Yanagihara Naruko was born in Kyoto as the second daughter of imperial chamberlain Yanagihara Mitsunaru, who held the rank of chūnagon in the imperial household and was subsequently appointed dainagon. The :ja:柳原家|Yanagihara family were of the Reizei family line of the Fujiwara clan. Her elder brother, Count Yanagihara Sakimitsu, fought in the Boshin War on the imperial side, subsequently becoming Lieutenant Governor of the Tōkaidō and later Governor of Yamanashi Prefecture. Entering the diplomatic service after the Restoration, he signed the Sino-Japanese Friendship treaty after the First Sino-Japanese War, was ennobled as a count and became a privy councillor, helping to draft the Imperial House Law before his death at the age of 44. During her lifetime, Lady Naruko was described as an intelligent, graceful and gentle lady, admired by all in the harem. She was noted as an excellent poet and calligrapher. She joined the imperial household in 1870 as a lady-in-waiting to the Dowager Empress Eishō, and was appointed gon no tenji on 20 February 1873. Lady Naruko and the Meiji Emperor were both descended from the :ja:正親町三条家|Ōgimachisanjō clan; both shared a great-great-grandfather in :ja:正親町三条実同|Ōgimachisanjō Sanetomo, a senior palace courtier, making them third cousins. On 21 January 1875, she gave birth to her first child, Shigeko, Princess Ume, at the Aoyama Palace, but the princess died of meningitis the following year, on 8 June 1876. On 23 September 1877, she gave birth to Yukihito, Prince Take, who also died of meningitis before his first birthday, on 26 July 1878. On 31 August 1879, she gave birth to her third child and the only one to survive into adulthood, the future Emperor Taishō. The prolonged and extremely difficult birth resulted in Lady Naruko becoming hysterical, crying and screaming through the delivery. On 6 September, the emperor named his son Yoshihito, later giving him the title of Prince Haru. Owing to the difficult delivery, Lady Naruko did not recover her health for some time; as her son had contracted meningitis shortly after his birth, his life was feared for until he finally recovered in late December. As a result of her delicate health following her son's birth, she never again served the emperor as a lady of the bedchamber. In 1902, she was officially appointed as an imperial lady-in-waiting. In her later years, she was conferred several prestigious honours in recognition of having continued the imperial line, despite a tendency to blame her for her son's increasingly poor mental health. However, she was permitted to be present at her son's deathbed in December 1926. In 1941, Lady Naruko's great-grandniece, the Hon. Takagi Yuriko, married her grandson Prince Mikasa. Lady Naruko died on 16 October 1943, aged 84, in the reign of her grandson the Showa Emperor, having outlived her son the previous emperor by nearly two decades. She was buried in NakameguroYūtenji in Tokyo.