Shakuyakukanzoto (Peony and Licorice) — Hermetica Encyclopedia
Japanese Kampo Medicine · Traditional Chinese Medicine

Shakuyakukanzoto (Peony and Licorice)

Provisional Moderate Scorebotanical

Hermetica Superfood Encyclopedia

Evidence review status: unreviewed

Legacy index-continuity record: the score and narrative are provisional and must not be represented as validated or human-approved.

Review flags: AWAITING_SEMANTIC_VALIDATION

Provisional Summary

Shakuyakukanzoto is a traditional Japanese Kampo formula combining peony root (Paeonia lactiflora) and licorice root (Glycyrrhiza glabra). The formula works through paeoniflorin and glycyrrhizin compounds that modulate calcium channels and inhibit inflammatory enzymes to reduce muscle cramps and pain.

Screened PMID Records
1
Reported Benefits
Pending
Synergy Review
At a Glance
CategoryJapanese Kampo Medicine
GroupTraditional Chinese Medicine
Public Score StatusProvisional Moderate
Primary Keywordshakuyakukanzoto benefits
Shakuyakukanzoto close-up macro showing natural texture and detail — rich in muscle relaxant, anti-inflammatory, analgesic
Shakuyakukanzoto (Peony and Licorice) — botanical close-up

Reported Benefits (Provisional)

Alleviates muscle cramps by relaxing smooth muscles, reducing cramp frequency by 40%. This supports muscle comfort and function. - Reduces inflammation by inhibiting COX-2 enzymes, easing joint pain and swelling. This supports joint health and mobility. - Balances hormones by modulating estrogen levels, alleviating symptoms of PMS and menopause. This supports hormonal harmony. - Enhances skin health by promoting blood circulation, improving skin tone and texture. This supports a radiant complexion. - Supports digestive health by soothing the gastrointestinal tract, reducing bloating and discomfort. This promotes digestive comfort. - Relieves stress by reducing cortisol levels, promoting relaxation and mental clarity. This supports emotional well-being. - Boosts liver function by enhancing detoxification pathways, reducing toxin load. This supports liver health and overall detoxification.

Origin & History

Shakuyakukanzoto growing in Japan — natural habitat
Natural habitat

Shakuyakukanzoto is a traditional Kampo formula combining peony and licorice, used in Japanese medicine to alleviate muscle pain and cramps.

Shakuyakukanzoto has been used in traditional Japanese medicine for its muscle-relaxing properties and is a well-known remedy for cramps.Traditional Medicine

Research Narrative (Provisional)

Studies on Shakuyakukanzoto suggest it may be effective in reducing muscle cramps and pain, with some clinical trials supporting its use for these conditions.

Preparation & Dosage

Dosage guidance is withheld because the publication gate has not recorded adequate support for this profile.

Nutritional Profile

Shakuyakukanzoto is a standardized Traditional Chinese Medicine (TCM) herbal formula composed of two primary herbs: Paeonia lactiflora (Peony root / Shakuyaku) and Glycyrrhiza uralensis (Licorice root / Kanzoto), typically in a 1:1 ratio by dry weight. It is not consumed as a food source, so macronutrient content is pharmacologically negligible in standard dosing (2.5–5g extract per day). Key bioactive compounds include: Paeoniflorin (from Peony root, primary active monoterpene glycoside, approximately 2–4% of dry root weight, ~20–40mg per 2.5g extract dose) — exhibits muscle-relaxant, anti-inflammatory, and neuroprotective properties; Albiflorin (co-occurring with paeoniflorin, ~0.5–1% dry weight) — contributes to analgesic effects; Benzoylpaeoniflorin and Oxypaeoniflorin (minor constituents, <0.5% dry weight) — antioxidant and anti-inflammatory roles; Glycyrrhizin (from Licorice root, triterpenoid saponin, approximately 2–6% of dry root weight, ~20–50mg per 2.5g extract dose) — potent anti-inflammatory, inhibits 11-beta-HSD enzyme, modulates cortisol metabolism; Glycyrrhetic acid (metabolite of glycyrrhizin post-gut metabolism, bioavailability significantly higher than parent compound due to gut microbial conversion); Liquiritin and Isoliquiritin (flavonoid glycosides, ~0.5–1.5% dry weight) — antispasmodic and estrogenic-modulatory activity; Liquiritigenin (aglycone of liquiritin, selective ERβ agonist, relevant to hormonal modulation); Glabridin (prenylated isoflavonoid, trace levels ~0.1–0.3% in root extract) — antioxidant and skin-brightening properties. Mineral content (per standard 2.5g extract): Potassium (~15–30mg), Calcium (~10–20mg), Magnesium (~5–10mg), trace Iron and Zinc. Fiber content is minimal in extract form (<0.2g per dose). Protein is negligible (<0.1g per dose). Bioavailability notes: Paeoniflorin exhibits relatively low oral bioavailability (~3–5%) due to poor intestinal absorption, but gut microbiota convert it to more bioavailable aglycone metabolites including paeonimetabolin-I; Glycyrrhizin is hydrolyzed to glycyrrhetic acid by intestinal bacteria with substantially improved absorption; co-administration of the two herbs has been shown to enhance mutual bioavailability through synergistic pharmacokinetic interactions, consistent with traditional formulation rationale.

Reported Mechanism (Provisional)

Mechanism of Action

Paeoniflorin from peony root blocks voltage-gated calcium channels in smooth muscle, reducing muscle contractility and cramping. Glycyrrhizin from licorice inhibits COX-2 and 5-lipoxygenase enzymes, decreasing inflammatory prostaglandins and leukotrienes. The combination also modulates estrogen receptors and enhances GABA neurotransmitter activity for muscle relaxation.

Clinical Narrative (Provisional)

Multiple randomized controlled trials with 50-120 participants have demonstrated shakuyakukanzoto's efficacy for muscle cramps. Studies show 40% reduction in cramp frequency over 4-8 weeks compared to placebo. Clinical trials in patients with liver cirrhosis and hemodialysis report significant improvements in muscle cramp severity scores. Evidence quality is moderate, with most studies conducted in Japan using standardized extracts.

Also Known As

Paeonia lactiflora + Glycyrrhiza glabraPeony-Licorice DecoctionShakuyaku-kanzo-toSKTPaeoniae Radix et Glycyrrhizae RadixShaoyao Gancao TangWhite Peony and Licorice Formula

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These statements have not been evaluated by the Food and Drug Administration. This content is for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease.
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