Emperor Shirakawa
Akisue was close to Emperor Shirakawa, as his mother was the Emperor's nurse, and due to the influence of Fujiwara no Sanesue (藤原 実季), his foster father, who was Dainagon to the Emperor. Starting in 1075, Akisue held a number of local official posts, and by 1109 was appointed as a Dazai Daini (secretary to the administrative officer of several provinces). Akisue was the father of Fujiwara no Akisuke.