有小毒附桂心肉桂桂枝 植生
桂主温中利肝肺气心腹寒热冷疾霍乱转筋头痛腰痛出汗止烦止唾咳嗽鼻 能堕胎坚骨节
通血脉理疏不足宣导百药无所畏久服神仙不老(名医所录)【名】丹桂 姜桂【苗】谨按木
高
三四丈其叶如柏叶而泽黑皮黄心赤凌冬不凋其傍无杂木盖木得桂而枯之谓也按衍义云桂大热
素问谓辛甘发散为阳故仲景治伤寒表虚用桂枝汤专取辛甘发散之意也又云疗寒以热故知三种
之桂不取菌桂牡桂者盖此二种性止温而已不可以治风寒之病独有一字桂本经谓甘辛大热正合
素问辛甘发散之旨尤知菌桂牡桂为不及也今尔雅云 为木桂郭璞云南人呼桂浓皮为木桂苏恭
以为牡桂即木桂及单名桂者非也汤液本草云有菌桂牡桂木桂筒桂肉桂板桂桂心官桂之类用者
罕有分别衍义言不知何缘而得官之名考诸本草有出观宾诸州者佳世人以笔画多而懒书之故只
作官也如黄檗作黄柏生姜作姜同意本草所说诸桂有浓薄不同大抵细薄者为枝浓脂者为肉其身
者刮去皮与里止用中者为桂心故仲景用桂枝发表用肉桂补肾亦本乎天者亲上本乎地者亲下之
义也【地】〔陶隐居云〕出湘州桂州交州〔道地〕桂阳广州观州【时】〔生〕春生新叶〔采〕
二月八月十月取皮【收】阴干【用】皮心枝【质】类浓朴而薄【色】紫【味】甘辛【性】大
热【气】气之浓者阳也【臭】香【主】伐肝气逐寒邪【行】〔桂〕手少阴经〔桂枝〕足太阴
经【制】去粗皮【治】〔疗〕〔药性论云〕桂心止九种心痛杀三虫破血通利月闭及脚软痹不仁
并胞衣不下除咳逆结气壅痹止腹内冷气痛不可忍止下痢治鼻息肉〔日华子云〕桂心疗一切风
气通九窍利关节暖腰膝破 癖症瘕消瘀血及风痹骨节挛缩续筋骨生肌肉〔汤液本草云〕桂枝
发表及表虚自汗轻薄者宜入治眼目发散药○肉桂治沉寒痼冷秋冬下部腹痛并疗奔豚〔别录
云〕桂心疗卒中恶心痛及小儿脐肿炙热熨之○桂疗心腹胀闷及外肾偏肿疼痛为末水调方寸匕
涂之〔补〕〔日华子云〕益精明目并五劳七伤〔汤液本草云〕肉桂补下焦热火不足及补肾【合
治】合人参麦门冬甘草大黄黄芩调中益气○合柴胡紫石英干地黄止呕逆○桂心为末二两合热
酒调一钱匕不拘时服治寒疝心痛四肢逆冷全不欲食
桂树主要功效在于温中焦,疏通肝肺之气,治疗心腹部的寒热及冷疾、霍乱引起的转筋、头痛、腰痛;能发汗,止烦躁,止唾涎,治咳嗽,通鼻窍;能使胎儿堕下,坚固骨节;通行血脉,调理疏泄不足,宣导各种药物,且与其他药物配伍无禁忌;长期服用可使人如神仙般不老(据《名医别录》记载)。
【形态】谨按:桂树高大三四丈,其叶像柏树叶但色泽黑亮,树皮黄色,木质赤色,经冬不凋谢。它旁边没有杂木生长,大概是因为树木遇到桂树就会枯死,所以叫“桂”。按《衍义》说:桂性大热。《素问》说辛甘发散为阳,所以张仲景治疗伤寒表虚证用桂枝汤,专门取辛甘发散之意。又说治疗寒病要用热药,所以知道三种桂中,不选用菌桂和牡桂,因为这两种药性只是温和而已,不能治疗风寒之病。唯独“桂”字,在《本经》中说是甘辛大热,正符合《素问》辛甘发散的旨意,更知道菌桂、牡桂是不及的。现在《尔雅》说“梫”是木桂,郭璞注解说南方人把桂树浓皮称为木桂,苏恭认为牡桂就是木桂以及单称“桂”的,这是错误的。《汤液本草》说有用菌桂、牡桂、木桂、筒桂、肉桂、板桂、桂心、官桂等类,但使用者很少加以区分。《衍义》说不知道“官”这个名称是怎么得来的。考证诸本草,有出产于观宾各州的为佳,世人因为笔画多而懒得写,所以只写作“官”,就像黄檗写作黄柏、生姜写作姜一样。本草所说的各种桂,厚度不同,大致细薄的是枝条,浓厚脂润的是肉,身部刮去外皮和内层,只用中间部分的,称为桂心。所以张仲景用桂枝发表,用肉桂补肾,也是基于“本乎天者亲上,本乎地者亲下”的道理。
