Understanding Kampo Medication Guidance from the Basics Akira Iizuka / Fumihiko Yoshie Natsume-sha There is some minor wear and tear, but it appears to be in clean condition without any noticeable stains, tears, or folds. Packaging is simple. Please understand that this item is stored by a private individual. The items in the photos are all that are included. Please check the photos for any stains or scratches. The item will be delivered as is. Please understand. Please refrain from purchasing if you are overly concerned about condition or have a history of negative feedback.