Class 2 OTC DrugKampo Formulation
Tsumura Kampo Keishibukuryogan
When lower abdominal discomfort, irregular menstruation, flushing, and cold feet are a concern
✦ Keishibukuryogan formula✦ For women’s discomfort✦ Granules
For people like this · At times like these
🌙
Those whose menstrual rhythm tends to be irregular
When menstrual irregularities, menstrual abnormalities, menstrual pain, and other period-related discomforts are a concern.
🔥
Those who flush easily and tend to have cold feet
For relatively robust people who feel flushed with cold feet, as if heat is rising upward and cold settles below.
💢
Those with overlapping stiff shoulders, heavy head, and dizziness
When stiff shoulders, a heavy head, dizziness, and lower abdominal discomfort occur together.
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Those concerned about dark spots, acne, or skin trouble
When dark spots, eczema/dermatitis, acne, and other skin symptoms listed in the official indications are a concern.
Product overview
Tsumura Kampo Keishibukuryogan is a Kampo formulation used for irregular menstruation, menstrual pain, menopausal disorders, chi-no-michi-sho, and related conditions in people of relatively robust constitution who sometimes report lower abdominal pain, stiff shoulders, a heavy head, dizziness, flushing with cold feet, and similar symptoms. It is an OTC medicine based on the same prescribing concept as the classical formula “Keishibukuryogan” used in ethical practice, intended to ease symptoms shown in the official indications, including discomfort related to menstruation and menopause, bruises, dark spots, and acne. Before use, confirm that your symptoms and constitution match the indications, and consult a pharmacist or registered seller if you have any concerns.
Product features
01
Classical formula · Keishibukuryogan
Kampo formula
A Kampo formulation containing extract of the Keishibukuryogan formula, composed of cinnamon bark (Keihi), peony root (Shakuyaku), peach kernel (Tonin), Poria (Bukuryo), and Moutan bark (Botanpi).
02
Addresses women’s discomfort such as menstruation and menopause
Indication areas
Used for officially indicated women’s conditions such as irregular menstruation, menstrual abnormalities, menstrual pain, menopausal disorders, and chi-no-michi-sho.
03
Constitution profile with flushing and cold feet
Target constitution
Indicated for various symptoms in people of relatively robust constitution who report flushing with cold feet, lower abdominal pain, stiff shoulders, a heavy head, dizziness, and similar complaints.
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Granule type
A granule preparation taken with water or hot water.
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Taken before meals
Directions: take before meals. Take the age-appropriate single dose twice daily.
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Also indicated for skin and bruises
Dark spots, eczema/dermatitis, acne, and bruises (contusions) are also included in the official indications.
Active ingredients (per adult daily dose)
Indications
The following symptoms in people of relatively robust constitution who sometimes report lower abdominal pain, stiff shoulders, a heavy head, dizziness, flushing with cold feet, and similar complaints: irregular menstruation, menstrual abnormalities, menstrual pain, menopausal disorders, chi-no-michi-sho, stiff shoulders, dizziness, heavy head, bruises (contusions), dark spots, eczema/dermatitis, acne
Dosage and administration
| Age |
Single dose |
Times per day |
| Adults (15 years and older) |
1 packet per dose |
Twice daily, before meals |
| 7 to under 15 years |
2/3 packet per dose |
Twice daily, before meals |
| 4 to under 7 years |
1/2 packet per dose |
Twice daily, before meals |
| 2 to under 4 years |
1/3 packet per dose |
Twice daily, before meals |
| Under 2 years |
Do not take |
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Take with water or hot water before meals. Strictly follow the dosage and administration. When giving this medicine to children, have them take it under the guidance and supervision of a guardian. If symptoms do not improve or you are unsure how to proceed, consult a physician, pharmacist, or registered seller.
⚠️ Precautions for use
- This product is a Class 2 OTC drug. Read the package insert carefully before taking it.
- The following people should consult a physician, pharmacist, or registered seller before use: those under a physician’s care; pregnant women or those who may be pregnant; those with a weak constitution (those with declining physical strength or a frail body); those with a weak gastrointestinal tract who tend to have diarrhea; those who have previously experienced rash, redness, itching, or similar reactions to medicines.
- If the following symptoms appear after taking this medicine, they may be side effects. Stop taking it immediately and consult a physician, pharmacist, or registered seller: skin (rash/redness, itching); digestive system (nausea, stomach discomfort, abdominal pain, diarrhea); and others.
