Purchased in 2025. ⚠︎︎ Tack index stickers were applied and then removed, resulting in stickiness on the first page of each chapter and in the section on Kampo medicine (see image 4), and a 5mm tear where a page was removed in chapter 5 (see image 3). You could probably cover these with new stickers and they wouldn't be noticeable. Please be aware of this before purchasing. There is no writing in the book. It's almost unused, as I only read through it once with a book cover. Thank you for looking.