"Fangfeng Tongsheng San" is a traditional Chinese medicine listed in the classical text "Xuanming Lun," and is often used for people with obesity who tend to be constipated. It improves conditions such as "palpitations, shoulder stiffness, hot flashes, swelling, constipation" associated with high blood pressure and obesity, as well as "obese constitution."
"Tsumura Kampo Fangfeng Tongsheng San Extract Granules" are easy-to-take granules made from extracts of "Fangfeng Tongsheng San."

▼Contents
20 packets (10 days' supply)

▼Form
Granules

▼Component explanation
Each package (3.75g) contains 2.25g of Fangfeng Tongsheng San extract (half amount) in the following ratio.
Japanese Pharmacopoeia Cassia 1.5g, Japanese Pharmacopoeia Ougon (Scutellaria baicalensis) 1.0g, Japanese Pharmacopoeia Licorice 1.0g, Japanese Pharmacopoeia Kikyō (Platycodon grandiflorus) 1.0g, Japanese Pharmacopoeia Sekkō (Gypsum) 1.0g, Japanese Pharmacopoeia Byakujutsu (Atractylodes macrocephala) 1.0g, Japanese Pharmacopoeia Daio (Rhubarb) 0.75g, Japanese Pharmacopoeia Keigai (Eclipta alba) 0.6g, Japanese Pharmacopoeia Sanshishi (Gardenia jasminoides) 0.6g, Japanese Pharmacopoeia Shakuyaku (Peony root) 0.6g, Japanese Pharmacopoeia Senkyu (Angelica root) 0.6g, Japanese Pharmacopoeia Toki (Angelica acutiloba) 0.6g, Japanese Pharmacopoeia Hakka (Mentha haplocalyx) 0.6g, Japanese Pharmacopoeia Bōfū (Saposhnikovia divaricata) 0.6g, Japanese Pharmacopoeia Maou (Euphorbia kansui) 0.6g, Japanese Pharmacopoeia Rengyo (Forsythia suspensa) 0.6g, Japanese Pharmacopoeia Waterless Bōshō (Ephedra herb) 0.35g, Japanese Pharmacopoeia Shōkyō (Ginger) 0.15g

It contains excipients such as Japan Pharmacopoeia light anhydrous silicic acid, Japan Pharmacopoeia magnesium stearate, and Japan Pharmacopoeia lactose monohydrate.

▼Efficacy and indications
For those with good physical strength, with abundant subcutaneous fat in the abdomen and tendency to constipation, the following symptoms: "palpitations, shoulder stiffness, hot flashes, swelling, constipation" associated with high blood pressure and obesity, sinusitis (paranasal sinusitis), eczema, dermatitis, acne, and obesity.

▼Usage and dosage
Take the following amount before meals with water or hot water.
Frequency of use per day: 2 times
Adults (15 years and older): 1 packet (1.875g) per dose, children 7 years and older but under 15: 2/3 packet per dose, children 4 years and older but under 7: 1/2 packet per dose, children 2 years and older but under 4: 1/3 packet per dose, children under 2: do not take.

▼Precautions for use
【Consultation required】
1. Consult a doctor, pharmacist, or registered seller before use if you are:

(1) Receiving medical treatment from a doctor.
(2) Pregnant or suspected to be pregnant.
(3) Physically weak (those with declining physical strength or weak constitution).
(4) Have weak stomach and intestines, prone to diarrhea.
(5) Have a tendency to excessive sweating.
(6) Elderly persons.
(7) Have previously experienced rash, redness, itching, etc., due to medication.
(8) Have symptoms such as swelling or difficulty urinating.
(9) Diagnosed with:
Hypertension, heart disease, kidney disease, thyroid dysfunction.
2. If any of the following symptoms appear after taking the medicine, there is a possibility of side effects. Immediately discontinue use and consult a doctor, pharmacist, or registered seller with this document.

Related parts: symptoms
Skin: rash, redness, itching
Digestive system: nausea, vomiting, loss of appetite, stomach discomfort, abdominal bloating, severe diarrhea with abdominal pain, abdominal pain
Nervous system: dizziness
Others: sweating, palpitations, swelling, headache
Rarely, severe symptoms listed below may occur. In such cases, seek medical attention immediately.


Name of symptoms: symptoms
Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting oneself slightly, cough, fever, etc., appear suddenly or persist.
Pseudoaldosteronism, myopathy: Fatigue, numbness, stiffness, or rigidity in limbs, along with weakness and muscle pain, gradually worsening.
Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin and eyes), dark urine, general fatigue, loss of appetite, etc.
Mesenteric venous sclerosis: Long-term use may cause recurrent abdominal pain, diarrhea, constipation, abdominal distension, etc.
3. After taking the medicine, the following symptoms may appear. If these symptoms persist or worsen, discontinue use and consult a doctor, pharmacist, or registered seller with this document.

Diarrhea, constipation.
4. If symptoms do not improve after about one month (about one week for constipation) of use, discontinue and consult a doctor, pharmacist, or registered seller with this document.

5. For long-term use, consult a doctor, pharmacist, or registered seller.

▼Contraindications

【Things not to do】
(If not followed, current symptoms may worsen or side effects may become more likely)
1. Do not take other laxatives while taking this medicine.

2. Pregnant women should not take this medicine, or if they do, avoid breastfeeding during use.
他の瀉下薬（下剤）。
2. 授乳中の人は本剤を服用しないか、本剤を服用する場合は授乳をさけてください