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The most accredited etymology of the word comes from an emakimono, a type of painted hand scroll, titled "Yamai No Soushi" (Scroll of Illness), drawn between the heian and kamakura period. In it are several depictions of individuals who possess traits of both typical male and female genitalia. The word futanari is used in the passage "You shall see how they possess both male and female roots. Truly they are of both forms/kinds/or aspects (futanari)."