The earliest description of an ugly woman in Japanese medical literature

Surgeryvoice, thin and dark hair, soft skin, and slender bones.She is neither tall nor short, neither too fat nor too thin, and has neither long nor short legs.She is a woman with no hair on her genitals.She is between 25 and 30 years old, and has never given birth."It is notable that the meaning of akujo, which was used for "ugly woman, " extended to "harmful to man." Similarly, the meaning of "beautiful woman" became generalized to "nice woman" or "fair lady." If a plastic surgeon could transform an "ugly" woman into a beautiful one through surgical procedures, she could become a "fair lady."