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Content Warning: This section of the guide includes discussion of illness, death, and ableism.
In the fall, Sentaro and Wakana walk to Tenshoen National Sanatorium. Their path follows a prickly holly hedge, which Wakana explains was intended to prevent patients from escaping. Inside, they are struck by the sanatorium’s heavy silence. An elderly man cheerfully cycling past challenges Sentaro’s preconceptions about the residents.
They grow anxious seeing workers in protective clothing, but their tension subsides when they see a group of residents laughing together. Inside the co-op shop, they find Tokue waiting for them. Sentaro confronts his own prejudice about meeting the people who live there.
Tokue greets them and agrees to take Marvy. She explains that the workers in protective gear are from a food delivery service; their attire is a remnant of outdated protocols. She also shares that she was married to a man she met at the sanatorium who has since passed away. She wipes her nose with a tissue and carefully disposes of it while commenting on misconceptions about how leprosy could be spread.
At Wakana’s prompting, Tokue tells her story. When she was sent to Tenshoen at 14, her family scrubbed her name from records; officials confiscated her belongings (including a beautiful new blouse her mother had embroidered) and forced her to adopt a new name. Her story is interrupted by her friend Miss Moriyama, who brings them homemade tuile biscuits. After enjoying the European-style treats, Tokue suggests a walk around the grounds.
While walking through the grounds, Tokue points out key locations and describes the history of confinement, including detention cells for protestors who objected to the treatment that leprosy patients received. She shows them the man-made hillock where she first met her late husband, Yoshiaki, a former confectioner. She explains how the isolated patients formed a self-sufficient community.
Tokue and her husband were part of the Confectionery Group, a club where she perfected her craft making sweets. Their walk leads to a stone charnel house containing the remains of over 4,000 residents. Here, she admits that Tokue Yoshii is not her real name. After a prayer for her husband, she explains that most residents had nowhere to go even after the isolation laws were repealed—their families often did not want them back. Moved, Sentaro asks to visit again for advice.
That night, Sentaro feels feverish and disturbed. He recalls Tokue’s mention of how the disease can spread, making him anxious. His mind is filled with images from the sanatorium’s museum, particularly a photo of a blind patient who read Braille with his tongue—one of the few body parts left with sensation after leprosy destroys the other nerves. Sentaro contrasts his brief and bounded prison sentence with their lifelong confinement.
As Sentaro sleeps, he has a dream. He is on a path at Tenshoen and sees a young Tokue as she first arrived, sobbing. In the dream, he feels powerless to help her and turns away.
By winter, sales at Doraharu remain poor. The owner pressures Sentaro to convert the shop to sell okonomiyaki (savory pancakes) instead, but he resists, feeling committed to his work. A letter arrives from Tokue, written in distinctive handwriting that speaks to the effort it takes her to write with only partial hand mobility. In it, she explains her philosophy of “Listening” to the beans and encourages him to find his own dorayaki style.
Deeply moved, Sentaro replies. In his letter, he confesses his criminal past and shares his regret over his mother’s death and his attachment to Doraharu. He ends by asking to visit her again for advice on developing his own recipe.
In early January, Sentaro visits Tokue at the sanatorium and is shocked by her frail appearance. Miss Moriyama serves them sweet bean soup with salty kombu, a specialty of the old Confectionery Group. When Sentaro is impressed by the subtle balance of flavors, Tokue suggests that he create a salty dorayaki to appeal to customers who dislike overly sweet food. Tokue thanks Sentaro for his letter and encourages him to visit his father. She tells him that she has taught him all she knows about making sweet bean paste and that he must now find his own path.
Later that month, Sentaro experiments with salty dorayaki. His first attempts fail, as adding salt directly to the paste or batter creates an unpleasant aftertaste. Differences in temperature also affect the flavor. The owner tastes a prototype and declares it inedible.
Revealing that her savings are almost gone, the owner gives Sentaro an ultimatum. If sales don’t improve by the end of February, she will convert the shop to sell okonomiyaki. She offers to forgive his remaining debt if he succeeds. Understanding her desperation, he agrees to her terms.
