※Please note that the actual color of the product may appear slightly different depending on your device setting.
※The above crude drug photos are for illustrative purposes only.

Tsumura-Kampo Shakuyakukanzoto Extract Granules

Category 2 OTC medicines



Following symptoms in persons who have pain accompanying acute muscle spasms. This medicine can be applied to everyone regardless of physical performance: Cramp, muscle spasms, abdominal pain, and lower back pain.


2 packets (3.75 g) of this medicine contain 1.25 g of Shakuyakukanzoto extract of the following mixed crude drugs;

JP Glycyrrhiza 3.0 g
JP Peony Root 3.0 g

(JP: The Japanese Pharmacopoeia)
Inactive ingredients: JP Magnesium Stearate, JP Lactose Hydrate.


Take the following dosages with water or warm water before a meal.

Age One dosage Daily dosage
15 years and over 1 packet(1.875 g) 2 times a day
7-14 years 2/3 packet
4-6 years 1/2 packet
2-3 years 1/3 packet
Less than 2 years Do not use

[Cautions] This medication should be given to children only under adult supervision



  1. Store in a cool, dry place free from direct sunlight.

  2. Keep all medication out of the reach of children.

  3. When you take this medicine in divided dose, fold over the opened edge of the packet and store it. The remaining medicine should be taken within 2 days.

  4. Since the medicine contains crude drugs, the granules color may vary for individual products, however this has no influence on the efficacy of this medicine.

  5. Do not take this medicine after the expiration date.


To be avoided

Failure to observe the following may result in the symptoms worsening or the occurrence of adverse reactions/accidents.

  1. Following persons should not take this medicine:Persons diagnosed as having a following disease: heart disease

  2. Take this medicine only when you are having symptoms. Do not take it continuously.

Who should seek consultation

  1. The following persons should consult a physician, pharmacist, or registered distributor before taking this medicine.

    1. Persons undergoing medical treatment from a physician.
    2. Pregnant women or women suspected of being pregnant.
    3. Elderly persons
    4. Persons with the following symptoms: edema.
    5. Persons diagnosed as having the following: hypertension, kidney disease.
  2. In very rare cases, the following symptoms may be serious adverse reactions to this medication.If any of these symptoms occur, stop taking this medicine immediately and consult a physician, pharmacist or registered distributor. Take the instruction leaflet with you.

    Symptoms' name Symptoms
    Interstitial pneumonia

    When go upstairs or exert yourself too much, symptoms such as shortness of breath, breathing difficulties, dry cough, and fever will appear. They will appear suddenly and persist.

    Pseudohyperaldosteronism, myopathy

    In addition to listlessness, stretched feeling, and stiffness of hands and feet, feeling of weakness and muscular pain will appear and gradually worsen.

    Congestive heart failure,ventricular tachicardia

    Whole body tiredness, palpitations, shortness of breath, chest discomfort, chest pain, dizziness and faint may appear.

    Hepatic function failure

    Following symptoms appear: fever, itching, rash, jaundice (yellowing of skin and white of eyes), brown urine, whole-body tiredness, loss of appetite.

  3. Stop taking this medicine and consult a physician, pharmacist or registered distributor if symptoms do not improve after taking this medicine for 5 to 6 times. Take this leaflet with you.

Production of this product has been approved for domestic sales in accordance with the Pharmaceutical Affairs Law of Japan.