The Cinnamon Challenge

Between 2007 and 2014, the “cinnamon challenge” was an internet hype. Although the instructions were simple enough—swallow a tablespoon of cinnamon at once—they proved to be virtually impossible to follow in practice. Trying to ingest dry, ground cinnamon bark initially causes a severe choke reaction, characterized by extreme exhalation of cinnamon powder (known as “dragon breath”). Subsequently, the cinnamon combines with saliva in the mouth to produce an indigestible clutter at the back of the throat. Thankfully, this quite dangerous assignment will only be a marginal footnote to the history of cinnamon. Those who only know cinnamon from an endless number of ridiculous YouTube videos that recorded the challenge, or as a quotidian kitchen spice, will be surprised to learn that the real challenge—to find out what cinnamon actually is, as a plant and as a medicine—has been a centuries-long and ongoing effort.

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Forgotten Knowledge and Fabricated History

Cinnamon had a long history before any European ever saw “true” cinnamon (Cinnamomum verum J.Presl), which originally grew only on Sri Lanka. Here lies the key to understanding the history of cinnamon: it is mostly about a plant-based product carrying that name, not about any particular plant species like C. verum. This is a crucial point, because a lot of confusion about cinnamon emanates from incorrectly equating names with plants. To be more precise: in Latin Western Europe, it was assumed for centuries that the plants cinnamomum (κιννάμωμον in Greek) and cassia (κασία), as described by ancient medical authorities (notably Dioscorides), are the same plants as those found in the East Indies in the sixteenth century. A recent revaluation of archaeological, historical, linguistic, and botanical evidence, however, suggests that the cinnamon of ancient history was probably an East-African plant, Cassia abbreviata Oliv., which is not related to the genus Cinnamomum.1

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How could this confusion last so long? One possible explanation for the shift from an East-African to a South-East-Asian plant is linguistic. In medieval Latin, the name for cinnamon from the East Indies was canella, which still resounds in many European languages today. For some reason, the names canella and cinnamomum both began to be associated with the East Indian spice in the Middle Ages.2 In the wake of the European voyages of discovery in the fifteenth and sixteenth centuries, European scholars writing about cinnamon would turn to classical, not medieval sources, to understand the spice and its properties. They managed to resolve the discrepancies they found between classical descriptions of the spice and the plant that was found in Sri Lanka. For instance, in his book Coloquios dos simples, e drogas he cousas mediçinais da Indiae (Colloquies on the Simples and Drugs and Medical Things of India) (1563), the Portuguese physician Garcia de Orta, who worked in Goa, explained the differences between his own observations and classical authors’ descriptions of cinnamon by the fact that the latter had only known the processed spice, not the plant itself.3

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Another, much more surprising reason for the long-lasting confusion over cinnamon, is the fact that the exact same issue still exists today. This is a striking example of forgotten knowledge in modern science. In the nineteenth century, Friedrich A. Flückiger and Daniel Hanbury already noted in their Pharmacographia (1874) that cinnamon in antiquity did not come from Sri Lanka. It only became a noticeable export from there in the thirteenth century, when political power on the island shifted to the cinnamon-producing areas in the southwest.4 Rather, they argued, the cinnamon of antiquity must have been cassia lignea—a common historical name for cassia, generally believed to be Cinnamomum cassia (L.) J.Presl—imported from China through Arabia and East Africa. Although this narrative is debatable, it is more plausible than the one proposed by J. Innes Miller (1969), who claimed there had been an interoceanic “Cinnamon Route” in antiquity, spanning all corners of the Indian Ocean. Although this idea is now rejected by historians, Sri Lanka still features in many accounts of cinnamon in antiquity.5

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Cinnamon as a Tool of Empire

The attraction of cinnamon—true or other—as a means to enhance the power of state by displaying its control over exotic riches, predates the early modern period. For example, many coins from the reign of Roman emperor Trajan (reign 98–117 CE) show a personification of Arabia, who holds a bundle of cinnamon sticks. This motif can be associated with Trajan’s conquests on the eastern periphery of the Roman empire, which he managed to extend briefly to the Persian Gulf. Such coins served as propaganda, emphasizing the empire’s authority over the conquered lands.6

