The position of Tenyaku gon no suke (assistant chief of Tenyakuryo) was also hereditary, resting with the Fujiki family, a family of Shinto priests who oversaw Kamo Wakeikazuchi Jinja Shrine, but those holding this position actually performed acupuncture, and were one of the family lineages permitted to perform medical examinations of the Emperor.
また、典薬権助の地位は賀茂別雷神社の社家である藤木家が世襲したが、こちらは実際に鍼を行い、天皇の診察もする家系であった。