Almost new, but please understand that this is a used item stored at home before purchasing. Immediate purchase is welcome ★ Japan Phytotherapy Association Certified Hand Care Therapist Certification Course Textbook Hand care that makes others happy 5 minutes in the morning for a refreshing start, 15 minutes in the evening for thorough self-care Acupressure points effective for neck stiffness, eye fatigue, shoulder stiffness, constipation, colds... and other ailments