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The quest for spices, cinnamon among them, was one important aim that inspired Europeans of the fifteenth and sixteenth centuries to brave the oceans. Columbus, expecting to reach India, brought samples of cinnamon bark with him on his first journey to the Americas to help native inhabitants guide him to cinnamon trees, which he believed should grow there. He sent samples of a kind of white cinnamon—probably Canella winterana (L.) Gaertn.—back to Spain from his second journey. Similarly, Juan Sebastián Elcano, who completed Magellan’s circumnavigation of the world after his commander had been killed on the Philippines, successfully petitioned the king to have cinnamon sticks, cloves, and nutmeg depicted on his coat-of-arms to commemorate his role in opening up the spice route to the East Indies.7

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Once true cinnamon had begun to be understood as cinnamon from Sri Lanka (historically referred to as Ceylon), European states strove to gain a foothold on the island and access the cinnamon trade. From the sixteenth century onward, local rulers bargained with the Portuguese, and later the Dutch, for a share in this trade, in exchange for political and military assistance against their rivals. The Portuguese made tentative attempts to create a monopoly after they first arrived on Sri Lanka in 1505. They soon realized that this was impossible without getting involved in local politics. Therefore, they engaged in “reluctant imperialism” to gain access to cinnamon: they needed a permanent presence on the island, and eventually signed an agreement with the king of Kotte in 1533 to buy large amounts of cinnamon.8

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Optimizing the Monopoly

The Dutch made even stronger, concerted efforts to get a monopoly on cinnamon. They signed a treaty with the king of Kandy in 1638, hoping this would give them a share of the cinnamon trade, which was still dominated by the Portuguese. After the Portuguese defeats at Colombo (1656) and Jaffnapatnam (1658), the Dutch controlled many coastal areas of the island, while the kingdom of Kandy ruled the island’s interior. The relationship between the Dutch and the king of Kandy was strained. Cinnamon trees were scattered throughout the island’s forests, so groups of cinnamon peelers—specialized laborers from the Sinhalese caste Salagama (also known as Saliya or Chaliya)—who worked for the Dutch often had to cross Portuguese as well as Kandian territory to reach the areas where the trees grew. As it was impossible for the Dutch to keep a military grip on this enormous territory, or to control individual groups of peelers, there was little that they could do when the peelers chose, or were forced, to switch allegiance. Therefore, in order not to interrupt the supply of cinnamon, bribing the king of Kandy became a ongoing means to make sure he left the peelers alone.

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Although their skills were indispensable for the cinnamon trade, peelers were treated harshly by the Dutch. Each year, the peelers gathered in Colombo for a ceremony where they pledged loyalty to the Dutch governor. There was a long peeling season for cinnamon between May and August, and a short season in January and February. On both occasions, groups of men were sent off into the woods with nothing but paring knives and a supply of rice. Adult men were obliged to bring back 12 robes (56 pounds each) at the end of the summer season. Boys from age 12 had to contribute proportionally. Dutch sources from the colonial administration often complained that the peelers were lazy and unreliable, but these workers had a hard life. They were away from home for months, had to provide for themselves while working in the forests, where they were afflicted by diseases, and they were severely punished if they did not meet their quotas.9

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The restrictions imposed by the Dutch on cinnamon exports made it the only real monopoly on Sri Lanka in the early modern period. Smuggling was severely punished. In 1704, Bengali traders were allowed to export small amounts of cinnamon, which would not affect the monopoly of the Dutch East India Company (VOC) too much. In the 1720s, export restrictions were loosened for several products, but not cinnamon.10 The tight grip of the Dutch over this trade was also felt internally. Sri Lankan farmers had long been accustomed to clearing plots of forest to create temporary cultivated fields called chenas. Under Dutch rule, they were no longer allowed to practice crop rotation on plots planted with cinnamon, so as not to diminish the total acreage. Around 1700, however, Pieter van Dam, long-term secretary to the VOC, calculated that Sri Lanka produced more than enough cinnamon to supply European and international markets. This assessment makes the suppression of chena practices seem all the more exploitative.11

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In 1760, local grievances about the VOC policy concerning chenas, and the treatment of peelers by Sinhalese and Dutch officials, created an explosive situation. Backed by the king of Kandy, the peelers rebelled, leading to a war that lasted until 1766. The rebellion finally may have caused the Dutch to rethink their approach to cinnamon production. Starting in 1769, governor Iman Willem Falck (in office 1765–1785) began to experiment with “cinnamon gardens” (kaneeltuinen), which amounted to nothing less than a successful colonial plantation system. By the end of his governorship, there were 24 million cinnamon trees growing in these gardens, which increased to 609 million trees (!) by 1794.12

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It was short-lived success, however. When the British took control over the Dutch territories on Sri Lanka in 1796, they failed to maintain the cinnamon plantation economy. Calls for free trade and better working conditions for the peelers, high export duties, and competition with cheaper cassia cinnamon from Java finally led to reforms in 1833. But these measures came too late and were counterproductive: Britain sold many plantations to private owners, who switched to coffee and tea cultivation, thus ending the cinnamon production for years to come.13

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A Tool of Empire or a Tool of Science?

