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Gui Zhi

Traditionally used for: Short-term traditional use at the start of a chill; Use as part of a practitioner-prescribed formula.

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What is Gui Zhi? Gui Zhi is the dried young twig of the cassia cinnamon tree (Cinnamomum cassia). It is a single drug (TCM herb), also known as Cinnamon twig, and it is one of the most-used warming herbs in Chinese medicine. Practitioners reach for it at the start of a common cold with chills, and for aching joints and cold hands and feet. It is almost never taken on its own. It is the lead herb in classic formulas such as Gui Zhi Tang (Cinnamon Twig Decoction) and appears in hundreds of others, usually as a small part of a larger mix. On the evidence: Gui Zhi has a very long and well-documented traditional record, but we could not find controlled human trials of the twig given by itself. Long traditional use tells you a herb has been valued; it does not tell you it works, and that distinction holds for everything on this page. How does Gui Zhi work? In Chinese medicine terms, Gui Zhi is described as warm and acrid. It is said to "release the exterior" (help you sweat out an early chill) and to "warm the channels" (ease cold, stiff, aching limbs). In modern terms, the twig contains cinnamaldehyde and related aromatic oils. Laboratory and animal studies suggest these can widen small blood vessels, reduce some inflammation signals and act against some bacteria. Those findings come from test tubes and animals, not from people taking Gui Zhi for a cold. Treat any mechanism story here as a plausible idea, not a proven explanation. What forms does Gui Zhi come in? Gui Zhi is sold and used in several forms: Sliced or chopped dried twig, simmered into a decoction (a strong tea made by boiling). This is the traditional form and the most common one. Granules or powdered extract, stirred into hot water. Patent pills and capsules containing a whole formula, such as Gui Zhi Tang or Gui Zhi Fu Ling Wan. Cinnamon essential oil is a different product. It is highly concentrated, is not Gui Zhi, and must never be swallowed. Where it comes from: Gui Zhi appears in the Shang Han Lun (Treatise on Cold Damage), compiled by Zhang Zhongjing around 200 CE. The very first formula in that text is Gui Zhi Tang, built around this twig. It has stayed in continuous use in Chinese, Japanese Kampo and Korean medicine ever since, and is listed in the modern Chinese Pharmacopoeia. That gives it a strong standing inside one major tradition.

Helps

What does Gui Zhi help with? Early common cold with chills and mild sweating: This is the classic use, and it is traditional rather than proven. Gui Zhi Tang is given in the first day or two of a chill, when you feel cold, achy and are sweating a little. We found no controlled trial testing Gui Zhi alone for colds. Some trials of whole Kampo and Chinese formulas exist, but they cannot tell you what this one twig contributed. Aching, stiff joints that feel worse in cold weather: Traditional texts use Gui Zhi in formulas for limb pain that eases with warmth. It is usually combined with other herbs, never given alone. Human evidence for the twig itself is absent. Laboratory work on cinnamaldehyde shows some anti-inflammatory activity, which is a long way from pain relief in a person. Cold hands and feet: Gui Zhi is described as warming the outer body and the limbs, and it is a standard choice when someone chronically feels cold. This rests entirely on traditional practice. No trial has measured hand or foot temperature or circulation in people taking it. Period pain linked in Chinese medicine to cold: Gui Zhi appears in formulas such as Gui Zhi Fu Ling Wan, which is used for period pain and for fibroids (non-cancerous growths in the womb). Trials of that whole formula have been run, mostly in China, with mixed quality. Those results belong to the formula, not to Gui Zhi. Do not read them as evidence for the single herb. Mild palpitations within traditional formulas: Several classical formulas containing Gui Zhi were written for a fluttering or pounding heartbeat. This is a historical indication only. New or worsening palpitations need a medical assessment, not a herb. See a doctor first.

Gui Zhi

Quick Facts

  • What it is: Gui Zhi is the dried cinnamon twig used as a warming herb in Chinese medicine, almost always inside a formula.
  • Main uses: Early cold with chills, Joint ache that worsens in cold, Cold hands and feet, Period pain, within traditional formulas
  • Best for: Short-term traditional use at the start of a chill, Use as part of a practitioner-prescribed formula
  • Active ingredients: Cinnamaldehyde, Cinnamic acid, Coumarin, Volatile oils, Tannins (astringent plant compounds)
  • Forms: Dried sliced twig for decoction, Granules or extract powder, Patent pills and capsules containing a full formula
  • Time to effect: Hours to a day for an acute chill by tradition; weeks for longer-standing aches, with no trial data behind either.
  • Side effects: Usually mild heartburn, nausea or feeling too warm; liver irritation is the rare but serious concern with heavy or long use.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Gui Zhi?