- Rarely, serious side effects such as hepatic dysfunction and mesenteric phlebosclerosis have been reported. If malaise, jaundice, abdominal pain, constipation, diarrhea, or similar symptoms persist, stop taking this medicine and consult a physician.
- If symptoms do not improve after taking this medicine for a while, stop use and consult a physician, pharmacist, or registered seller.
- Do not use for symptoms or constitutions that do not match the indications. Do not continue long-term use based on self-judgment.
- Regarding concomitant use with other medicines, consult a physician, pharmacist, or registered seller.
📦 Storage precautions
- Store in a cool place with low humidity, away from direct sunlight.
- Store out of reach of children.
- Do not transfer to another container (to prevent misuse and maintain quality).
- Do not take products past their expiration date.
- If using the remainder of a divided packet, fold the opening of the bag closed and use within 2 days (general handling for granule preparations).
● Features
"Katsuragi Fuling Pill" is a Kampo medicine described in the classic text "Jin Gui Yao Lue." It is used for relatively robust individuals experiencing symptoms such as hot flashes, lower abdominal pain, dizziness, and heaviness in the head, and is applied to conditions like "irregular menstruation," "menstrual abnormalities," "menopausal disorders," and "blemishes." "Tsumura-Kampo Katsuragi Fuling Pill Extract Granules A" is an easy-to-take granule made from the extract of "Katsuragi Fuling Pill."
【Class 2 OTC Drug】
● Efficacy/Effects
For relatively robust individuals who sometimes complain of lower abdominal pain, stiff shoulders, heaviness in the head, dizziness, hot flashes with cold feet, and the following conditions: irregular menstruation, menstrual abnormalities, menstrual pain, menopausal disorders, blood-related symptoms, stiff shoulders, dizziness, heaviness in the head, bruises (contusions), chilblains, blemishes, eczema/dermatitis, acne.
＜Precautions related to Efficacy/Effects＞
Blood-related symptoms refer to mental and physical symptoms such as anxiety and irritability that appear with hormonal changes in women during menstruation, pregnancy, childbirth, postpartum, and menopause.
● Dosage and Administration
Take the following amounts with water or hot water before meals.
[Age: Dose per time: Number of doses per day]
Adults (15 years and older): 1 packet (1.875g): 2 times
7 years and older but under 15 years: 2/3 packet: 2 times
4 years and older but under 7 years: 1/2 packet: 2 times
2 years and older but under 4 years: 1/3 packet: 2 times
Under 2 years: Do not take
＜Precautions related to Dosage and Administration＞
When administering to children, please do so under the guidance and supervision of a guardian.
● Ingredients/Quantity
Per 2 packets (3.75g)
Katsuragi Fuling Pill Extract (1/2 amount) 0.875g (Cinnamon Bark, Peony Root, Peach Kernel, Poria Sclerotium, Moutan Bark each 1.5g)
〔Additives〕
Light anhydrous silicic acid, magnesium stearate, lactose hydrate
＜Precautions related to Ingredients/Quantity＞
● Dosage Form
Granules (oral - powder)
● Precautions for Use
■ Consult
1. Consult a doctor, pharmacist, or registered seller before taking if:
(1) You are receiving medical treatment from a doctor.
(2) You are pregnant or think you may be pregnant.
(3) You are physically weak (frail or weak constitution).
(4) You have had rash, redness, itching, etc., caused by medicines before.
2. If the following symptoms appear after taking, they may be side effects. Stop taking immediately and consult a doctor, pharmacist, or registered seller with this document.
［Affected area: Symptoms］
Skin: Rash, redness, itching
Digestive system: Loss of appetite
Rarely, the following serious symptoms may occur. In such cases, seek medical attention immediately.
［Name of Symptom: Symptoms］
Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin and whites of eyes), dark urine, general fatigue, loss of appetite, etc.
3. The following symptoms may appear after taking. If these symptoms persist or worsen, stop taking and consult a doctor, pharmacist, or registered seller with this document.
Diarrhea.
4. If symptoms do not improve after about one month of use, stop taking and consult a doctor, pharmacist, or registered seller with this document.
● Precautions for Storage and Handling
1. Store in a cool, dry place away from direct sunlight.
2. Keep out of reach of children.
3. If you take only part of a packet, fold the opening of the bag and store it, and take it within 2 days.
4. This product uses crude drugs (medicinal herbs such as roots, bark, etc.), so the color tone of the granules may vary slightly between products, but this does not affect efficacy or effects.
5. Do not take the product after the expiration date.
