Crategus 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; dyspnoea and dropsy,
dependent on failure of heart-power whether from valvular affection or from anzemia, 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. Crateg. is the nearest approach to a
positive heart tonic that I know of. It has produced some heart symptoms and has, doubtless, a
homeeopathic 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. Crategus, 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).
- ▸Crateg.
- ▸gtt.
- ▸v.
- ▸every two hours was given on these indications: Great pallor, irregular breathing,
- ▸cold extremities, pulse 120, very weak and irregular.
- ▸Sirychnia, Digit.
- ▸and Cact.
- ▸had failed to
- ▸give more than temporary relief.
- ▸Under Cratcg.
- ▸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. Cratceegus removed at the same time it a
hurried, flurried feeling" and the anxious expression of her face. Dr. Duncan produced in himself
when proving Crategus 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