Flowing into the Kyoto Basin from the city area called Kamigamo in the same northern ward of the city, from there it bends south-east and, around the spot known as Demachi in the Kamigyō (or "Upper Kyoto" ward), joins with the Takano River which flows down from the northeastern direction, and there changes direction to due south through Kyoto's Nakagyō ("Central") ward.
An appellation to Fujiwara no Kanesuke who was known as the Riverside Middle Counselor due to his residence near the Kamo River.
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At the time, the Upper and Lower Kamo Shrines owned large amounts of property around the Kamo River, northeast of the Heian capital (Kyoto), holding great power and pretige among the aristocracy.