Drug intelligence / Profile preview

gamisoyosan

Development stage
Phase 3
Lead developer
Tsumura
Modality
Small Molecules
Administration
Oral
01

Overview

Gamisoyosan (also known as Kamishoyosan or Jiawei Xiaoyao San) is a traditional East Asian herbal formula composed of ten medicinal plants, including *Bupleurum chinense*, *Paeonia lactiflora*, and *Angelica sinensis*. It is an augmented version of the classic Xiaoyao San formula, with the addition of *Gardenia jasminoides* and *Paeonia suffruticosa* to enhance its heat-clearing and blood-cooling effects. Widely used in Kampo medicine (standardized as TJ-24) and Traditional Chinese Medicine, it is primarily indicated for the management of menopausal symptoms, such as hot flashes and insomnia, as well as mood disorders like anxiety and depression. The formula's therapeutic effects are attributed to its ability to modulate central neurotransmission—specifically the serotonin and GABA systems—and its regulatory influence on the hypothalamic-pituitary-adrenal (HPA) axis and inflammatory cytokines.

Brand names
KamishoyosanJiawei Xiaoyao San
Other names
Augmented Rambling PowderFree and Easy Wanderer PlusDan-Zhi-Xiao-Yao-SanKami-shoyo-san
02

Targets

TLR4 (Toll-like receptor 4)ER (Estrogen receptor)

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