Tsumura Kampo / Tsumura Kampo
*Please note that packaging and contents may change due to product renewals or other reasons.*

Manufacturer: Tsumura Co., Ltd.

This is a Kampo medicine used for individuals with weak physical strength who tend to have a cold and bloated abdomen, along with lower abdominal pain.
It is a convenient granular form made from extract of Daikenchuto.

**Expiration Date for Pharmaceuticals**
Unless otherwise specified, pharmaceuticals are sold with an expiration date of at least one year from the date of sale.
Products with an expiration date within one year will have the date indicated.

**Product Name**
Kampo medicine

**Contents**
20 sachets

**Usage and Precautions**
Take the following amount before meals with water or hot water:
[Age: Dose per administration: Number of doses per day]
- Adults (15 years and older): 1 sachet (2.5g), 3 times a day
- Children 7 to under 15 years: 2/3 sachet, 3 times a day
- Children 4 to under 7 years: 1/2 sachet, 3 times a day
- Children 2 to under 4 years: 1/3 sachet, 3 times a day
- Children under 2 years: Do not use

**Related Usage Notes**
When giving to children, do so under the guidance and supervision of a guardian.

**Consultation Before Use**
Please consult a doctor, pharmacist, or registered seller before use if you are:
1. Undergoing medical treatment.
2. Pregnant or suspect pregnancy.
3. Have previously experienced rash, redness, itching, or other allergic reactions to medicines or other products.
4. Diagnosed with liver disease.

**If any of the following symptoms appear after taking the medicine, discontinue immediately and consult a doctor, pharmacist, or registered seller with this document:**
*Possible side effects include:*
- Skin: Rash, redness, itching
- Rarely, more serious symptoms may occur. In such cases, seek medical attention immediately.
- Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting oneself, dry cough, fever, etc., appearing suddenly or persisting.
- Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin and whites of eyes), dark urine, general fatigue, loss of appetite, etc.

**If symptoms do not improve after about one week of use, discontinue and consult a healthcare professional with this document.**

**Efficacy and Effects**
For those with weak physical strength and a cold, painful abdomen: lower abdominal pain, bloating.

**Ingredients and Quantities**
In 3 sachets (7.5g):
- Uncooked Daikenchuto extract (half amount): 0.625g (comprising 2.5g kankyō, 1.5g ninjin, 1g sanshō)
- Kōi (a component): 5g

**Additives**
Magnesium stearate, lactose monohydrate

**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 divided sachet portions, fold the opening of the bag and consume within 2 days.
4. Since this product uses crude herbs (medicinal grasses, roots, bark, etc.), the color and appearance of the granules may vary slightly, but efficacy and effects remain unchanged.
5. Do not use products past their expiration date.

**Expiration Date or Use-by Date**
Indicated on the package.

**Distributor, Manufacturer, Importer, or Seller, Consumer Consultation Desk**
Tsumura Co., Ltd.

**Country of Origin**
Japan