■Product Overview
Manufacturer: Tsumura
Product Name: Tsumura Kampo Hōfū Tōsei San Extract Granules 48 Packets
Drug Classification: Class 2 OTC Drug
Category: OTC Medicine
Pediatric Use Category: Suitable for both adults and children
Dosage Form: Granules, Powder, Sachets
Contents: 48 packets
Product Description: For those concerned about abdominal fat
【Expiration Date】
At the time of shipment, the product has at least one year remaining before expiration.
JAN Code: 4987138468109
Product Code: 012906807

■ Date of Initial Package Insert Creation and Revision, Version Number of the Package Insert
Initial Creation: –
Revision: June 2019

■ Features
"Hōfū Tōsei San" is a traditional Chinese herbal medicine recorded in the classical text "Xuanming Lun." It is often used for obesity with constipation, and it improves symptoms such as palpitations, shoulder stiffness, hot flashes, swelling, and constipation associated with high blood pressure and obesity, as well as conditions like sinusitis, dermatitis, acne, and obesity.

The "Tsumura Kampo Hōfū Tōsei San Extract Granules" are easy-to-take granules made from extracts of "Hōfū Tōsei San."

■ Do Not Do
1. Do not take this product together with the following medicines:
- Other laxatives (purgatives).
2. If you are breastfeeding, do not take this product or avoid breastfeeding during use.

■ Consult Before Use
1. Please consult a doctor, pharmacist, or registered seller before use if you are:
(1) Under medical treatment.
(2) Pregnant or suspected to be pregnant.
(3) Physically weak (those with decreased physical strength or frail).
(4) Have weak stomach or intestines and tend to have diarrhea.
(5) Have a tendency to sweat excessively.
(6) Elderly.
(7) Have previously experienced rashes, redness, itching, or other allergic reactions to medicines or other products.
(8) Have symptoms such as swelling or difficulty urinating.
(9) Diagnosed with high blood pressure, heart disease, kidney disease, or thyroid dysfunction.

2. If any of the following symptoms appear after taking the product, there is a possibility of side effects. Immediately stop taking the product 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
- Nervous System: Dizziness
- Others: Sweating, palpitations, swelling, headache

Rarely, severe symptoms may occur. In such cases, seek medical attention immediately.

[Symptoms and Conditions]
- Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting oneself, cough, fever, appearing suddenly or persisting.
- Pseudoaldosteronism: Fatigue, numbness, stiffness, or rigidity in hands and feet, along with weakness and muscle pain, gradually worsening.
- 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.
- Mesenteric venous sclerosis: Repeated abdominal pain, diarrhea, constipation, abdominal distension from long-term use.

3. After taking the product, symptoms such as diarrhea or constipation may occur. If these symptoms persist or worsen, stop use and consult a doctor, pharmacist, or registered seller with this document.
4. If symptoms do not improve after about one month of use (or about one week if used for constipation), discontinue use and consult a healthcare professional.
5. For long-term use, consult a doctor, pharmacist, or registered seller.

■ Efficacy and Effects
Suitable for individuals with good physical strength, excess subcutaneous fat in the abdomen, and tendency toward constipation, for the following conditions:
- High blood pressure and obesity-related symptoms such as palpitations, shoulder stiffness, hot flashes, swelling, and constipation
- Sinusitis (chronic sinus inflammation)
- Eczema, dermatitis
- Pimples (acne)
- Obesity

■ Usage and Dosage
Take the following amount with water or hot water before meals.

[Age: Single dose: Number of doses per day]
- Adults (15 years and older): 1 packet (1.875g): twice daily
- Children 7 to under 15 years: 2/3 packet: twice daily
- Children 4 to under 7 years: 1/2 packet: twice daily
- Children 2 to under 4 years: 1/3 packet: twice daily
- Under 2 years: Do not use

【Precautions for Use】
When giving to children, have a guardian supervise and instruct them on proper use.

■ Ingredients and Amounts
Per 2 packets (3.75g):

| Ingredient | Amount | Breakdown |
|--------------|---------|--------------|
| Hōfū Tōsei San extract (1/2 amount) | 2.25g | (Cassia seed 1.5g, Ougon, Kanzo, Kikyō, Sekkō, Byakujutsu each 1g, Daisō 0.75g, Keigai, Sanshishi, Shakuyaku, Senkyu, Tōki, Hakka, Bōfū, Maō, Rengyō each 0.6g, Anhydrous Bōshō (dry sulfate sodium) 0.35g, Shōkyō 0.15g) |

■ Storage and Handling Precautions
1. Store in a cool, dry place away from direct sunlight.
2. Keep out of reach of children.
3. If storing remaining divided portions of a packet, fold the bag's opening and consume within 2 days.
4. Since this product uses crude herbs (medicinal grasses, bark, roots, etc.), the color and appearance of the granules may vary slightly between batches, but efficacy remains unchanged.
5. Do not use products past their expiration date.

■ Contact Information
Tsumura Co., Ltd. Customer Service
Phone: 0120-329-930
Hours: 9:00–17:30 (excluding weekends and holidays)
Website: https://www.tsumura.co.jp/

■ Common Packaging (JAN) Codes
- 24 packets: 4987138468116
- 48 packets: 4987138468109

■ Manufacturer
Tsumura

■ Contents
48 packets

■ Suggested Retail Price
4,730 yen

■ OTC Drug Classification
Class 2 OTC Drug

■ Poisonous and Controlled Substances Category
Not classified as poisonous or controlled substances

■ Pesticide and Veterinary Drug Category
Not classified as pesticides or veterinary drugs

■ Dosage Form Category
Granules

■ Pediatric Use Category
Suitable for both adults and children

■ Product Category
OTC Medicine

■ Disclaimer
【Notice】
- The product descriptions above, excluding pricing information, are provided by the manufacturer or the Self-Medication Data Center.
- If you have any questions or concerns about using this medicine, be sure to consult a doctor or pharmacist.
- We assume no responsibility for health damages resulting from the use of medicines purchased through this service.

■ Self-Medication Tax Deduction Eligible Product