Kanpo 224 - 乙字湯 (At Tu Thang)

Classification: OTC drug type 2

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Ancient medicine:

Otsujito (乙字湯) is an ancient Japanese herbal medicine used to treat problems related to hemorrhoids, constipation , and other uncomfortable symptoms in the anal area . It works by improving blood circulation, reducing inflammation, softening stools, and aiding wound healing.

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Uses - Effectiveness:

– Support treatment of anal diseases:

– Hemorrhoids (internal hemorrhoids, external hemorrhoids): Helps relieve pain, reduce swelling, eliminate blood stasis, prevent hemorrhoids from prolapsed and promote wound healing.

– Anal fissure: Relieves pain and discomfort caused by anal fissures, helps wounds heal quickly.

– Improve constipation:

– Softens stools, making bowel movements easier, reducing pain and pressure during bowel movements.

– Suitable for people with hard stools and a tendency to constipation.

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Who should use:

– People with average or above average physical condition, hard stools and a tendency to constipation.

– People with hemorrhoids (internal hemorrhoids, external hemorrhoids) or anal fissures.

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Dosage & Administration:

Take the following dose 3 times daily, before meals or between meals (2–3 hours after meals), mixed with warm water:

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Ingredients – Content (in 6g/day):

– Otsujito extract: 2.44g, equivalent to:

– Angelica (Angelica - JP Touki): 3.6g

– Bupleurum Root (サイコ - JP Bupleurum Root): 3.0g

– Scutellariae (JP Scutellariae): 1.8g

– Licorice (カンゾウ - JP Licorice): 1.2g

– Thang Ma (ショウマ - JP Shoma): 0.9g

– Rhubarb (JP Rhubarb): 0.6g

– Additives: Lactose hydrate, potato starch, Magnesium aluminometasilicate (anti-desiccant).

Note: Color and taste may vary slightly due to natural medicinal ingredients, does not affect drug effectiveness.

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Contraindications & Precautions:

– Not for use by: Children under 4 years old.

– Consult your doctor, pharmacist or registered pharmacist if:

– Under medical treatment (person being treated by a doctor).

– Pregnant women or women suspected of being pregnant.

– People with weak constitution (asthenic, weak person).

- People with weak digestive systems and prone to diarrhea.

– Elderly people.

– People who have had rash, redness, itching caused by drugs or other substances.

People with swelling symptoms.

– People diagnosed with: high blood pressure, heart disease, kidney disease.

– Stop use immediately and consult a doctor, pharmacist or registered pharmacist if any of the following side effects occur:

– Allergy: Rash, red skin, itching.

– Digestive: Nausea, vomiting, loss of appetite, severe diarrhea with abdominal pain, abdominal pain.

– Rare serious symptoms: Interstitial pneumonia (shortness of breath, dry cough, fever), Pseudo-aldosteronism syndrome (fatigue, numbness of limbs, muscle weakness), Liver dysfunction (fever, jaundice, itching, loss of appetite).

– If symptoms do not improve after about 1 month of using the medicine (for anal fissures and constipation, 5-6 days), stop using and consult a specialist.

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

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Possible side effects (by probability):

– Rash, hives, itchy skin.

Diarrhea, abdominal pain.

– Very rare: Interstitial pneumonia, liver damage, pseudo-aldosteronism, myopathy.

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Contact distributor - manufacturer:

– Mori Pharmacy – Ōtsuka Branch:

– Address: 〒170-0004 東京都豊島区北大塚3-25-16 伊納ビル2F

– Phone: 03-5792-4088

– Manufacturer:

– 株式会社ウチダ和漢 (Uchida Wakanyaku Co., Ltd.)

– Address: 〒116-0014 東京都荒川区東日暮里5-11-10

– Phone: 03-3806-4141