This small, five sectioned, Japanese medicine case is made of lacquered brown wood spattered with gold. It shows a group of figures trying to pull a heavily laden, two-wheeled cart from a rice field. One of the figures sits on top of large bags in the cart waving a fan above his head. His billowing, knee-length pantaloons and hair are decorated with bits of multicolor mother of pearl. Several of the other figures also have clothing decorated mother of pearl. Some push one of the huge wheels and four others pull from the front. Rice plants and fields are seen in the lower foreground and behind the cart. Gold clouds are outlined at the top of the scene. The clouds and the harvest scene continue on the reverse side. Two gold, braided ropes cut both horizontally and diagonally across the scene. A brownish-purple, braided, silk cord pierces the top and bottom of the medicine case at each side and is gathered and knotted at the bottom. At the top, the two parts of the cord come together to slide through a black ojime bead, carved into a face. The cord ends in a netsuke ornament, which acts as a weight and a way to attach the medicine case to a sash. This netsuke is a carved, lacquered, wooden figure. He is seated cross legged with one hand touching his feet and the other holding a red bowl to his mouth. He is naked from the waist up, but wears red pants.