Gui Zhi is the dried young twig of the cassia cinnamon tree (Cinnamomum cassia). It is a single drug (TCM herb), also known as Cinnamon twig, and it is one of the most-used warming herbs in Chinese medicine. Practitioners reach for it at the start of a common cold with chills, and for aching joints and cold hands and feet.

It is almost never taken on its own. It is the lead herb in classic formulas such as Gui Zhi Tang (Cinnamon Twig Decoction) and appears in hundreds of others, usually as a small part of a larger mix.

On the evidence: Gui Zhi has a very long and well-documented traditional record, but we could not find controlled human trials of the twig given by itself. Long traditional use tells you a herb has been valued; it does not tell you it works, and that distinction holds for everything on this page.

How does Gui Zhi work?

In Chinese medicine terms, Gui Zhi is described as warm and acrid. It is said to "release the exterior" (help you sweat out an early chill) and to "warm the channels" (ease cold, stiff, aching limbs).

In modern terms, the twig contains cinnamaldehyde and related aromatic oils. Laboratory and animal studies suggest these can widen small blood vessels, reduce some inflammation signals and act against some bacteria.

Those findings come from test tubes and animals, not from people taking Gui Zhi for a cold. Treat any mechanism story here as a plausible idea, not a proven explanation.

What forms does Gui Zhi come in?

Gui Zhi is sold and used in several forms:

Sliced or chopped dried twig, simmered into a decoction (a strong tea made by boiling). This is the traditional form and the most common one.

Granules or powdered extract, stirred into hot water.

Patent pills and capsules containing a whole formula, such as Gui Zhi Tang or Gui Zhi Fu Ling Wan.

Cinnamon essential oil is a different product. It is highly concentrated, is not Gui Zhi, and must never be swallowed.

Where it comes from:

Gui Zhi appears in the Shang Han Lun (Treatise on Cold Damage), compiled by Zhang Zhongjing around 200 CE. The very first formula in that text is Gui Zhi Tang, built around this twig.

It has stayed in continuous use in Chinese, Japanese Kampo and Korean medicine ever since, and is listed in the modern Chinese Pharmacopoeia. That gives it a strong standing inside one major tradition.

Who should avoid Gui Zhi?

  • Do not use if you are pregnant, because Chinese medicine treats it as blood-moving and safety in pregnancy has not been tested.
  • Do not use if you are breastfeeding, because there is no safety data.
  • Do not use if you have liver disease, hepatitis (inflammation of the liver) or raised liver blood tests, because cassia contains coumarin, a compound that can irritate the liver.
  • Do not use if you take warfarin or another blood thinner, unless your doctor has agreed and can monitor you.
  • Do not use if you have a bleeding disorder such as haemophilia (a condition where blood does not clot properly).
  • Do not use in the two weeks before planned surgery, because of the bleeding risk.
  • Do not use if you have a high fever with heavy sweating, strong thirst and a hot flushed feeling. This is the pattern Chinese medicine says the herb will make worse.
  • Do not use if you are allergic to cinnamon or to cassia.
  • Never swallow cinnamon essential oil. It is not Gui Zhi, it is far more concentrated and it can burn the mouth, throat and stomach.
  • Do not give it to a child without advice from a qualified practitioner.
  • Avoid daily use for months on end; keep courses short.

When should you see a doctor?

See a doctor promptly if your skin or the whites of your eyes turn yellow, your urine goes dark, or you get pain under your right ribs. These can be signs of a liver problem.

Get urgent help if you have trouble breathing, swelling of the face, lips or tongue, or a spreading rash after taking it.

Also see a doctor if you bruise easily or bleed more than usual, if a cold comes with a fever above 39C or breathlessness, or if a new fluttering or pounding heartbeat starts. Chest pain, fainting or a heartbeat that will not settle needs emergency care, not a herb.

Tell your doctor and pharmacist that you are taking this, especially if you are on blood thinners or diabetes medicine.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Gui Zhi is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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