Although cinnamon was a successful monopoly during the Dutch period, was it purely a tool of empire? Production and export were guarded as closely as possible, smuggling was prohibited, and living trees could not leave the island. The Dutch monopoly was about promoting commercial interests above anything else, but not all restrictions were commercially motivated. When the administrator of the Dutch possessions on the Malabar coast, Hendrik Adriaan van Rheede tot Drakenstein, experimented with the oil of local cinnamon as a medicine in 1675, he was reprimanded by Rijckloff van Goens, the governor of Sri Lanka, for breaking the monopoly. The colonial government in Batavia agreed, but Van Rheede wrote a letter to justify his actions and continued his work. The actions of both Van Rheede and Van Goens were intended to demonstrate that the medicines from “their” respective regions were superior. In such instances, interests of empire and personal rivalry intertwined.14

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Imperial agendas and a disinterested search for knowledge could also go hand in hand. The botanist Paul Hermann was employed by the VOC between 1672 and 1677 to gather botanical knowledge on Sri Lanka. Although Hermann barely ventured beyond Colombo, he managed to collect an impressive amount of material, including many cinnamon specimens.15 Hermann’s collections sustained for decades scholarly interest in Sri Lankan flora. Many specimens served indirectly as input for the Species Plantarum (1753) of Carl Linnaeus, who dreamed of transplanting cinnamon to Lapland.16 But Hermann already knew that northern Europe was too cold for cinnamon: in spite of the VOC ban on exporting living plants, he had sent trees to several acquaintances in the Dutch Republic, none of which survived the cold winters.17 Despite the government restrictions, the exchange of knowledge and goods was evidently possible: an extensive, first-hand account of all the cinnamon varieties growing on Sri Lanka even made it into the Philosophical Transactions of the Royal Society in 1730.18

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Cinnamon and Imperial Imagination

Meanwhile, other countries were desperately trying to have access to cinnamon, especially Spain and its empire. Spain sought, ultimately without success, to procure cinnamon trees, or at least to replicate Dutch practices for cultivating such exotic plants in its colonies.19 The Spanish quest for cinnamon in the New World went back as far as the early days of exploration: in addition to Columbus’s efforts to find cinnamon on his voyages, the famous expedition of Gonzalo Pizarro and Francisco de Orellana along the Amazon river (1541–1542) was also intended to find the legendary “Land of Cinnamon” (País de la Canela), which was associated with the land of gold, El Dorado. Their journey later inspired the French botanist Joseph de Jussieu to search for cinnamon lands in South America in the 1740s.20

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The Spanish efforts to find cinnamon in the New World were not only intended to find an alternative to the true cinnamon of the Portuguese and the Dutch on Sri Lanka. There was more at stake. The commercial success of Spain’s European rivals in the East Indies made the Cape of Good Hope the principal shipping route for such goods. The promise of South American riches could transform Cape Horn into an alternative route, which would benefit Spain. This was an important aim for people like Alonso de Ovalle, a Chilean Jesuit. His Histórica Relación del Reyno de Chile (1646) was accompanied by a detailed map, that served as a visual propaganda tool for Spanish South America. The map highlights the continent’s natural resources, including areas of canela and cynamomum along the east coast.21 This was a strategy to draw attention to the potential of cinnamon production for the Spanish global empire.