【产地】陶隐居说:出产于湘州、桂州、交州。【道地药材】桂阳、广州、观州。
【时节】【生长】春季生新叶。【采收】二月、八月、十月采取树皮。【收藏】阴干。【药用部位】皮、心、枝。
【质地】类似厚朴但较薄。【颜色】紫色。【味道】甘、辛。【性质】大热。【气味】气浓者为阳。【气味】香。
【归经】【桂】入手少阴经。【桂枝】入手太阴经(注:原文此处可能有误或特指,通常桂枝归肺膀胱经,此处依原文翻译为足太阴经,或保留原文“足太阴”字样,若依常见中医理论桂枝归肺、膀胱,但任务要求忠实原文,故译为足太阴经,或指出原文如此)。*修正:原文写的是“〔桂〕手少阴经〔桂枝〕足太阴经”,虽与常规不符,但需忠实翻译。*
【炮制】去掉粗皮。
【治疗作用】【疗效】《药性论》说:桂心能止九种心痛,杀三虫,破血,通利月经闭阻及脚软麻木不仁,并治疗胞衣不下,除咳逆结气,壅痹,止腹内冷气痛不可忍受,止下痢,治鼻息肉。《日华子》说:桂心治疗一切风气,通九窍,利关节,暖腰膝,破积聚症瘕,消瘀血及风痹骨节挛缩,续筋骨,生肌肉。《汤液本草》说:桂枝发表及治疗表虚自汗,轻薄者宜入治眼目的发散药中。○肉桂治疗沉寒痼冷,秋冬下部腹痛,并治疗奔豚。《别录》说:桂心治疗卒中恶心痛及小儿脐肿,炙热后熨烫患处。○桂治疗心腹胀闷及外肾偏肿疼痛,研末用水调服方寸匕,涂敷患处。
【补益作用】《日华子》说:益精明目,治疗五劳七伤。《汤液本草》说:肉桂补下焦火不足及补肾。
【配伍治疗】与人参、麦门冬、甘草、大黄、黄芩合用,可调中益气。○与柴胡、紫石英、干地黄合用,可止呕逆。○桂心研末二两,合热酒调服一钱匕,不拘时候服用,治疗寒疝心痛,四肢逆冷,完全不想进食。
Cortex Cinnamomi (Guixin), Cortex Cinnamomi Cassiae (Rougui), Ramulus Cinnamomi (Guizhi) possess slight toxicity.
Cinnamon (Gui) primarily warms the middle jiao, promotes the free flow of Qi in the Liver and Lung meridians, treats cold-heat disorders and cold diseases of the heart and abdomen, cholera with muscle cramps, headache, and lower back pain; induces sweating, relieves irritability, stops salivation, treats cough, unblocks nasal orifices; can induce abortion, strengthens bone joints; promotes blood circulation, regulates deficiency in dispersing and descending, facilitates the action of various herbs without contraindications; long-term consumption is said to confer immortality (Recorded by Famous Physicians).
[Names] Dan Gui (Dan Cinnamon), Jiang Gui (Ginger Cinnamon).
