Swelling, Hangovers, Dizziness, Diarrhea… Complete 14-Day Guide to Tsumura “Goreisan Granules” from Japan: Usage, Contraindications, and Side Effects Explained in One Go!
7/12/2025
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01 Do you ever feel like this?


✔️ Look in the mirror in the morning

Your face is swollen like a steamed bun, your double eyelids disappear, and even your rings feel tighter.


✔️ Had drinks last night

You wake up hungover, nauseous, dizzy, and feel completely drained.


✔️ Stayed in an air-conditioned room for too long

You start having diarrhea, your hands and feet are cold, you gain weight just by drinking water, yet you pee very little.


If any of these sound familiar, this post is a must-save for you.

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Tsumura Kampo Goreisan Granules 2.5g (17): 42 packets (14 days supply)

For swelling, hangover nausea and vomiting, diarrhea, dizziness and headache, dry mouth, and reduced urination.


02 Why choose “Tsumura Goreisan” from Japan?

✅ 140-year-old brand by TSUMURA, Japan’s largest medical-grade Kampo manufacturer.


✅ 1.5–2x concentrated extract. One box (42 packets) = standard 14-day course, easy to carry around.


✅ Classic formula “Goreisan”

Originated from Treatise on Cold Damage by Zhang Zhongjing 1800 years ago. It is the No.1 formula in Chinese medicine for draining dampness and promoting urination, used by generations of physicians.


03 What exactly does it do?

Official indications (in simple words):


? Thirst + decreased urination

Your body’s water metabolism “goes on strike” – you drink water but can’t excrete it.


? Swelling (Edema)

Face, eyelids, fingers, ankles – press and it leaves a pit that takes forever to bounce back.


? Hangovers

Nausea, vomiting, dizziness, headache – helps detox alcohol and drains excess water fast.


? Acute gastroenteritis

Diarrhea, nausea, stomach rumbling – stops unprocessed water retention in the gut.


? Heatstroke, summer fatigue, motion sickness, early-stage diabetic thirst

Discomforts caused by disturbed water metabolism.


✅ In one sentence:

For any symptoms with “internal dampness + thirst and reduced urination,” Goreisan can help.


04 Unboxing – What’s inside each packet?

Each 7.5 g granule packet contains 2.0 g dried herbal extract.


? Key ingredients:


Alisma rhizome (Ze Xie) 4.0 g

Promotes urination and reduces swelling.


Polyporus (Zhu Ling) 3.0 g

Drains dampness, enhances diuresis.


Poria (Fu Ling) 3.0 g

Strengthens the spleen, promotes urination, calms the mind.


Atractylodes rhizome (Cang Zhu) 3.0 g

Dries dampness, strengthens spleen function.


Cinnamon bark (Gui Pi) 1.5 g

Warms yang, disperses cold, harmonizes qi.


⚠️ Excipients: lactose + magnesium stearate

(Those with lactose intolerance should use Tsumura “Goreisan Decoction Extract Liquid” instead.)


05 Standard 14-day dosage

? Adults: 7.5 g per day divided into 2–3 doses.


Mild symptoms / daily maintenance:

1 packet each time, twice daily (morning + evening)


Marked swelling / hangovers:

1 packet each time, three times daily (morning + noon + evening)


? When to take:

30 min before meals or 2 hours after meals. Dissolve in ~100 mL warm water before drinking.


⚠️ Never swallow dry – granules may stick to your throat.


06 Side effects & what to do

? Common:

Mild rash, stomach bloating, fatigue → stop taking; consult a doctor if symptoms persist.


? Rare but serious:

Anaphylactic shock (breathing difficulty, facial swelling) → call emergency services immediately.


07 Who should avoid it?

❌ Pregnant or breastfeeding women


❌ Those with lactose intolerance

Use Tsumura “Goreisan Decoction Extract Liquid” (lactose-free liquid).


❌ Severe renal dysfunction (eGFR < 30)

Consult your doctor and consider dose reduction.


❌ Taking diuretic Western medicines

Monitor electrolytes to avoid hyponatremia or hypokalemia.


08 Recommended combinations (under medical supervision)

? Persistent swelling (edema):

Goreisan + Spironolactone (diuresis with sodium-potassium balance)


? Alcoholic liver disease:

Goreisan + Metadoxine (liver protection + dampness drainage)


? Spleen deficiency with dampness:

Goreisan + Shenling Baizhu San (strengthens spleen, drains dampness, boosts qi)


09 Storage

? How to store:

Keep away from light, below 25°C. Consume immediately after opening each packet.


Summary

Goreisan = No.1 formula for draining dampness and promoting urination.

Ideal for those with “gain weight just by drinking water, reduced urination, and easy swelling” body constitution.

Especially effective for hangovers, edema-type obesity, and gastrointestinal water retention.


? Friendly reminder:

Although it is a classic Kampo formula, always consult your doctor or pharmacist before use, especially if you have chronic illnesses or are pregnant or breastfeeding.






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