燥,补阳,活血
苦入心,辛走血。能引血、化汗、化脓,内托痈、疽、痘疮(同丁香,治痘疮灰塌),
益精明目,消瘀生肌,补劳伤,暖腰膝,续筋骨。
治风痹症瘕,噎膈腹满,腹内冷痛,九种心痛(一虫、二疰、三风、四悸、五食、六饮
、七冷、八热、九去来痛,皆邪乘于手少阴之络,邪正相激,故令心痛)。
轻,解肌,调营卫
辛甘而温,气薄升浮。入太阴肺、太阳膀胱经。温经通脉,发汗解肌(能利肺气。经曰
∶辛甘发散为阳)。
治伤风头痛(无汗能发),中风自汗(有汗能止。中,犹伤也,古文通用,自汗属阳虚。
桂枝为君,芍药,甘草为佐。加姜、枣名桂枝汤,能和营实表),调和营卫,使邪从汗
出,而汗自止。亦治手足痛风、胁风(痛风有风痰、风湿、湿痰、瘀血、气虚、血虚之异。
桂枝用作引经。胁风属肝,桂能平肝。东垣曰∶桂枝横行手臂,以其为枝也。又曰∶气薄则
发泄,桂枝上行而解表。气浓则发热,肉桂下行而补肾。王好古曰∶或问桂枝止烦出汗,仲
景治伤寒发汗,数处皆用桂枝汤。又曰无汗不得用桂枝,汗多者桂枝甘草汤,此又能闭汗也,
二义相通否乎?曰∶仲景云太阳病发热汗出者,此为营弱卫强。阴虚,阳必凑之,故以桂枝
发其汗,此乃调其营气,则卫气自和,风邪无所容,遂自汗而解,非若麻黄能开腠理,发出
其汗也。汗多用桂枝者,以之调和营卫,则邪从汗出,而汗自止,非桂枝能闭汗孔也,亦惟
有汗者宜之。若伤寒无汗,则当以发汗为主,而不独调其营卫矣!故曰无汗不得服桂枝,有
汗不得服麻黄也。《伤寒例》曰∶桂枝下咽,阳盛则毙;承气入胃,阴盛则亡)。
Pungent and bitter in flavor, it dries dampness, tonifies Yang, and invigorates blood.
Bitter enters the Heart, pungent travels through the Blood. It can guide blood circulation, induce sweating, transform pus, internally support the expulsion of toxins in carbuncles and sores (similar to Dingxiang [Caryophylli Flos], treating collapsed smallpox),
nourishes essence, brightens the eyes, eliminates stasis, generates flesh, tonifies labor injuries, warms the waist and knees, and reconnects sinews and bones.
Treats wind-bi with masses, dysphagia with abdominal fullness, cold pain in the abdomen, and nine types of heartache (namely worm, zhu [malaria-like pathogen], wind, palpitation, food, fluid, cold, heat, and wandering pain; all are caused by pathogens invading the collaterals of the Hand-Shaoyin [Heart] meridian, where pathogenic and righteous qi clash, thus causing heartache).
Light in nature, it releases the muscle layer and harmonizes Ying and Wei.
Pungent, sweet, and warm in flavor, its Qi is light, ascending, and floating. Enters the Taiyin Lung and Taiyang Bladder meridians. Warms the meridians, unblocks vessels, induces sweating, and releases the muscle layer (can benefit Lung Qi. The classic states: Pungent and sweet dispersing actions belong to Yang).
Treats wind-cold headache (induces sweating when there is no sweat), stroke with spontaneous sweating (stops sweating when present. "Zhong" [strike] is synonymous with "Shang" [injure], commonly used in ancient texts; spontaneous sweating belongs to Yang deficiency. Guizhi [Ramulus Cinnamomi] serves as the Sovereign herb, Shaoyao [Radix Paeoniae Rubra or Alba] and Gancao [Radix Glycyrrhizae] as ministers. Adding Shengjiang [Rhizoma Zingiberis Recens] and Dazao [Fructus Jujubae] forms Guizhi Tang [Cinnamon Twig Decoction], which can harmonize Ying and solidify the exterior), harmonizes Ying and Wei, allowing pathogens to exit via sweat, thereby stopping spontaneous sweating. Also treats gout in hands and feet, and wind affecting the hypochondrium (gout varies into wind-phlegm, wind-dampness, damp-phlegm, blood stasis, Qi deficiency, and Blood deficiency. Guizhi acts as a guiding herb. Hypochondriac wind belongs to the Liver; Cinnamomum can soothe the Liver. Li Dongyuan stated: Guizhi traverses the arms horizontally because it is a twig. He also said: Light Qi dissipates; Guizhi ascends to release the exterior. Dense Qi generates heat; Rougui [Cortex Cinnamomi] descends to tonify the Kidney. Wang Haogu stated: Someone asked why Guizhi stops irritability and induces sweating. Zhang Zhongjing used Guizhi Tang in many places for inducing sweating in Shanghan [Cold Damage]. He also said that Guizhi should not be used when there is no sweat, while Guizhi-Gancao Tang is used when sweat is excessive, which seems to close sweat pores. Are these two meanings consistent? The answer is: Zhang Zhongjing said that in Taiyang disease with fever and sweating, this indicates weak Ying and strong Wei. When Yin is deficient, Yang must gather there, so Guizhi is used to induce sweating. This actually harmonizes Ying Qi, so Wei Qi becomes balanced, leaving no room for wind pathogens, and they resolve with sweat. This is different from Mahuang [Herba Ephedrae], which opens the cou li [skin pores] to forcibly expel sweat. When sweat is excessive, Guizhi is used to harmonize Ying and Wei, allowing pathogens to exit with sweat, thus stopping the sweat; it does not close the sweat pores. It is suitable only for those with existing sweat. If Shanghan presents with no sweat, the primary treatment should be inducing sweating, not merely harmonizing Ying and Wei! Therefore, it is said that Guizhi should not be taken when there is no sweat, and Mahuang should not be taken when there is sweat. The Shanghan Li [Example of Cold Damage] states: If Guizhi is swallowed and Yang is excessive, death ensues; if Chengqi Tang [Gastro-Intestinal Purging Decoction] enters the stomach and Yin is excessive, death ensues).