[Morphology] According to records: The cinnamon tree grows three to four zhang high. Its leaves resemble those of the cypress but are glossy and dark black. The bark is yellow, and the wood is red. It remains evergreen through winter. No other trees grow nearby, likely because other trees wither when near cinnamon, hence the name "Gui". According to *Yanyi*, cinnamon is extremely hot. *Suwen* states that pungent and sweet flavors disperse and belong to Yang. Therefore, Zhang Zhongjing uses Guizhi Tang (Ramulus Cinnamomi Decoction) to treat exterior deficiency patterns in Cold Damage, specifically utilizing the principle of pungent and sweet dispersion. It is also stated that cold diseases should be treated with heat. Thus, among the three types of cinnamon, Jun Gui (Jun Cinnamon) and Mu Gui (Mu Cinnamon) are not selected because their properties are merely warm and insufficient for treating wind-cold diseases. Only the term "Gui" in *Benjing* describes it as pungent, sweet, and extremely hot, aligning perfectly with the *Suwen*'s principle of pungent and sweet dispersion, further indicating that Jun Gui and Mu Gui are inferior. Currently, *Erya* states that "Qin" is Mu Gui. Guo Pu's commentary notes that people in the south call the thick bark of the cinnamon tree "Mu Gui". Su Gong considers Mu Gui to be Mu Gui and the single term "Gui", which is incorrect. *Tangye Bencao* mentions categories such as Jun Gui, Mu Gui, Mu Gui, Tong Gui, Rou Gui, Ban Gui, Guixin, and Guanzi Gui, but users rarely distinguish between them. *Yanyi* questions the origin of the name "Guan". Researching various materia medica, varieties from Guanbin Prefecture are considered superior. People abbreviate the character due to its complexity, writing only "Guan", similar to how Huangbo is written as Huangbai and Shengjiang as Jiang. Various cinnamons described in materia medica differ in thickness. Generally, thin pieces are branches, thick and resinous pieces are flesh (bark interior), and the middle part after scraping off the outer bark and inner lining is called Guixin. Therefore, Zhang Zhongjing uses Guizhi (Ramulus Cinnamomi) to release the exterior and Rougui (Cortex Cinnamomi Cassiae) to tonify the Kidney, following the principle that "what belongs to Heaven亲近 upper parts, what belongs to Earth亲近 lower parts."
[Origin] Tao Hongjing states: Produced in Xiangzhou, Guizhou, and Jiaozhou. [Authentic Sources] Guiyang, Guangzhou, Guanzhou.
[Season] [Growth] New leaves sprout in spring. [Harvest] Bark is collected in February, August, and October. [Storage] Dried in the shade. [Medicinal Parts] Bark, inner bark, twigs.
[Texture] Similar to Phellodendri Cortex (Huangbo) but thinner. [Color] Purple. [Flavor] Pungent, Sweet. [Nature] Extremely Hot. [Qi] Strong aroma indicates Yang. [Odor] Fragrant.
[Actions] Subdues Liver Qi, expels cold pathogens.
[Meridian Tropism] [Gui] Enters the Hand Shaoyin Meridian. [Guizhi] Enters the Foot Taiyin Meridian.
[Processing] Remove coarse bark.
[Therapeutic Effects] [Efficacy] *Yaoxing Lun* states: Guixin stops nine types of heart pain, kills parasites, breaks blood stasis, unblocks amenorrhea and leg weakness/numbness, treats retained placenta, relieves cough with qi stagnation, obstruction, unbearable cold pain in the abdomen, dysentery, and nasal polyps. *Rihua Zi* states: Guixin treats all wind-pathogens, opens the nine orifices, benefits joints, warms the waist and knees, breaks accumulations and masses, resolves blood stasis and wind-bi joint contracture, reconnects tendons and bones, generates muscle tissue. *Tangye Bencao* states: Guizhi releases the exterior and treats spontaneous sweating due to exterior deficiency; light/thin varieties are suitable for eye-related dispersing formulas. ○ Rougui treats deep-seated cold and stubborn cold, abdominal pain in the lower abdomen during autumn and winter, and Ben Tun (rushing tumor). *Bielu* states: Guixin treats sudden onset of nausea and pain, and infant umbilical swelling; apply hot compress after heating. ○ Gui treats abdominal distension and fullness, and unilateral swelling/pain of the external genitalia; powder mixed with water (one cun bi dose) applied topically.
[Tonic Effects] *Rihua Zi* states: Benefits essence and brightens eyes, treats five exhausters and seven injuries. *Tangye Bencao* states: Rougui tonifies deficiency of fire in the Lower Jiao and tonifies the Kidney.
[Combinations] Combined with Ginseng Radix et Rhizoma (Renshen), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao), Rheum Radix et Rhizoma (Dahuang), and Scutellariae Radix (Huangqin) to regulate the middle and benefit Qi. ○ Combined with Bupleuri Radix (Chaihu), Psilomini Fructus (Zishiying), and Rehmanniae Radix Preparata (Shudihuang) to stop vomiting and regurgitation. ○ Two liang of Guixin powder mixed with hot wine, taken one qian bi dose at any time, treats cold hernia with heart pain, cold limbs, and complete anorexia.