This gave the decisive advantage to the Tanba clan, and the clan thereafter occupied Tenyaku no kami, which was depicted as the supreme leader within the I-do community in "Shokugensho" (book on the history of Japanese governmental posts written by Chikafusa KITABATAKE).
これにより丹波氏の優位は決定的となり、「医道の極官」（『職源鈔』）とされた典薬頭は丹波氏の家職となったのである。