Anthroposophic medicine (AM) in Italy is mostly practiced in private settings: practices, multidisciplinary day-centers and a thermal clinic. In the General Medicine Department of the Istituto Clinico San Siro (ICSS), in Milan, AM has been used since 2000 in an integrated context, as a complementary or alternative treatment to conventional therapies. The department has one ambulance and 10 beds and treats acute, subacute and chronic orthopedic, postoperative, cardiovascular and oncological pathologies. Approximately 250 patients are treated each year. ICSS is a private clinic operating under a convention with the Italian NHS. The department medical team practices also anthroposophic medicine. At the beginning of XX century, the typical remedy Cardiodoron (a special composition of Onopordon acanthium, Primula officinalis, Hyoscyamus niger) was introduced in the context of AM for regulating cardiovascular system. Typical remedies have been conceived as image and support of the healthy balance of an organ, or an organ system or of a human complex function. In the ICSS department, patients with diagnose of heart failure, arrhythmia and hypertension, after giving their consent, receive systematically also oral Cardiodoron as a long-term regulating treatment. Since 2000, over 2000 patients have been treated and registered in the department. Both conventional and anthroposophical treatments are paid by the Italian NHS. The compliance to AM is high. To have an assessment of Cardiodoron use, 30 records of inpatients with heart failure (NYHA II/III) from period 2002 to 2003 have been randomly selected and statistically analysed in a pilot epidemiological–clinical observational study. The 30 patients (19 female, 11 male), mean age 78.9–78.5, respectively, were monitored with instant and Holter ECG, arterial pressure and cenesthesis. Improvement of these parameters and a quick disappearance of fear and anxiety were reported in all patients. In the present study, it was not possible to differentiate the effect of conventional and anthroposophical treatments, administered together. The hypothesis is of an optimising therapeutic effect of conventional therapies given by Cardiodoron. The department records since 2000 are being included in a database in order to have an overview of the value added of Cardiodoron treatment. Preliminary results will be presented.