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And Spain really needed cinnamon. One eighteenth-century report estimated that two-thirds of the Dutch cinnamon exports from Sri Lanka to Europe was consumed by Spain and its colonies.22 Cinnamon was used, for instance, as a flavoring in chocolate drinks, very popular in the Spanish Atlantic world.23 To supplement its supply, Spain embarked on another strategy of producing cinnamon, using other Cinnamomum species from the East Indies. They created new plantations in the Philippines to cultivate local species including Cinnamomum burmanni (Nees & T.Nees) Blume and Cinnamomum cebuense Kosterm.24 The Spanish pharmacist and botanist Juan de Cuéllar went to great lengths to convince his superiors in Madrid that cinnamon from the Philippines was identical to cinnamon from Sri Lanka. This was not only a scholarly motivated opinion: there were important commercial interests at stake if Spanish cinnamon could be equated with the one produced by the Dutch.25

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The last and most daring strategy was to transplant the true cinnamon to Spanish territories. This was an important objective for people like Casimiro Gómez Ortega, director of the Royal Botanical Garden of Madrid between 1771 and 1801, and José Celestino Mutis, the Spanish botanist who initiated the Royal Botanical Expedition to New Granada in 1783. Gómez Ortega published an instruction in 1779, which invited naturalists across the world to contribute plants and plant knowledge for the benefit of the Spanish empire, with cinnamon as one of the target species. Similarly, Mutis addressed the Spanish crown in the 1760s to support his plans for botanical expeditions in South America. New plant knowledge would greatly benefit the empire, he argued, explicitly mentioning cinnamon.26 However, Spain never succeeded in growing true cinnamon in South America, unlike the French efforts on Guadeloupe (1762) and the British on Saint Vincent (1768).27

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Today, Sri Lanka ranks high among the world’s largest exporters of cinnamon. But confusion remains: while Cinnamomum verum J.Presl is grown in many countries in the tropical zone, the quality of the end product differs for each region.28 Moreover, commercial statistics usually bring all market variations under the rubric “cinnamon,” without differentiating between different Cinnamomum species. This issue is even more pertinent in the context of medicine. Cinnamon has great potential therapeutic applications, but many studies fail to clarify which species of Cinnamomum they focused on, making it difficult to compare the results.29 The species epithet verum may sound like an obsolete name in a globalized world, where everyone has access to cinnamon and where cinnamon is grown in many tropical areas. But it still captures the essence of what cinnamon has always been about: distinguishing between what is true and what is not.

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References

  1. Stephen G. Haw, “Cinnamon, Cassia and Ancient Trade,” Journal of Ancient History and Archaeology 4, no. 1 (2017): 5–18, DOI:10.14795/j.v4i1.211. For an overview of the botanical genus Cinnamomum, see A.J.G.H. Kostermans, A Monograph of the Genus Cinnamomum Schaeff. (Lauraceae) (Tokyo: Academia Scientific Book, 1986). 

  2. Haw, “Cinnamon,” 10–11. 

  3. Inês de Ornellas e Castro, “‘A Pleasant Banquet of Words’: Therapeutic Virtues and Alimentary Consumption in Garcia de Orta’s Colloquies on the Simples and Drugs of India,” in Palmira Fontes da Costa, ed., Medicine, Trade, and Empire: Garcia de Orta’s Colloquies on the Simples and Drugs of India (1563) in Context (New York: Routledge, 2015), 84, 85. Cinnamon is discussed in the fifteenth colloquy of Garcia de Orta, Coloquios dos simples, e drogas he cousas mediçinais da Indiae (Impresso em Goa: por Ioannes de endem, 1563), 54–64. Click here for full book. A Portuguese edition of the book by Francisco Manuel de Melo Breyner, 4th Count of Ficalho (published 1891–1895) was translated in English by Clements Markham as Colloquies on the Simples & Drugs of India (London: Henry Sotheran and Co., 1913). Click here for full book. 

  4. Friedrich A. Flückiger and Daniel Hanbury, Pharmacographia: A History of the Principal Drugs of Vegetable Origin Met with in Great Britain and British India (London: Macmillan and Co., 1874), 466–474. Click here for full book; Vijaya Samaraweera, “The Cinnamon Trade of Ceylon,” Indian Economic & Social History Review 8, no. 4 (1971): 416, DOI:10.1177/001946467100800404 

  5. J. Innes Miller, The Spice Trade of the Roman Empire, 29 B.C. to A.D. 641 (Oxford: Clarendon Press 1969). The Spice Route thesis was embraced by Lionel Casson, Ancient Trade and Society (Detroit: Wayne State University Press, 1984), 225–246; and by John M. Riddle, Dioscorides on Pharmacy and Medicine (Austin: University of Texas Press, 1985), 98–104. It was refuted by Manfred G. Raschke, “New Studies in Roman Commerce with the East,” in H. Temporini, ed., Aufstieg und Niedergang der Römischen Welt: Geschichte und Kultur Roms in der neueren Forschung, II Principat/Rise and Fall of the Roman World: History and Culture of Rome in Recent Research, 2nd Principat (Berlin and New York: Walter de Gruyter, 1978), vol. 9, part 2, 604–1361; and by Patricia Crone, Meccan Trade and the Rise of Islam (Princeton, N.J.: Princeton University Press, 1987), 37. 

