**Product Overview**
Manufacturer: Tsumura
Product Name: Tsumura Kampo Hōfū Tōseisan Extract Granules 48 Packets
Medical Drug Classification: Class 2 OTC Drug
Category: OTC Medicine
Pediatric Use Category: Suitable for all ages
Dosage Form: Granules, Powder, Sachets
Contents: 48 packets
Product Description: For those concerned about abdominal fat
**[Expiration Date]**
At the time of shipment, there is more than one year remaining until the expiration date.
JAN Code: 4987138468109
Product Code: 012906807

**Initial Package Leaflet Creation Date and Revision Date, Leaflet Version Number**
Initial Creation: –
Revision: June 2019

**Features**
"Hōfū Tōseisan" 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 Tōseisan Extract Granules" are easy-to-take granules made from extracts of "Hōfū Tōseisan."

**Precautions – Things Not to Do**
1. Do not take other laxatives while taking this medicine.
2. Pregnant or breastfeeding women should not take this medicine, or if they do, they should avoid breastfeeding during use.

**Consultation Before Use**
1. 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 (including those with decreased physical strength or frailty).
(4) Have weak stomach or intestines prone to diarrhea.
(5) Have significant sweating tendencies.
(6) Elderly.
(7) Have previously experienced rashes, redness, itching, etc., from medications.
(8) Have symptoms such as swelling or difficulty urinating.
(9) Diagnosed with hypertension, heart disease, kidney disease, or thyroid dysfunction.

2. If any of the following symptoms appear after taking the medicine, there is a possibility of side effects. Immediately stop taking the medicine 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 bloating from long-term use.

3. After taking the medicine, symptoms such as diarrhea or constipation may occur. If these symptoms persist or worsen, stop taking the medicine 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, with subcutaneous fat in the abdomen, and prone to 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 before meals with water or hot water.

| Age | Single Dose | Daily Frequency |
|-------|--------------|------------------|
| 15 years and older (adults) | 1 packet (1.875g) | 2 times |
| 7 to under 15 years | 2/3 packet | 2 times |
| 4 to under 7 years | 1/2 packet | 2 times |
| 2 to under 4 years | 1/3 packet | 2 times |
| Under 2 years | Do not use |

**[Precautions for Use]**
When giving to children, do so under the supervision and guidance of a guardian.

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

| Ingredient | Amount | Breakdown |
|------------------------------|---------|------------------------------|
| Hōfū Tōseisan Extract (1/2 amount) | 2.25g | (Cassia seed 1.5g, Ougon, Kanzo, Kikyō, Sekkō, Byakujutsu each 1g, Daio 0.75g, Keigai, Sanshishi, Shakuyaku, Senkyu, Tōki, Hakka, Bōfū, Maō, Rengyo 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 leftover from splitting 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 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 Saturdays, Sundays, and holidays)
Website: https://www.tsumura.co.jp/

**Packaging-specific JAN Codes**
- 24 packets: 4987138468116
- 48 packets: 4987138468109

**Manufacturer Name**
Tsumura

**Contents**
48 packets

**Suggested Retail Price**
¥4,730

**OTC Drug Classification**
Class 2 OTC Drug

**Poison and Quarantine Drug Category**
Not classified as poison or quarantine drug

**Pesticide/Animal Drug Category**
Not classified as pesticide or animal drug

**Dosage Form Category**
Granules

**Pediatric Use Category**
Suitable for all ages

**Product Category**
OTC Medicine

**Disclaimer**
【Notice】
- The above product description, excluding pricing information, is 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 caused by taking medicines purchased through this service.

**Self-Medication Tax Deduction Eligible Product**