I purchased this used, and it has writing and lines in it. I haven't counted the number of markings, but there seem to be more in the first half. If you don't mind, how about it? This is a used item, so If you are concerned, please consider carefully before purchasing. It will be shipped in simple packaging. I'm selling this as I declutter. I hope someone will read it. Shinshaku Yojokun: Nihonjin ga Tsutaete Kita Yobo Kenkoho (New Interpretation of Yojokun: Preventive Health Methods Passed Down by the Japanese) by Ekiken Kaibara / Edited and Translated by Makoto Hasumura