I read it once after buying it new and then stored it at home. The condition is relatively clean. However, as the photo shows, there is a small tear. I did it on the way home after purchasing it. The inside is clean, with no stains or writing. "A Pictorial History of Medicine: Logical Thinking to Derive Results from Flexible Ideas" Takeo Sakai / Space-Time / Yuka Naraki, Space-Time Inc. Price: ¥1800