The Tenshoen National Sanatorium is a setting that confronts both the characters and the reader with the tangible legacy of social prejudice. The impenetrable holly hedge that borders the sanatorium is a historical artifact of forced segregation, a “green demarcating line without end” that physically manifests the societal fear surrounding leprosy (99). The hedge’s thorns are contrasted with the smooth wall of Sentaro’s prison cell. While his confinement was not intended to inflict bodily harm, the hedge threatens people who have leprosy with more than scratches: the infection’s assault on nerve endings makes any injuries potentially fatal because they go unnoticed and untreated. Wakana’s pointed observation that, despite changes in the law, the hedge “is still here” underscores that the physical and psychological architecture of prejudice has long outlasted the policies that created it (99). Sentaro’s initial trepidation, his instinctual urge to scrutinize the faces of residents for symptoms of disease, and his anxiety upon seeing workers in outdated protective gear reveal the insidious nature of internalized stigma. While all around him are details that point to the fact that Tenshoen residents are normal people, like the man on the bicycle or the group of laughing friends, his discomfort overrides the evidence of his senses, demonstrating a deeply ingrained fear of the “other” that must be unlearned through direct human encounter.
Within this space of confinement, the narrative explores The Inherent Value of Bearing Witness. The residents of Tenshoen, stripped of their names, families, and freedom, exemplify a mode of existence defined not by societal utility but by resilience and profound presence. Tokue’s account of her arrival at 14—being forced to discard her belongings, adopt a new name, and accept a life sentence of isolation—establishes the brutal reality of systematic dehumanization. Yet the narrative counters this loss with examples of powerful human endurance. The museum photograph of a blind patient reading Braille with his tongue is a testament to lives lived with dignity under unimaginable duress. Sentaro’s fever dream, in which he witnesses the young Tokue’s arrival but feels powerless to help, is a literary device that externalizes his guilt about the historical injustice he has just learned about. His finite prison sentence is contrasted with the residents’ lifelong, undeserved confinement, shifting his perspective from self-pity to empathy.
The Confectionery Group exemplifies Finding Dignity and Connection Through Craftsmanship, elevating skill from a personal pursuit to a communal act of survival and love. Tokue’s mastery of sweet bean paste was not learned in a professional kitchen but perfected with fellow outcasts who used their craft to bring joy to people experiencing pain and sensory deprivation. Tokue explains the group’s profound purpose with the question, “Can you imagine what it’s like for someone who can’t see or feel, to taste something sweet?” (124). The Group’s confectionery was more than food; it was a vital conduit for human connection and a means of affirming life when the body itself became a sort of prison. By sharing the Group’s specialty of sweet bean soup with salty kombu with Sentaro, Tokue and Miss Moriyama pass on a legacy born of shared hardship. Tokue’s suggestion that Sentaro create a salty dorayaki is therefore not just a business idea but a philosophical directive to create something authentic that reflects his identity.
The exchange of letters allows for Sentaro’s character development and articulates the novel’s core philosophy of “Listening.” His decision to confess his criminal past to Tokue forges a bond between two individuals marginalized by society for different reasons. Their shared status as outsiders in turn prompts Tokue to share her wisdom. In her letter, Tokue defines “Listening” a state of empathetic attention to “the language of things in this world that don’t use words” (134). This concept, based in part in Shinto beliefs, provides the spiritual and practical framework for Sentaro’s ability to move beyond mere imitation of her technique toward genuine craftsmanship. Tokue’s guidance encourages him to trust his own senses and experiences, empowering him to find his own dorayaki flavor. This philosophy directly contrasts with the purely transactional worldview of the shop’s owner, whose ultimatum and focus on profits represent the societal pressures that devalue individual purpose.
The structure of these chapters mirrors the dismantling of prejudice by moving the reader through successive layers of understanding. The progression begins with the physical symbol of the holly hedge, then to the historical and personal testimony of Tokue and the museum, and finally into the psychological and philosophical depths of Sentaro’s dream and Tokue’s letters. This structure mirrors the process of overcoming stigma: The reader is urged to pass the external barrier, listen to the human story, and finally integrate its lessons into their consciousness. The author critiques a society that isolates and forgets, arguing for a more humane world built on empathy. By the end of this section, Sentaro’s struggle is no longer just about paying a debt or saving a shop; it has become a quest for personal redemption and a mission to honor Tokue’s legacy.



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