  6. Barbara Zając, “Roman Coinage in the Arabia Region during the Reign of Trajan (98-117 CE),” in Łukasz Miszk and Maciej Wacławik, eds., The Land of Fertility II: The Southeast Mediterranean from the Bronze Age (Newcastle upon Tyne: Cambridge Scholars Publishing, 2017), 99–101. 

  7. George B. Griffenhagen, “The Materia Medica of Christopher Columbus,” Pharmacy in History 34, no. 3 (1992): 133; Francisco Guerra, “Drugs from the Indies and the Political Economy of the Sixteenth Century,” in N. Florkin, ed., Materia Medica in the XVIth Century: Proceedings of a Symposium of the International Academy of the History of Medicine Held at the University of Basel, 7th Sept. 1964. Analecta Medico-Historica 1 (Oxford: Pergamon Press, 1964), 29–54. 

  8. Zoltán Biedermann, “The Matrioshka Principle and How It Was Overcome: Portuguese and Habsburgs Imperial Attitudes in Sri Lanka and the Responses of the Rulers of Kotte (1506-1598),” Journal of Early Modern History 13, no. 4 (2009): 265–310, DOI:10.1163/138537809X12528970165181 

  9. Lodewijk Wagenaar, Cinnamon & Elephants: Sri Lanka and The Netherlands from 1600, transl. by Steve Green and Michael Blass (Amsterdam: Rijksmuseum/Nijmegen: Vantilt Publishers, 2016), 149–157. 

  10. S. Arasaratnam, “Dutch Commercial Policy in Ceylon and its Effects on the Indo-Ceylon Trade (1690-1750),” Indian Economic & Social History Review 4, no. 2 (1967): 109–130, DOI:10.1177%2F001946466700400202 

  11. Lodewijk Wagenaar, Cinnamon & Elephants, 150, 153. 

  12. Lodewijk Wagenaar, Cinnamon & Elephants, 155. 

  13. Vijaya Samaraweera, “The Cinnamon Trade of Ceylon.” 

  14. Johan Heniger, Hendrik Adriaan van Reede tot Drakenstein (1636–1691) and Hortus Malabaricus: A Contribution to the History of Dutch Colonial Botany (Rotterdam and Boston: A.A. Balkema, 1986), 37–38; and Harold J. Cook, Matters of Exchange: Commerce, Medicine, and Science in the Dutch Golden Age (New Haven: Yale University Press, 2007), 310–317. 

  15. Tinde van Andel and Nadine Barth, “Paul Hermann’s Ceylon Herbarium (1672–1679) at Leiden, the Netherlands,” Taxon 67, no. 5 (2018): 981, DOI:10.12705/675.8 

  16. Lisbet Koerner, Linnaeus: Nature and Nation (Cambridge, Massachusetts and London: Harvard University Press, 1999), 36. 

  17. Paul Hermann, Horti academici Lugduno-Batavi catalogus exhibens Plantarum omnium Nomina, quibus ab anno MDCLXXXI ad annum MDCLXXXVI Hortus fuit instructus ut & Plurimarum in eodem cultarum & à nemine hucusque editarum Descriptiones & Icones (Lugduni Batavorum: Apud Cornelium Boutesteyn, 1687), 130. Click here for full book; quoted in Johan Heniger, Hendrik Adriaan van Reede tot Drakenstein, 155. 

  18. Albertus Seba, “An Account of the Cinnamon Tree in Ceylon, and Its Several Sorts. Communicated by the Chief Inspector of the Cinnamon Trade and Manufacture in that Island to Albertus Seba, a Noted Druggist at Amsterdam. Translated by the late Dr. Scheuchzer, F. R. S.,” Philosophical Transactions 36, no. 409 (1730): I, 97–109, DOI:10.1098/rstl.1729.0012 

  19. Daniela Bleichmar, “Botanical Conquistadors: The Promises and Challenges of Imperial Botany in the Hispanic Enlightenment,” in Yota Batsaki, Sarah Burke Cahalan, and Anatole Tchikine, eds., The Botany of Empire in the Long Eighteenth Century (Washington, D.C.: Dumbarton Oaks Research Library and Collection, 2016), 35–60; and Matthew James Crawford, The Andean Wonder Drug: Cinchona Bark and Imperial Science in the Spanish Atlantic 1630-1800 (Pittsburgh: University of Pittsburgh Press, 2016), 76–77. 

