Gui Zhi Tang

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桂枝汤 (Cinnamon Twig Decoction)

Source: Shang Han Lun — Zhang Zhongjing (Han, 220)

Last updated August 30, 2026

Not yet clinically reviewed

Tai Yang Wind-Cold deficiency patternSpontaneous sweating with chillsFever with aversion to windPregnancy vomitingPost-partum weaknessHarmonizing Ying and Wei

Description

Gui Zhi Tang (Cinnamon Twig Decoction) is the foundational formula of the Shang Han Lun and one of the most versatile formulas in TCM. It treats Tai Yang Wind-Cold deficiency pattern with spontaneous sweating, fear of wind, and fever — working by harmonizing Ying and Wei Qi rather than forcing sweating. Its harmonizing principle makes it applicable across a wide range of conditions.

Composition

Herb Amount % Role Function
Gui Zhi 9g 20% Jun (Chief) Warms and releases exterior, promotes Yang Qi and Wei Qi circulation.
Bai Shao 9g 20% Chen (Deputy) Nourishes Ying Qi, astringes fluids, moderates Gui Zhi.
Sheng Jiang 9g 20% Zuo (Assistant) Warms Stomach, assists Gui Zhi, stops nausea.
Da Zao 12g 26.67% Zuo (Assistant) Tonifies Spleen Qi, assists Bai Shao to nourish Ying Qi.
Gan Cao 6g 13.33% Zuo (Assistant) Harmonizes all herbs, moderates pungent heat.

Total weight: 48g

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Bai Shao白芍 + Gui Zhi桂枝

Releasing the exterior is balanced with preserving yin, harmonising the nutritive and protective levels.

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly warm (+0.47)

From 100% of the weighed grams.

cool neutral warm

Grams by band: cool 20%, neutral 13%, warm 67%.

Taste

pungent sweet sour bitter
  • pungent 30%
  • sweet 50%
  • sour 10%
  • bitter 10%

From 100% of the weighed grams.

Channels reached

  • Spleen 80%
  • Stomach 60%
  • Lung 53%
  • Heart 33%
  • Liver 20%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Dang Gui Si Ni Tang →

Preparation

Decoct 20–25 minutes. Take warm with warm rice porridge. Avoid cold, raw, fatty, alcoholic foods.

Dosage

Take warm with warm rice porridge. Cover with blankets. Stop once gentle sweating occurs.

Conditions Addressed

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Formula family

A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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