Although social status and job ranks varied by domains, there were doctors who served only the feudal lord and his family, and those who cared for others, as in the case of Edo shogunate having okui ishi (inner doctors for the Tokugawa family) and omote ishi (for others).
身分や職制などは各藩により異なるが、江戸幕府の奥医師・表医師と同様に藩主やその家族などを担当する医師とその他の医師に別れていた。