Kampo (Japanese herbal medicine)

Bofutsushosan (Kampo for obesity)

Bofutsushosan (Kampo extract)

Bofutsushosan is the Kampo formula behind Japan's popular 'belly fat' drugstore products. It is approved for obesity with constipation in people of robust constitution, and its 18 herbs include ephedra and rhubarb, so it can raise blood pressure and cause diarrhea. Treat it as a medicine, not a supplement.

At a glance
Prescription status
Prescription and OTC
Over the counter
Class 2
Bringing it into Japan
✓ 1 month Rx / 2 months OTC
Names abroad
방풍통성산 · 防风通圣散

Over the counter

Heavily advertised OTC (Class 2) as Naishitol and Coccoapo for belly fat. Contains ephedra and rhubarb; not for long-term unsupervised use.

Finding it in a Japanese drugstore
Look for this on the package
防風通聖散(ぼうふうつうしょうさん)
Bofutsushosan (Kampo extract)
Common product names
ナイシトールコッコアポEX生漢煎 防風通聖散
Category printed on the package
Class 2
Sold at any drugstore or pharmacy, and online.

Show this page to the pharmacist or staff. Prices and packaging vary by store, so look for the Japanese ingredient name.

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Prescription products in Japan

10 products

Products on Japan's national drug price list. Prescription only: a clinic visit is needed, and pharmacies may substitute a generic with the same ingredient.

Dosage formsOral
Official price (per tablet or unit)¥6.3 – ¥13.8
Official NHI drug price. Patients with Japanese insurance pay 10–30%; visitors without it pay the full price plus consultation fees.

Product names are shown in Japanese, exactly as printed on the package and the prescription. Show this page at the pharmacy.

All listed products (10) · Drug price list as of 2026-08-12
JPS防風通聖散料エキス顆粒〔調剤用〕Oral · ¥11/g
〔東洋〕防風通聖散料エキス細粒Oral · ¥11/g
オースギ防風通聖散エキスGOral · ¥10.4/g
クラシエ防風通聖散エキス錠Oral · ¥6.3/tablet
クラシエ防風通聖散料エキス細粒Oral · ¥10.1/g
コタロー防風通聖散エキス細粒Oral · ¥9.6/g
三和防風通聖散料エキス細粒Oral · ¥9.6/g
太虎堂の防風通聖散料エキス顆粒Oral · ¥10.5/g
本草防風通聖散エキス顆粒−MOral · ¥8.9/g
ツムラ防風通聖散エキス顆粒(医療用)Oral · ¥13.8/g

Bringing it into Japan

Up to a 1-month supply of prescription medicine, or 2 months of OTC medicine, without any paperwork. For more, apply for a Yakkan Shoumei (import confirmation) before travel.

How to apply for a Yakkan Shoumei (article)

Getting it prescribed in Japan

Any clinic can prescribe it after a consultation. Bring the original packaging or a medication list. Use the hospital finder to find clinics with English-speaking staff or an international patient office.

Find a clinic by language

Names abroad

Korea방풍통성산
China防风通圣散
Taiwan防風通聖散

Sources

  1. Health Insurance Claims Review & Reimbursement Services — Drug master (NHI drug price list) shinryohoshu.mhlw.go.jp — 2026-08-12
  2. Ministry of Health, Labour and Welfare — Bringing medicines for personal use into Japan mhlw.go.jp

This page describes how a medicine is regulated and sold in Japan. It is not medical advice and does not cover dosing for your situation; follow your doctor's and pharmacist's instructions.