  20. Neil Safier, “Fruitless Botany: Joseph de Jussieu’s South American Odyssey,” in James Delbourgo and Nicholas Dew, eds., Science and Empire in the Atlantic World (New York: Routledge, 2008), 203–224. 

  21. Catherine E. Burdick, “Patagonian Cinnamon and Pepper: Blending Geography in Alonso de Ovalle’s Tabula Geographica Regni Chile (1646),” Imago Mundi 66, no. 2 (2014): 196–212, DOI:10.1080/03085694.2014.902581 

  22. Jonathan I. Israel, Dutch Primacy in World Trade, 1585-1740 (Oxford: Clarendon Press, 1989), 251–252. The estimate comes from Jacques Savary des Bruslons, Dictionnaire universel de commerce of 1723. The Real Sociedad Económica de Madrid calculated in 1780 that 600,000 pounds of Dutch cinnamon were consumed by Spanish America each year. See Daniela Bleichmar, Visible Empire: Botanical Expeditions and Visible Culture in the Hispanic Enlightenment (Chicago and London: University of Chicago Press, 2012), 132. 

  23. Irene Fattacciu, “The Resilience and Boomerang Effect of Chocolate: A Product’s Globalization and Commodification,” in Bethany Aram and Bartolomé Yun-Casalilla, eds., Global Goods and the Spanish Empire, 1492–1824: Circulation, Resistance and Diversity (Houndmills and Basingstoke: Palgrave Macmillan, 2014), 255–273, DOI:10.1057/9781137324054_14 

  24. Francisco Mallari, S.J., “The Mindanao Cinnamon,” Philippine Quarterly of Culture and Society 2, no. 4 (1974): 190–194, https://www.jstor.org/stable/29791158; and Russell K. Skowronek, “Cinnamon, Ceramics, and Silks: Tracking the Manila Galleon Trade in the Creation of the World Economy,” in Chunming Wu, ed., Early Navigation in the Asia-Pacific Region: A Maritime Archaeological Perspective (Singapore: Springer Science+Business Media, 2016), 59–74, DOI:10.1007/978-981-10-0904-4_3 

  25. Daniela Bleichmar, Visible Empire, 123–126. 

  26. Daniela Bleichmar, Visible Empire, 26, 31. 

  27. Thomas J. Zumbroich, “The Introduction of Nutmeg (Myristica fragrans Houtt.) and Cinnamon (Cinnamomum verum J.Presl) to America,” Acta Botánica Venezuélica 28, no. 1 (2005): 155–160, https://www.jstor.org/stable/41740951 

  28. U.M. Senanayake and R.O.B. Wijesekera, “Cinnamon and Cassia–The Future Vision,” in P.N. Ravindran, K. Nirmal Babu, and M. Shylaja, eds., Cinnamon and Cassia: The Genus Cinnamomum. Medicinal and Aromatic Plants – Industrial Profiles 36 (Boca Raton, Florida: CRC Press, 2004), 327–329. 

  29. K.K. Vijayan and R.V. Ajithan Thampuran, “Pharmacology and Toxicology of Cinnamon and Cassia,” in P.N. Ravindran, K. Nirmal Babu, and M. Shylaja, eds., Cinnamon and Cassia: The Genus Cinnamomum. Medicinal and Aromatic Plants – Industrial Profiles 36 (Boca Raton, Florida: CRC Press, 2004), 259–284; Priyanga Ranasinghe et al., “Medicinal Properties of ‘True’ Cinnamon (Cinnamomum zeylanicum): A Systematic Review,” BMC Complementary and Alternative Medicine 13, no. 275 (2013), DOI:10.1186/1472-6882-13-275; and Hellen A. Oketch-Rabah, Robin J. Marles, and Josef A. Brinckmann, “Cinnamon and Cassia Nomenclature Confusion: A Challenge to the Applicability of Clinical Data,” Clinical Pharmacology and Therapeutics 104, no. 3 (2018): 435–445, DOI:10.1002/cpt.1162