Diet

Boiogito | A Kampo medicine for water retention and edema

Boi-ogi-to is a Kampo medicine that removes excess water from the body and regulates perspiration. It is said to be suitable for people with a "mizubutori" (water retention and weight gain) body type, characterized by a fair complexion, plump build, proneness to sweating, fatigue, and swelling. This medicine is used for body types that are the opposite of those suited for Bofutsushosan, which is for people with high stamina and constipation. On this page, we will explain in detail how to identify the suitable body type, the differences from Bofutsushosan, and potential side effects.

  • ✓A Kampo medicine for those with a fair complexion and a slightly plump, "water retention" body type, who tend to sweat a lot and tire easily.
  • ✓Helps alleviate swelling by removing excess water.
  • ✓Unlike Bofutsushosan, which is for "sturdy types" with good physical strength and a tendency toward constipation, the constitutional types it is suitable for are contrasting.
  • ✓Because it contains licorice, care must be taken regarding pseudoaldosteronism with long-term or high-dose use.
Available daily from 9:00 AM to 10:00 PM
Available daily from 9:00 AM to 10:00 PM
5-minute walk from the station
5-minute walk from the station
A clean clinic with a white-based interior
A clean clinic with a white-based interior
Online consultations: same-day shipping at the earliest
Online consultations: same-day shipping at the earliest
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.

Boiogito is available through online medical consultation.

3,900 yen (tax included, shipping and consultation fees included) / Consultations available daily from 9:00 to 22:00, with same-day shipping possible.

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What is Boiogito (Bōiōgitō)?

Boiogito is a traditional herbal medicine (Kampo) that helps remove excess body fluid (water retention) and regulates perspiration. It is considered suitable for individuals with a pale complexion, a plump physique, who tend to sweat easily, tire easily, and accumulate fluid in their joints (kyo-sho or water retention type). This formula is described in the classic Chinese medical text "Jinkui Yaolue" and has been used in Japan for a long time.

Unusually for a medication used for dieting, "obesity (so-called water retention type with loose muscles)" and swelling are approved indications and effects for this medical Kampo formulation. If it suits your constitution, it can be an easy option to continue.

Recommended for those who:

  • Have a pale complexion, more fat than muscle, and a plump physique
  • Tend to sweat easily
  • Tire easily and experience swelling
  • Are concerned about lower body swelling due to standing work, etc.
  • Tend to accumulate fluid in their knee joints
  • Are hesitant about appetite suppressants or strong medications and wish to improve their constitution from within

Conversely, for those with a sturdy build, good stamina, who are prone to constipation, and accumulate fat around their abdomen, a different Kampo might be more suitable (please refer to the distinction table below).

Component Herbs

Boiogito consists of six types of crude drugs. The daily dose of 7.5g is composed as follows:

Herb Quantity Main Role
Ougi (Astragalus root) 5.0g Regulates body surface fluid balance and suppresses excessive sweating
Boi (Stephania root) 5.0g Alleviates swelling and joint inflammation through diuretic action
Sojutsu (Atractylodes rhizome) 3.0g Aids fluid drainage and supports gastrointestinal function
Taiso (Jujube fruit) 3.0g Soothes the gastrointestinal tract and harmonizes the overall formula
Kanzo (Licorice root) 1.5g Harmonizes the overall formula. Also a subject of caution for side effects (see below)
Shokyo (Ginger rhizome) 1.0g Warms the body and aids gastrointestinal function

*Amounts may vary by product.

Expected Effects and How They Manifest

Boiogito is not a medication that directly reduces body fat. It works by expelling excess fluid, leading to a reduction in swelling and a corresponding change in weight and appearance. Therefore, individuals with severe swelling are more likely to notice changes, while those with fatty obesity may not experience significant changes.

Period Guideline
2 weeks to 1 month Many people begin to notice changes in swelling, ease of sweating, and body sluggishness.
2 to 3 months Period aimed at constitutional improvement. Continued evaluation.
No change after 1 month Your constitution (sho) may not be suitable. Do not continue blindly; consult us about switching.

Kampo is a medicine that either works for those it suits or doesn't work for those it doesn't suit. The effects vary from person to person.

