Fanart is by Syurii22.

Toyosatomimi no Miko is a character in the Touhou Project series introduced in its 13th installment, Ten Desires.

Miko was once Prince Shoutoku, a Japanese leader in the 600s known for promoting Buddhism and streamlining the Japanese government. In the Touhou lore, she was visited by Taoist hermit Seiga Kaku, who had heard about Miko’s longing for immortality. Seiga introduced her to Taoism, but she rejected it as a religion unfit for placating an entire country. She was intrigued by its promise of immortality, however, and privately converted to it, advocating for Buddhism to keep Japan stable. After drinking an “immortality elixir” (mercury sulfide), however, she was forced to let go of her body and become a supernatural hermit like Seiga, notably taking on the form of a woman, making her a canonically trans character (lets-fucking-go).

After convincing a hermit from a rival clan (Mononobe no Futo) to sleep without decaying, Miko followed in suit, waiting for a time where a Taoist Japan would revive her in search of guidance. However, Buddhist monks were able to keep her mausoleum sealed, and the legends surrounding her were slowly brushed off- which led to her transportation into Gensokyo, where the folklore of old is a reality of everyday life.

When she awoke in Gensokyo, it was right after Buddhist monk Byakuren Hijiri opened her own temple, however, leading to a surge of divine spirits across the realm, setting up the events of Ten Desires.

What look like headphones on her are canonically earmuffs- Shoutoku was allegedly able to discern between ten questions asked at once, an ability carried by Miko (although with her enhanced abilities, she can also analyze each person and determine their inner desires (thus the title of the game))- although it means her hearing is highly sensitive and has to be muffled to prevent pain.


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  • TerminalEncounter [she/her]
    ·
    3 months ago
    spoiler, suicide mention

    That sucks, it's a gap in care. I am curious what it says in the literature, if thats even been studied. There's a lot of focus in trans youth just cause... yknow... suicide. Helping trans youth to be alive past 25 can be a task...

    But that does mean there's a missing gap in not-youth trans healthcare, I guess as a healthcare system we're collectively triaging and focusing on people more likely to die and in a more risky position - which sucks, it's like you're being punished for being resilient and stable.

    It's something I've been thinking about lately, I love working with kids but I know I can work with adults too... I dunno, I'm only one person but I can get the credentials, I feel like I have a duty or even an obligation, I dunno it's complicated

    • lilypad [she/her, null/void]
      ·
      3 months ago
      spoiler

      This is something ive noticed a lot of, and not just for trans people. Clinics for youth are important, but youth arent the only ones who struggle, and it really feels like a slap in the face to be told "well if you were a couple years younger you could get housing and a therapist and medicine, but since youre not, guess you can just become homeless and die. Sucks to be you". Were currently housing one of our friends whose homeless and watching her follow up on resources only to be told the above is disturbing.

      feel like I have a duty or even an obligation, I dunno it's complicated

      possibly patronizing? (Idk im sorry)

      Please secure your own oxygen mask before assisting others. Just like, the failure of our social systems isnt your personal responsibility, and tbh youre already doing a lot just by providing care in general meow-hug

      Thats not to say dont, just, ive seen multiple social worker friends and family completely burn themselves out by trying to fill the gaps in the system on their own.

      • TerminalEncounter [she/her]
        ·
        3 months ago
        spoiler

        Yeah it sucks. The system is very broken down so care is being concentrated to, I dunno the term, the most charismatic cases? Everyone regardless of their age should have the right to adequate and timely care but it's all too easy for people to focus on the bright down on her luck 16 year old and not the hardened and cynical 40 year old.

        It's not patronizing 🥰 this is about my long term career, I love working with children (I'm a peds nurse) but I don't wanna add to the problem of gaps in care.

        • lilypad [she/her, null/void]
          ·
          3 months ago
          spoiler

          care is being concentrated

          Yeah, my read on it is that maybe they think getting people set up early on means they wont need care later/will have the tools to take care of themselves? Idk, regardless of the motive it leads to these gaps in care.

          Im glad its not patronizing ^^ if its something youre up for i can say with certainty that it would be helpful for us adults who need care/help.

    • BountifulEggnog [she/her]
      ·
      3 months ago
      me apparently not knowing what words mean

      Wait... 25 is the cut off? Well uh 🤔 huh. Interesting. For whatever reason I thought it was 18.

      • TerminalEncounter [she/her]
        ·
        3 months ago

        For youth? Depends on the place. Pediatrics has a hard cut off at 18, but sometimes it's a little stretchy for continuity of care. I've seen medical/mental health "youth" age limits go from 18 to 25 - for example for youth early psychosis intervention. Some that drop the youth part have an age cutoff at 35.

        Non medically, I was still getting youth rates for museums and stuff until 25 lol. The UN apparently defines it up to 24. It's a squishy term.