The medal design for all six types is the same, bearing the stylized characters 褒章 on a gilt central disc surrounded by a silver ring of cherry blossoms on the obverse; only the colors of the ribbon differ.

Originally awarded "to children, grandchildren, wives and servants for remarkable acts of piety; and to individuals who, through their diligence and perseverance while engaging in their professional activities, became public role models".

However, in 2003 the Medal with Green Ribbon was revived as an award to morally remarkable individuals who have actively taken part in serving society.

Awarded to individuals who, through their diligence and perseverance while engaging in their professional activities, became public role models.

Awarded to individuals who have made exceptionally generous financial contributions for the well-being of the public.