Distinction of 3 Types of Diet Kampo

The diet Kampo treatments we offer are distinguished by constitution. Please check which type you are closer to.

Boiogito Bofutsushosan Daishaikoto
Physical Strength Weak to normal (water retention type) Strong (sturdy type) Strong (sturdy type)
Body Type Characteristics Pale complexion, plump, soft muscles Fat around abdomen, subcutaneous fat type Sturdy, epigastric distension
Concerning Symptoms Swelling, sweating easily, fatigue Constipation, hot flashes Stress, irritability, stiff shoulders, constipation
Main Action Expels excess fluid Excretion through sweating, diuresis, and bowel movements
Regulates qi circulation and promotes bowel movements

Which formula is appropriate will be determined by a doctor based on the medical interview and examination.

Our doctor will select and deliver the appropriate formula for your constitution.

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Differences from other diet medications

Kampo's role differs from medications that directly affect appetite or the absorption of sugars and lipids. Because it approaches by correcting constitutional imbalances, its effects are gentle and characterized by minimal burden on the body.

Type Mechanism of Action Recommended for
Diet Kampo Regulates constitution, water balance, and bowel movements Those hesitant about strong medications, prone to swelling, or constipation
Metformin Suppresses glucose production and improves insulin sensitivity Those who want to continue gradually and affordably for a long time
SGLT2 inhibitors Excretes excess sugar through urine Those who consume a lot of rice, noodles, and sweets
Xenical Suppresses fat absorption Those who eat a lot of fried and greasy foods
Rybelsus / Mounjaro Suppresses appetite and maintains satiety Those who want to suppress appetite itself and lose a significant amount of weight

Since the mechanisms of action differ, it is sometimes possible to combine Kampo, which regulates the constitution, with other treatments. Please consult us during your examination regarding the possibility of co-administration.

How to take

  • Take the daily dose in 2-3 divided doses, before meals or between meals (on an empty stomach).
  • The doctor will adjust the dosage according to your constitution and condition.
  • If you miss a dose, do not take two doses together; resume the usual schedule from the next dose.
  • For swelling countermeasures, combining with lifestyle adjustments such as reducing salt intake and avoiding prolonged sitting or standing will likely yield more noticeable changes.

About side effects

Boiogito contains 1.5g of Glycyrrhiza (licorice root) per daily dose, and long-term, high-dose administration carries a risk of pseudoaldosteronism.

Symptom Description and Action
Gastric discomfort, loss of appetite May occur when taken on an empty stomach. If it persists, please consult us.
Pseudoaldosteronism Hypokalemia, elevated blood pressure, swelling, weight gain, numbness or weakness in limbs. If you experience swelling or weight gain despite taking a medication to reduce swelling, this may be a side effect. Discontinue use and consult us.
Myopathy Weakness and muscle pain may occur as a result of hypokalemia.
Rash and other allergic reactions (rare) Discontinue use and seek medical attention.

Caution with concomitant use of licorice-containing medications

Concomitant use with the following medications increases the risk of pseudoaldosteronism and hypokalemia. Please be sure to inform us during your medical interview about any medications, Kampo, or supplements you are currently taking.

  • Kampo medications containing licorice (e.g., Shakuyaku-kanzo-to, Hochu-ekki-to, Yokkan-san, Kakkon-to)
  • Preparations containing glycyrrhizin (e.g., liver function improvers, some gastrointestinal medications)
  • Diuretics (may further lower serum potassium)

In these cases, we recommend an in-person consultation.

  • Individuals receiving treatment for high blood pressure
  • Cases where swelling suddenly worsens (may indicate underlying heart, kidney, or thyroid conditions)
  • Cases where only one leg suddenly swells, accompanied by pain or warmth (seek medical attention promptly)
  • Individuals concerned about interactions with other Kampo medicines or supplements being taken concurrently
  • Pregnant or breastfeeding women, or those who may be pregnant

Price and prescription process

3,900 yen (tax included, including shipping and consultation fees). No additional consultation or shipping fees apply. Our online medical care is private pay, so health insurance does not apply.

