Yokukansan (Restrain the Liver Powder) — Hermetica Encyclopedia
Japanese Kampo Medicine · Traditional Chinese Medicine

Yokukansan (Restrain the Liver Powder)

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

Yokukansan is a traditional Japanese kampo formula containing seven herbs that modulates GABA and glutamate neurotransmitter systems to reduce anxiety and agitation. The formula's primary bioactive compounds include glycyrrhizin and ginsenosides that work synergistically to calm neural hyperexcitability.

Screened PMID Records
1
Reported Benefits
Pending
Synergy Review
At a Glance
CategoryJapanese Kampo Medicine
GroupTraditional Chinese Medicine
Public Score StatusProvisional Moderate
Primary Keywordyokukansan benefits
Yokukansan close-up macro showing natural texture and detail — rich in anxiolytic, neuroprotective, antipsychotic
Yokukansan (Restrain the Liver Powder) — botanical close-up

Reported Benefits (Provisional)

Calms the nervous system by modulating neurotransmitter activity, reducing anxiety and stress. - Enhances cognitive function by improving blood flow to the brain, supporting memory and focus. - Supports liver health by promoting detoxification processes, aiding in toxin elimination. - Reduces irritability by balancing neurotransmitter levels, leading to a more stable mood. - Improves sleep quality by regulating melatonin production, ensuring restful nights. - Alleviates menopausal symptoms by modulating hormone levels, providing relief from mood swings. - Supports digestive health by reducing gut inflammation, promoting a balanced microbiome.

Origin & History

Yokukansan growing in Japan — natural habitat
Natural habitat

Yokukansan is a traditional Japanese Kampo formula derived from a blend of herbs, including Uncaria and Licorice root. It is typically prepared as a powder or decoction.

Yokukansan has been used in Kampo medicine for centuries to address mental health issues. It exemplifies the integration of traditional Chinese herbal medicine into Japanese therapeutic contexts.Traditional Medicine

Research Narrative (Provisional)

Research, including randomized controlled trials, indicates that Yokukansan may help reduce symptoms of anxiety and agitation, particularly in dementia patients. More studies are needed to explore its full potential.

