Cratægus
was introduced into medicine as a heart remedy by Dr. Greene, of Ennis, Ireland, and it has
been used empirically with much success in cases of heart failure. It has usually been given
in 5-drop doses of the tincture. Weak and rapid pulse; dyspnœa and dropsy, dependent on
failure of heart-power whether from valvular affection or from anæmia, appear to be the
leading indications. Heart-failure threatened from slightest exertion. The drug may cause
nausea when given in the tincture unless given during or immediately after a meal. The
mental state is that of irritability, crossness, and melancholy. Cratæg.
is the nearest approach to a positive heart tonic that I
know of. It has produced some heart symptoms and has, doubtless, a homœopathic relation;
but it is not a heart-poison like Digitalis, and has no
cumulative action. Here are some cases: Halbert in Clinique,
March, 1899, records this case: "Mr. S., a young man sixteen years of age, had worked
hard at manual labour since his twelfth year to support a widowed mother. He had, in fact,
done a man's work before his physical maturity would permit it. For some time he had shown
some signs of cardiac hypertrophy, and had been cautioned by physicians to take good care as
to his heart. About a year ago, during some gymnastic extreme in the nature of sport, he was
suddenly admonished that something had "given way," and for relief was obliged to
take to his bed. When I first saw him he was obliged to lie down, respiration was laboured
and irregular, and the heart's action was greatly exaggerated and erratic. There was decided
precordial bulging; the apex beat was considerably displaced, downward and to the left, and
the whole cardiac dulness was greatly extended; the impulse was heaving in character, with
considerable mitral systolic blowing and the corresponding diastolic intensification; there
were also signs of considerable pulmonary engorgement and some pain in the chest region. The
patient was put into a warm bath for twenty minutes, and then carefully returned to bed. Aconite 3x was administered every half-hour, and continued hourly
for a day or two afterward until he was somewhat relieved. Cratægus,
five-drop doses of the tincture, was then administered five times daily for a long time. The
effects of this remedy were most remarkable; the cardiac irritation gradually lessened; the
area of dulness decreased and the rhythm improved; at the same time all the general symptoms
improved rapidly. He has now been using the remedy for several months, and the result is
most satisfactory. I have every reason to expect a cure of the extreme symptoms, and believe
the heart will be reduced to a safe hypertrophy, which will virtually be a cure." A
girl of twelve had a sudden collapse in third week of typhoid (Clinique,
vii. 52). Cratæg. gtt. v. every two hours was given on
these indications: Great pallor, irregular breathing, cold extremities, pulse 120, very weak
and irregular. Strychnia, Digit. and Cact. had failed to give more than temporary relief. Under Cratæg. she rallied at once. Cases of hypertrophy with failing
power, dilatation, alcoholic heart, and nervous palpitation have all been relieved by the
remedy. T. C. Duncan (H. Recorder, xii. 199) gave
complete relief in a case of angina pectoris, the pain being above and to left of stomach;
pulse strong and forcible; indications of hypertrophy were found. A very tender spot on left
side of spine. Cratægus removed at the same time it a
hurried, flurried feeling" and the anxious expression of her face. Dr. Duncan produced
in himself when proving Cratægus a "flurried
feeling," which he attributed to the rapid action of the stimulated heart. A nervous
lady medical student who also proved it had "an unusual rush of blood to the head with confused feeling," followed later by "a feeling of
quiet and calmness mentally." The remedy is well worth a thorough proving.