STEP Content
1. Order and pre-consultation Place your order online, then fill out the medical questionnaire that will be sent to you with your constitution and symptoms. Please accurately report any medications, Kampo, or supplements you are currently taking.
2. Online consultation The doctor will confirm your constitution (sho) and determine the appropriateness of the prescription and the most suitable formula.
3. Shipping Same-day shipping is available for the shortest possible delivery. Your order will be delivered in discreet packaging to protect your privacy.
4. Continuation We also offer continuous purchases and subscription services.

Start by consulting about your constitution.

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Frequently Asked Questions

How long does it take for Boiogito to take effect?
A. Many individuals who find the medicine suitable for their constitution begin to notice changes in symptoms like swelling and ease of sweating within 2 weeks to 1 month. For constitutional improvement, it is recommended to continue for about 2-3 months. If there's no change after about 1 month, it may not be suitable for your constitution, so please consult us.
How much weight will I lose?
A. Boiogito is not a medication that directly reduces body fat; it works by expelling excess fluid (water retention), leading to changes in weight and appearance. Therefore, individuals with severe swelling are more likely to notice changes, while those with fatty obesity may not experience significant changes. The effects vary from person to person.
How do I know if it's right for me?
A. It is suitable for individuals who are pale, plump, sweat easily, tire easily, experience swollen feet in the evening, or tend to accumulate fluid in their knees (the so-called "water retention type"). For those with a sturdy build who are prone to constipation and accumulate fat around their abdomen, Bofutsushosan or Daishaikoto might be more suitable. The doctor will assess your constitution during the consultation.
I've heard Kampo is safe, but are there any side effects?
A. Boiogito contains Glycyrrhiza (licorice root), and long-term, high-dose use can lead to pseudoaldosteronism (hypokalemia, elevated blood pressure, swelling, weight gain, numbness, or weakness in the limbs). Although this medicine aims to reduce swelling, if you experience swelling or weight gain, it may be a side effect, so please discontinue use and consult us.
Can I take it with other Kampo medicines or supplements?
A. Concomitant use with Kampo medicines containing licorice, such as Shakuyaku-kanzo-to, Huchu-ekki-to, and Yokukansan, or preparations containing glycyrrhizic acid, makes pseudoaldosteronism more likely to occur. Please be sure to inform us of any Kampo medicines, over-the-counter drugs, or supplements you are taking during the consultation.
Can it be used with GLP-1 drugs or SGLT2 inhibitors?
A. They may be used in combination because they have different mechanisms of action. Drugs that act on appetite and sugar metabolism have different roles from Kampo medicines that regulate constitution and water balance. Your doctor will determine whether co-administration is appropriate during the consultation.
When is the correct time to take it?
A. It is generally taken before meals or between meals (when stomach is empty). The daily dose is taken in 2 to 3 divided doses. If you forget to take a dose, do not take two doses at once; return to your usual schedule from the next dose.
Is insurance applicable?
A. Our online consultations are out-of-pocket, so health insurance is not applicable. Boi-ogi-to is a prescription Kampo medicine whose approved indications include obesity (water retention type) and edema, but prescriptions from our clinic are fully self-pay.

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よくある質問

Frequently Asked Questions

Q Will it be effective even for a stocky build?
A

Boiogito is a Kampo medicine for those with a fair complexion and a plump, "water-retaining" body type. For those with good physical strength and a tendency to be constipated, Bofutsushosan may be more suitable.

Q Is it effective for swelling?
A

Because it has the effect of removing excess water, it is used for those who are concerned about swelling. However, swelling may also be caused by other diseases, so if swelling persists or symptoms are severe, please consult a medical institution.

Q Is it safe to drink continuously for a long time?
A

Due to the risk of pseudoaldosteronism caused by licorice, watch out for symptoms such as edema, elevated blood pressure, and muscle weakness during long-term use. If you notice any concerning symptoms, please consult a medical institution.

Q I sweat a lot. Is this medication for stopping sweat?
A

This is a Kampo medicine that, instead of completely stopping perspiration, works by balancing the body's water content to alleviate excessive sweating and swelling.

Q Can I use this with other diet medications?
A

Regarding concomitant use with other medications such as GLP-1 drugs, we will determine whether a prescription can be issued after confirming your current medications.

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