/10.1080/10408390802066805 - Katz, D.L., Doughty, K. and Ali, A (2011) 'Cocoa and chocolate in human health and disease', 15(10), pp. 2779--2811. doi:10.1089/ars.2010.3697 Clinical study
https://doi.org/10.1089/ars.2010.3697 - Minifie, B.W (1989) 'Chocolate, Cocoa, and Confectionery: Science and Technology'. Traditional / reference
https://scholar.google.com/scholar?q=Chocolate%2C%20Cocoa%2C%20and%20Confectionery%3A%20Science%20and%20Technology - Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
https://powo.science.kew.org - 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
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.