Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Warm Exterior-Releasing

Guì Zhī · Cinnamon Twig

Guì Zhī (桂枝, Cinnamon Twig) is a herb of Warm nature and Pungent, Sweet flavor, in the “Warm Exterior-Releasing” category. Tradition uses it to release Exterior Wind-Cold, Warm and Unblock Yang Qi, Harmonize Ying and Wei.

桂枝 · Guì ZhīUpdated on

Energetic profile

Pinyin name
Guì Zhī
Characters
桂枝
Botanical name
Cinnamomum cassia (L.) J.Presl
Family
Lauraceae
Part used
Twig
Nature
Warm
Flavor
Pungent, Sweet
Meridians
Bladder, Heart, Lung
Category
Warm Exterior-Releasing
Toxicity
Non-toxic
Pregnancy
Caution
Origin
China, Vietnam

Actions according to tradition

  • Release Exterior Wind-Cold
  • Warm and Unblock Yang Qi
  • Harmonize Ying and Wei
  • Warm Channels

Traditional uses

  • Wind-cold exterior patterns with aversion to cold
  • Heart yang deficiency with palpitations and chest pain
  • Cold-damp arthritis and painful obstruction
  • Edema from yang deficiency failing to transform water
  • Cold limbs and poor circulation

Studied effects and current applications

  • Releases exterior wind-cold with sweating
  • Warms and unblocks yang qi in chest and limbs
  • Promotes circulation through channels and collaterals
  • Harmonizes nutritive and defensive qi levels
  • Warms middle jiao and disperses cold

Applications under investigation

  • Common cold and flu (early stage)
  • Cardiovascular disease and heart failure
  • Raynaud's phenomenon and cold extremities
  • Rheumatoid arthritis
  • Hormonal imbalances

An effect being investigated does not mean it has been proven in humans.

Contraindications and adverse effects

Absolute contraindications

  • Excess heat patterns
  • Yin deficiency heat conditions
  • Excessive bleeding

Relative contraindications

  • Pregnancy (large doses)
  • Hypertension with liver yang rising
Pregnancy
Small doses in formula context are generally safe. Avoid large doses alone.
Breastfeeding
Generally safe in moderate formula doses.
Children
Safe for children in appropriate formulas for cold conditions.
Older adults
Excellent for elderly with cold limbs and yang deficiency. Avoid in heat conditions.

Possible adverse effects

  • Sweating (desired therapeutic effect)
  • Mouth dryness with excess use
  • Potential fever aggravation in heat conditions

When to stop

  • Heat conditions appear
  • Excessive sweating
  • Pregnancy (large doses)

Interactions with medications

GroupDrugsSeverityEffect and recommendation
AnticoagulantsWarfarin, AspirinMildMild antiplatelet activity Monitor INR
AntihypertensivesCalcium channel blockers, ACE inhibitorsMildComplex interaction - may affect blood pressure variably Monitor blood pressure

With other herbs

  • bai_shao Classic Gui Zhi Tang formula combination for harmonizing ying and wei

Reference dose

Decoction
3-9 grams daily
Powder
1-3 grams daily
Tincture
1-3 ml (1:5) 3 times daily
Acute use
1-2 weeks
Chronic use
3-4 weeks in formulas
Maximum
Short-term preferred; avoid in warm conditions
Children
Safe in children at reduced doses for cold conditions.

Forms of preparation

Decoction

Add at end of cooking (last 5-10 min) to preserve aromatic compounds. Simmer 3-9g.

Cold exterior patterns, warming

Infusion

Steep 3-6g in hot water 10 min. Add ginger for enhanced warming.

Common cold prevention, warming on cold days

Approximate doses from the literature; they are not a prescription. Consult a professional.

Active compounds

Cinnamaldehyde, cinnamic acid and coumarins (less than bark)

Trans-cinnamaldehyde

Phenylpropanoid aldehyde · Diaphoretic, peripheral vasodilator, antibacterial

Cutaneous vasodilation (↑ peripheral blood flow), COX inhibition, antimicrobial · 55-75% of branch essential oil

Eugenol

Phenylpropanoid · Analgesic, anti-inflammatory, antimicrobial

Na+ channel blockade, COX-1/2 inhibition, bacterial membrane disruption · 5-15% of essential oil

Cinnamic acid and cinnamic alcohol

Phenylpropanoids · Antifungal, antioxidant, mild anti-inflammatory

Radical scavenging, inhibition of fungal ergosterol biosynthesis · 1-3%

Procyanidins B2

Dimeric proanthocyanidins · Vasoprotector, antioxidant, insulin sensitizer

Radical scavenging, endothelium protection, insulin mimicry · 0.1-0.5%

Harvesting and processing

Harvest
All year round in tropical crops; spring-summer for greater concentration of oils

Young, tender cinnamon sticks harvested before woody maturity. Guangxi province is the main producer.

Raw (桂枝 Guì Zhī)

Washed young twigs, cut into 2-4 mm oblique slices and dried in the sun or with gentle heat. It acts on the surface and the meridians, it does not penetrate as deep as the inner cortex.

Formulas it appears in

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.