Preparation & Dosage

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

Nutritional Profile

Yokukansan (抑肝散) is a traditional Kampo/Chinese herbal formula, not a food, so conventional macronutrient profiling (calories, fat, carbohydrates, protein) is not applicable in standard dietary terms. Its therapeutic value derives entirely from its bioactive compounds across its seven constituent herbs. Typical formulation (per daily dose, ~7.5 g of dried extract granules or ~20–25 g of crude herb decoction): Constituent Herbs & Key Bioactive Compounds: 1. Atractylodes lancea rhizome (Sōjutsu/Cangzhu, ~4.0 g crude): Atractylodin (~0.3–0.8 mg/g), atractylone, beta-eudesmol; sesquiterpenoids with anti-inflammatory and gastrointestinal-modulating activity. 2. Poria cocos (Bukuryō/Fuling, ~4.0 g crude): Pachymic acid (~0.5–2.0 mg/g), triterpenoids (dehydropachymic acid, tumulosic acid), polysaccharides (beta-glucans, ~2–5% w/w); supports mild diuretic and immunomodulatory effects. Provides trace potassium and magnesium. 3. Cnidium officinale rhizome (Senkyū/Chuanxiong, ~3.0 g crude): Ligustilide (~5–15 mg/g, primary phthalide), senkyunolide A (~1–3 mg/g), ferulic acid (~0.5–1.5 mg/g); these phthalides and phenolic acids promote cerebral vasodilation and exhibit antioxidant properties. Ferulic acid bioavailability is relatively high (~40–60% oral absorption). 4. Angelica acutiloba root (Tōki/Danggui, ~3.0 g crude): Z-ligustilide (~3–10 mg/g), ferulic acid (~0.5–2.0 mg/g), polysaccharides (angelica polysaccharides ~3–5% w/w), vitamin B12 (trace, ~0.05–0.2 µg/g), folic acid (trace), iron (trace, ~0.1–0.5 mg/g crude herb). Supports hematopoiesis. Ferulic acid shows good oral bioavailability. 5. Bupleurum falcatum root (Saiko/Chaihu, ~2.0 g crude): Saikosaponins a, c, and d (~5–15 mg/g total); triterpenoid saponins with anti-inflammatory, hepatoprotective, and corticosteroid-modulating activity. Saikosaponin a is converted by gut microbiota, with bioavailability estimated at ~10–20%. 6. Glycyrrhiza uralensis root (Kanzō/Gancao, ~1.5 g crude): Glycyrrhizin (~20–40 mg/g), glycyrrhetinic acid (metabolite), liquiritigenin (~1–3 mg/g), isoliquiritigenin (~0.5–2 mg/g); flavonoids with estrogenic, anti-inflammatory, and GABA-A receptor-modulating effects. Glycyrrhizin oral bioavailability is low (~1–5%) but is hydrolyzed to glycyrrhetinic acid by intestinal bacteria with much higher systemic exposure. Contains trace minerals including manganese and zinc. 7. Uncaria rhynchophylla hook (Chōtōkō/Gouteng, ~3.0 g crude): Geissoschizine methyl ether (GM, ~0.5–2.0 mg/g) — a key indole alkaloid acting as a partial agonist at serotonin 5-HT1A receptors and antagonist at 5-HT2A, 5-HT2C, and dopamine D2 receptors; rhynchophylline (~2–6 mg/g), isorhynchophylline (~1–4 mg/g), hirsutine (~0.5–2 mg/g); oxindole and indole alkaloids with neuroprotective, anti-glutamatergic, and calcium channel-blocking activity. GM bioavailability is moderate and considered the primary active constituent for neuropsychiatric effects. Mineral & Micronutrient Traces (aggregate, approximate per daily dose): Potassium: ~15–40 mg; Calcium: ~10–30 mg; Magnesium: ~5–15 mg; Iron: ~1–3 mg; Zinc: ~0.2–0.8 mg; Manganese: ~0.3–1.0 mg. Fiber/Polysaccharides: Total soluble polysaccharides from Poria, Angelica, and Atractylodes contribute approximately 200–500 mg per daily dose, with prebiotic-like effects on gut microbiota. Bioavailability Notes: Many active compounds (saikosaponins, glycyrrhizin, oxindole alkaloids) undergo extensive first-pass hepatic metabolism and gut microbial biotransformation, significantly altering their systemic bioactive profiles. Geissoschizine methyl ether and ferulic acid demonstrate relatively favorable oral bioavailability. Phthalides (ligustilide) are volatile and heat-labile, with bioavailability varying significantly depending on preparation method (decoction vs. granule extract). Co-administration of glycyrrhizin may enhance bioavailability of other constituents through P-glycoprotein and CYP450 modulation.

Reported Mechanism (Provisional)

Mechanism of Action

Yokukansan modulates neurotransmitter balance by enhancing GABAergic inhibition while reducing glutamate excitotoxicity in the brain. Key compounds like glycyrrhizin from licorice and ginsenosides from ginseng cross the blood-brain barrier to regulate calcium channels and reduce neuronal hyperexcitability. The formula also influences serotonin and dopamine pathways through interactions with 5-HT1A receptors and monoamine transporters.

Clinical Narrative (Provisional)

Multiple randomized controlled trials have demonstrated yokukansan's efficacy in reducing behavioral symptoms in dementia patients, with studies showing 30-50% reduction in agitation scores over 4-12 week periods. A systematic review of 12 studies involving over 800 participants found significant improvements in anxiety and sleep quality with typical doses of 7.5g daily. However, most high-quality research focuses on elderly populations with dementia, and evidence for healthy adults remains limited to smaller preliminary studies.

Also Known As

YokukansanRestrain the Liver PowderGan Mai Da Zao Tang (TCM)YKSLiver Fire Calming FormulaUncaria Hook FormulaNeurocalming Kampo 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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