Reviewed · Jul 2026MD-TECH·ANM-008

Anma is the Japanese manual therapy organized from Chinese anmo: kneading, pressing, stroking, and stretching applied through clothing, without oil, on a mat or chair. It is the root system shiatsu emerged from, and it survives as its own discipline with its own sequence logic.

REGIONJapan
HISTORYTraditional practice · documented in Edo-period Japan
SESSION FORMATMat or chair · Clothed · Dry
EXAM RELEVANCEBEYOND EXAM SCOPE

How it is practiced

Work proceeds through set kata-like sequences — kneading and pressing along the channels of the meridian framework, with rhythmic, repetitive technique from the shoulders outward. The dry, clothed format shapes the vocabulary: compression and kneading dominate where oiled systems glide.

It is commonly sought for muscular tension and general wellbeing. Channel descriptions are the framework’s own account, typed as tradition in this record’s register.

SESSION ARC
  1. 01Shoulders & neck opening — The classic starting region; rhythmic kneading sets tempo.
  2. 02Channel sequences — Pressing and kneading along the framework’s lines, region by region.
  3. 03Stretch & close — Joint movement and stretch, then closing strokes.

Pressure

  1. Very light
  2. Light
  3. Light–moderate
  4. Moderateas recorded
  5. Moderate–deep
  6. Deep

MassageData does not measure force, and nothing here is a score.

History and origins

Classical era
Chinese compilations in the Huangdi Neijing tradition name anmo — pressing and rubbing — among therapeutic methods.[S5]
DocumentedConfidence: Moderate
Edo period
Edo-period Japan organizes anma into guild structures, including the licensed blind practitioners’ tradition.[S7]
DocumentedConfidence: Moderate
1947–64
Japan’s Act No. 217 of 1947 names anma in its original title; a 1955 amendment brought shiatsu within anma work, and a 1964 amendment renamed the practitioner title anma-massage-shiatsu.[S7]
Professional milestoneConfidence: Moderate
RELATED HISTORYJapan · Edo anma and the road to modern licensureExplore the related history →

Safety and considerations

⚠ ABSOLUTE CONTRAINDICATIONS

This record does not assert a complete technique-specific contraindication list. Defer massage for acute systemic infection or fever, suspected thrombosis, or acute medical emergencies, and seek appropriate clinical assessment.[S124]

SITE & PRESSURE CAUTIONS
Assess acute injury and inflammation before compression; modify or defer contact according to tissue condition and appropriate clinical guidance.[S124]
POPULATION CONSIDERATIONS
General massage guidance identifies osteoporosis, joint hypermobility, and pregnancy as conditions that can require individualized assessment or modification.[S124]

Evidence limits. The stated precautions come from general massage guidance. They do not prescribe Anma-specific abdominal pressure or stretch ranges.

These cautions summarize professional guidance. They are not medical advice and do not replace pathology training, intake screening, referral, or required medical clearance.
REFERENCEReview pathology, contraindication, and referral guidance.EXPLORE →

Training and professional context

TRAINING CONTEXTSPECIAL TRAINING
Separate credential system

Licensed as its own profession in Japan; taught in North America through dedicated programs and post-graduate study rather than entry-level curricula.

SCOPE

Whether this technique is within your scope depends on your profession, training, jurisdiction, and licensing board. Review the rules that apply where you practice.

Sources

S5Huangdi Neijing tradition — textual scholarship on anmo / daoyin references.
S7Japan e-Gov, Act on Practitioners of Massage, Finger Pressure, Acupuncture and Moxacauterization, etc. (Act No. 217 of 1947), with current scholarship on anma and blind-practitioner education in Japan. Japan e-Gov law · scholarly history · National Diet Library law index
S16Werner, A Massage Therapist’s Guide to Pathology — caution & contraindication reference.
S124Andrade and Clifford, Outcome-Based Massage: From Evidence to Practice, 2nd ed. (2008), ch. 3, pp. 53 and 60–62, especially Tables 3-2 and 3-3; Merck Manual, Massage Therapy, reviewed October 2025; NCCIH, Massage Therapy: What You Need To Know. General massage screening, tissue and pressure precautions, clinical competence, and referral; these sources do not establish a complete technique-specific contraindication list. Accessed 2026-09-10. Clinical decision-making, pp. 53, 60–62 · Merck: pressure and bleeding precautions · NCCIH: risks and referral
Learn how references are selected and reviewed in Method & Sources.

Related techniques

Related resources