From the Muromachi period onward, the rank of Jusanmi was granted to successive generations of members of the Ashikaga Shogunate and the Kamakura Shogunate, as well as to Yoshishige SHIBA and Yoshitoshi SHIBA of the Shiba clan, members of whom held the position of kanrei (deputy to shogun).
室町時代以降、従三位は歴代の足利将軍家連枝や鎌倉公方が叙せられた他、管領の斯波氏では斯波義重、斯波義敏が叙せられた。