Cinnamon Twig, Guì Zhī, 桂枝, Ramulus Cinnamomi Cassiae

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutBotanyChinese MedicineCaution
Health Benefits
For: Cold • Influenza • Dismenorrhea • Painful joints and extremities Edema • Spontaneous sweating • Cold aversion • Wheezing • Shortness of breath
Attributes: Antimicrobial • anticoagulant • teratogenic • emmenagogue • antiparasitic • antibiotic • hypoglycemic •analgesic • anti-inflammatory • antioxidant • free radical scavenging • sedative • memory enhancer
Products (online examples)

Tea Pill

Twigs

Granules

Twigs

Extract

Twigs

Granules

Twigs

Research

Articles:

Constituents:  Cinnamaldehyde • procyanidin • eugenol • caryophyllene • oleoresin • cinnamyl acetate • coumarin • mucilage

Photos (Click to enlarge)
Fun Facts
Other Names: Kyechi (Korean) • Keishi (Japanese)
Plant Family: Lauraceae
There are two main types of cinnamon - Ceylon and Cassia.  Ceylon cinnamon is what is considered true cinnamon.  It is much more expensive than Cassia and produced primarily out of Ceylon, Sri Lanka.  Cassia cinnamon is used in Chinese medicine.  While both types are discussed in this blog, Cassia cinnamon is the focus in the Chinese Medicine section.The bark of the cinnamon tree(cinnamomum zeylanicum) is what is used to make cinnamon.  Ceylon cinnamon is easily found online or in specialty stores, while cassia cinnamon is what is commonly seen in grocery stores as spices.

The key difference between the two types is the amount of coumarin.  Coumarin is a blood thinner commonly known in the drug Wafarin.   If cinnamon is used only for cooking or flavor on top of coffee now and then, Cassia is commonly available and inexpensive.  If cinnamon is used as a daily supplement, then the recommendation seems to be for Ceylon since daily doses of coumarin may have adverse effects.

Gui Zhi is used in 44/113 (39%) of the formulas in Shang Han Lun.

Cinnamon was in Mose's anointing oil (Bible).  The Romans used it in funerals to hide the smell of dead bodies.  Cassia cinnamon (Chinese cinnamon) is listed in the following pharmacopeias: German Commission E 1992 • Martindale Extra Pharmacopoeia (26th ed)

Species
There are mainly four types of cinnamon: Ceylon (Cinnamomum zeylanicum), Indonesian (Cinnamomum burmanni), Vietnamese (Cinnamomum loureiroi), and Cassia (Cinnamomum aromaticum).  Ceylon has the least amount of coumarin while Cassia has the most.
Ceylon Cinnamon

(Trees for sale)

♦ Contains .004% coumarin
♦ reduce blood sugar spikes, increase insulin sensitivity,  diabetes
♦ milder taste
♦ lighter brown color
♦ blocks tau buildup - part of Alzheimer's disease

Cassia Cinnamon

(Trees for Sale)

♦ Contains 1.0% coumarin (blood thinner), toxic at 2 teaspoon or more daily.
♦ Reduces blood sugar spikes, increase insulin sensitivity
♦ Stronger flavor (95% of its oil is cinnamaldehyde)
♦ Dark brown color
♦ blocks tau buildup - part of Alzheimer's disease

Growth
Cinnamomi cassiae, also call Cinnamomum Aromaticum, is in the USDA Plant Database.  Drill down via USDA Interactive Map:

USA: Cinnamomi cassiae is not available in the wild.    USDA Zones: 9-11

World: Thailand, Malaysia, Laos, India, Taiwan, Mayanmar, Indonesia, China

Habitats: Tropical rain forests

Remarks

Category: Release Exterior Wind Cold 
English: Cinnamon Twig    Pinyin:  Gui Zhi      Pharmaceutical: Ramulus Cinnamomi Cassiae  
Organs: Heart • Lung • Bladder    Temperature: Warm   
Taste: Sweet • Pungent        Toxicity: None noted  
Patterns: Exterior cold • Wind-cold dampness • Menstrual cramps better with warm bottle • Bi Syndrome • Tai yang wind strike • Cold phlegm accumulation • Weak yang qi • Poor circulation 
Actions:  Unblock yang Qi • Warm channels • Expel Cold in muscle layer • Improve circulation • Relieve pain
Indications: Cold • Influenza • Dismenorrhea • Wind cold Bi • Painful joints and extremities • Weak yang qi • Poor blood circulation • Fever • Spontaneous sweating • Cold limbs • Wheezing • Shortness of breath
Contraindications: Pregnancy • Liver Wind • Measles • Open skin sores
Typical Dosage: 3-9 g           Guidelines
Parts Used: Twigs 
Other: [9]
Combine With Purpose
Ma Huang Exterior excess cold: fever, chills, no spontaneous sweating
Bai Shao Exterior cold at the nutritive and protective qi level. Fever, chills, spontaneous sweating
Fu Zi Yang defficiency: chills and painful limbs
Zhi Gan Cao Injured chest yang: shortness of breath and palpitations
Mu Li +Long Gu Insomnia
Dan Shen Heart yang deficiency: chest pain and palpitations
Wu Zhu Yu Conception vessel deficiency cold: stomach aches, dysmenorrhea, irregular menstruation
Tao Ren + Mu Dan Pi Blood stasis gynecological disorders, pain from injury
Qiang Huo + Du Huo + Fang Feng +Wei Ling Xian Rheumatoid arthritis
Dui Yao Pairs Purpose
Gui Zhi + Bai Shao Cold/influenza: fever, not thirsty, chills, mild sweating.  Exterior wind cold yin-wei disharmony.  ♦  Unexplained sweating and aversion to cold.   ♦  Chest pains from heart yang deficiency and qi/blood disharmony  ♦  Morning sickness   ♦  Abdominal pain and cramps
Formulas with Gui Zhi
Chai Hu Gui Zhi Gan Jiang TangChai Hu Gui Zhi TangChai Hu Jia Long Gu Mu Li Tang • Da Qing Long Tang • Dang Gui Si Ni TangFu Ling Gui Zhi Gan Cao Da Zao Tang • Ge Gen Jia Ban Xia Tang • Ge Gen TangGui Zhi Fu Ling Wan • Gui Zhi Gan Cao TangGui Zhi Jia Fu Zi Tang • Gui Zhi Jia Ge Gen Tang • Gui Zhi Jia Long Gu Mu Li TangGui Zhi Shao Yao Zhi Mu TangGui Zhi TangHuang Lian TangHuang Qi Gui Zhi Wu Wu TangHuang Qi Jian Zhong Tang • Jin Gui Shen Qi Wan • Ling Gui Zhu Gan TangMa Huang TangTao He Cheng Qi Tang • Wei Ling Tang • Wen Jing Tang • Wu Ling San • Wu Mei Wan • Xiao Jian Zhong TangXiao Qing Long Tang • Zai Zao San • Zhi Gan Cao Tang • Zhi Shi Gua Lou Gui Zhi Tang • Zhi Shi Xie Bai Gui Zhi Tang

Alert
Be cautions with all medicine.
  • Do not use during pregnancy
  • Do not use Cassia cinnamon at least 2 weeks before surgery because its coumarin content
Potential Drug Interactions

Herbal medicine may interact negatively with pharma drugs and other herbs.  Examples below:

Herbs: ♦ Antagonize: Chi Shi Zhi ♦ Anticoagulants: American Ginseng, Arnica, Rou Gui, Chamomile, Dan Shen, Dang Gui, Deertongue, Sheng Jiang, Goji Berry, Ginko Nutes, Notoginseng, Peach Kernel, Hong Hua, Sweet Clover, Vanilla Grass

Pharma Drugs:♦ Anticoagulants: asprin , clopidogrel (Plavix) , Coumadin , dipyridamole , enoxaparin , Heparin ♦ Grapefruit Effect: benzodiazepines midazolam (anit-depressants) , blood pressure reducers , terfenadine (antihistamine) , triazolam (anti-depressants) ♦ Blood Sugar Reducers: Acarbose (Precose ) , Albiglutide (Tanzeum) , Alogliptin (Nesina) , Bromocriptine mesylate (Cycloset , Canaglifozin (Invokana) , Chlorpropamide (Diabinese) , Dapagliflozin (Farxiga) , Dulaglutide (Trulicity) , Empagliflozin (Jardiance) , Glimepiride (Amaryl) , glipizide (Glucotrol) , Glyburide (DiaBeta , Glynase) , Insulin , Linagliptin (Tradjenta) , Metformin , Miglitol (Glyset) , Nateglinide (Starlix) , Parlodel) , Pioglitazone (Actos) , Pramlintide , Repaglinide (Prandin) , Rosiglitazone (Avandia) , Saxagliptin (Onglyza) , Sitagliptin (Januvia) , Tol-Tab) , Tolazamide (Tolinase) , Tolbutamide (Orinase)

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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