Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Interior Warming

Ròu Guì · Cinnamon Bark

Ròu Guì (肉桂, Cinnamon Bark) is a herb of Hot nature and Pungent, Sweet flavor, in the “Interior Warming” category. Tradition uses it to fortify Yang and Dispel Cold, Warm Channels and Unblock Vessels, Return Yang to its Source.

肉桂 · Ròu GuìUpdated on

Energetic profile

Pinyin name
Ròu Guì
Characters
肉桂
Botanical name
Cinnamomum cassia (L.) J.Presl
Family
Lauraceae
Part used
Bark
Nature
Hot
Flavor
Pungent, Sweet
Meridians
Heart, Kidney, Liver, Spleen
Category
Interior Warming
Toxicity
Slightly toxic
Pregnancy
Avoid
Origin
China, Vietnam

Actions according to tradition

  • Fortify Yang and Dispel Cold
  • Warm Channels and Unblock Vessels
  • Return Yang to its Source
  • Lead Fire Back to its Origin

Traditional uses

  • Kidney Yang deficiency with cold limbs
  • Impotence and low libido
  • Frequent clear urination
  • Deficiency cold causing abdominal pain
  • Cold painful obstruction syndrome

Studied effects and current applications

  • Warms body and extremities
  • Improves metabolism
  • Regulates blood sugar
  • Increases circulation
  • Relieves pain from cold
  • Supports kidney function

Applications under investigation

  • Type 2 diabetes management
  • Metabolic syndrome
  • Cold extremities and poor circulation
  • Chronic pain conditions
  • Low energy and vitality
  • Menstrual cramps

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

Contraindications and adverse effects

Absolute contraindications

  • Pregnancy (may stimulate uterus)
  • Heavy menstrual bleeding
  • Yin deficiency with heat signs

Relative contraindications

  • Liver disease (high doses)
  • Blood clotting disorders
Pregnancy
Avoid therapeutic doses. Small culinary amounts likely safe.
Breastfeeding
Culinary amounts safe. Avoid therapeutic doses.
Children
Use in small amounts only.
Older adults
Use with caution

Possible adverse effects

  • Liver toxicity (high doses, especially cassia)
  • Mouth sores
  • Allergic reactions
  • Low blood sugar

When to stop

  • Pregnancy
  • Signs of liver problems
  • Mouth irritation
  • Excessive heat signs

Interactions with medications

GroupDrugsSeverityEffect and recommendation
Diabetes medicationsInsulin, Sulfonylureas, MetforminModerateMay lower blood sugar, risk of hypoglycemia Monitor blood glucose. May need medication adjustment
Hepatotoxic drugsAcetaminophen, StatinsModerateHigh doses may increase liver stress Avoid high doses of cassia cinnamon

Reference dose

Powder
1-4 grams daily (Ceylon), 0.5-2 grams (Cassia)
Decoction
2-5 grams
Extract
100-200 mg extract daily
Culinary use
Up to 1 teaspoon daily
Acute use
1-2 weeks
Chronic use
Up to 3 months
Maximum
Ceylon: long-term safe. Cassia: limit to 3 months due to coumarin content
Children
Culinary amounts safe. Avoid therapeutic doses.

Forms of preparation

Infusion

Simmer 1-2g cinnamon stick in water 10-15 min.

Warming, digestive support

Powder

Add 0.5-2g powder to food, smoothies, or warm milk.

Blood sugar regulation, convenience

Decoction

Simmer 2-5g in formulas for 30 min.

Traditional TCM formulas

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

Active compounds

Cinnamaldehyde, procyanidins and cinnamic acid

Trans-cinnamaldehyde

Phenylpropanoid aldehyde · Hypoglycemic, antimicrobial, anti-inflammatory

Insulin mimicry (IR/IRS-1 phosphorylation), glycogenolysis inhibition, NF-κB blockade · 55-90% of bark essential oil

Procyanidins type A (polymeric polyphenols)

Proanthocyanidins · Insulin sensitizer, antioxidant

Insulin receptor activation, α-glucosidase inhibition · 1-5% in bark

Cinnamic acid and esters

Phenolic acids · Antioxidant, antifungal

Scavenging of free radicals, fungal membrane disruption · 1-3%

Eugenol

Phenylpropanoid · Analgesic, antimicrobial, anti-inflammatory

Sodium channel blockade, COX inhibition · 5-10% in essential oil (higher in C. zeylanicum)

Coumarin

Benzo-α-pyrone lactone · Anticoagulant, antibacterial

Vitamin K antagonism · High in C. cassia (0.45-0.5%); low in C. zeylanicum (<0.004%)

Harvesting and processing

Harvest
Spring (April-May) and autumn (September-October)

The bark is harvested twice a year from trees over 10 years old. In spring the bark comes off more easily. The best quality cinnamon comes from Guangxi Province (肉桂 Guǎngxī).

Raw (肉桂 Ròu Guì)

Dried inner bark, in pieces or fine powder. The rough outer bark is removed. The powder should be crushed just before use to preserve the volatile essential oils.

Fine powder (肉桂粉 Ròu Guì Fěn)

Bark crushed into very fine powder, stored in capsules or mixed with other powdered herbs. It is not boiled in prolonged decoction (the volatile oils evaporate). It is added at the end or taken separately.

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.