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Jiinkokato

Traditionally used for: A dry, tickly cough with little phlegm, already checked by a doctor. Long-lasting dry cough; Night cough.

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What is Jiinkokato? Jiinkokato is a set herb mix used in Kampo, the herbal medicine of Japan. It is a single drug (Kampo). That means it is one fixed mix, taken on its own, rather than blended with other mixes. Its old name is Yin-Nourishing Fire-Descending Decoction. Kampo uses it for a dry cough that has gone on for weeks or months. The cough is often worse at night, with little or no phlegm. The proof is weak. The mix has a long past in Kampo, but we found no good human trials for it. A long history of use is not proof that a herb works. How does Jiinkokato work? No one has shown how Jiinkokato works in the body. What follows is theory, not proof. Kampo reads this kind of cough as yin deficiency (a dry, worn-out state with too little body fluid). The mix is meant to add moisture and cool that dryness. The moistening herbs are rehmannia, asparagus root and ophiopogon. Lab tests hint that some of these herbs calm coughing and soothe dry tissue. That work is in cells and animals only. It does not show that the whole mix helps people. What forms does Jiinkokato come in? In Japan the common form is a dried extract granule, sold in sachets. Tablets, capsules and loose powder are also made. The oldest form is a decoction (a tea made by boiling the raw herbs in water for about 30 minutes ). Some Kampo practitioners still prepare it this way. Strength differs a lot between makers. Check the label for how much licorice each daily dose holds. Where it comes from: The recipe comes from a Chinese text of 1587, Wanbing Huichun, written by Gong Tingxian. Japanese doctors took it up during the Edo period and it became part of Kampo practice. It was long given to people with a dry, wasting cough, including cough from tuberculosis in the years before drug treatment. Today it is one of the Kampo extract mixes approved and sold in Japan.

Helps

What does Jiinkokato help with? Long-lasting dry cough: This is the main Kampo use, and it is a long-standing one. Kampo picks the mix for a dry, tickly cough with little phlegm in someone who seems dry and run-down. We found no controlled human trial that tests it against a dummy treatment for this cough. Cough that is worse at night: Night cough is part of the classic picture Kampo doctors look for before choosing this mix. The support here is case reports and practitioner experience in Japan, not trial data. A new or worsening night cough needs a doctor's check first. Dry throat and hoarse voice: The moistening herbs are meant to ease throat dryness that goes with the cough. This use rests on tradition. No trial has measured throat dryness or voice quality with this mix. Cough that lingers after a cold or chest infection: Japanese practitioners sometimes use it when a cough drags on for weeks after an infection and has turned dry. Reports of this are informal. A cough lasting more than three weeks should be looked at by a doctor before you self-treat.

Jiinkokato

Quick Facts

  • What it is: A fixed ten-herb Kampo mix, taken on its own, used in Japan for a long-lasting dry cough that is often worse at night.
  • Main uses: Long-lasting dry cough, Night cough, Dry throat and hoarse voice
  • Best for: A dry, tickly cough with little phlegm, already checked by a doctor
  • Active ingredients: Rehmannia root, Asparagus root, Ophiopogon root, Anemarrhena, Phellodendron bark, Licorice root (holds glycyrrhizin, the main sweet compound in licorice)
  • Forms: Extract granules, Tablets, Capsules, Powder, Boiled decoction from raw herbs
  • Time to effect: Slow — one to three weeks if it helps at all.
  • Side effects: Usually mild stomach upset; the licorice in it can raise blood pressure and lower potassium (a blood salt) over time.
  • Pregnancy & breastfeeding: Avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Jiinkokato?

Jiinkokato is a set herb mix used in Kampo, the herbal medicine of Japan. It is a single drug (Kampo). That means it is one fixed mix, taken on its own, rather than blended with other mixes.

Its old name is Yin-Nourishing Fire-Descending Decoction. Kampo uses it for a dry cough that has gone on for weeks or months. The cough is often worse at night, with little or no phlegm.

The proof is weak. The mix has a long past in Kampo, but we found no good human trials for it. A long history of use is not proof that a herb works.

How does Jiinkokato work?

No one has shown how Jiinkokato works in the body. What follows is theory, not proof.

Kampo reads this kind of cough as yin deficiency (a dry, worn-out state with too little body fluid). The mix is meant to add moisture and cool that dryness. The moistening herbs are rehmannia, asparagus root and ophiopogon.

Lab tests hint that some of these herbs calm coughing and soothe dry tissue. That work is in cells and animals only. It does not show that the whole mix helps people.

What forms does Jiinkokato come in?

In Japan the common form is a dried extract granule, sold in sachets. Tablets, capsules and loose powder are also made.

The oldest form is a decoction (a tea made by boiling the raw herbs in water for about 30 minutes). Some Kampo practitioners still prepare it this way.

Strength differs a lot between makers. Check the label for how much licorice each daily dose holds.

Where it comes from:

The recipe comes from a Chinese text of 1587, Wanbing Huichun, written by Gong Tingxian. Japanese doctors took it up during the Edo period and it became part of Kampo practice.

It was long given to people with a dry, wasting cough, including cough from tuberculosis in the years before drug treatment. Today it is one of the Kampo extract mixes approved and sold in Japan.

Who should avoid Jiinkokato?

  • Do not use if you have low potassium (a blood salt your muscles and heart need) or have been told your potassium runs low.
  • Do not use if you have aldosteronism (a hormone problem that raises blood pressure and lowers potassium).
  • Do not use if you have a muscle disease caused by low potassium.
  • Do not use if you take another Kampo mix, supplement or sweet that holds licorice, unless a doctor has added up your total licorice first.
  • Do not use if you take water pills (diuretics), digoxin or steroid tablets, unless your doctor agrees and checks your blood.
  • Do not use if you have heart failure, kidney disease or high blood pressure, unless your doctor agrees and keeps a check on you.
  • Do not use if you are pregnant or breastfeeding, unless a doctor who knows Kampo tells you to.
  • Do not give it to a child unless a doctor has prescribed it.
  • Do not use it in place of tests or treatment for a cough that a doctor has not yet looked at.

When should you see a doctor?

See a doctor before you start if your cough has lasted more than three weeks, or if you cough up blood, lose weight without trying, sweat at night, run a fever, or feel short of breath.

Stop taking it and get medical help the same day if you swell in the face, hands or legs, gain weight fast, feel weak or cramped in your muscles, or feel your heart race or skip.

Get urgent help if your skin or eyes turn yellow, your urine goes dark, or you become suddenly breathless with fever. These can be signs of liver or lung harm.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Jiinkokato is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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