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Meridian-based frameworks

How anma, shiatsu, tui na, Thai massage, and acupressure describe pressure pathways within their own traditions.

5 member techniques · Updated August 2026

The techniques in this family describe practice through the channel vocabulary of East and Southeast Asian medicine, including meridians, points, energy, and balance. Those frameworks are presented in their own terms without treating them as established biomedical mechanisms.

Anma developed through Japanese organization of Chinese anmo traditions; shiatsu later emerged from anma; and tui na reflects related roots within modern Chinese medicine. Thai massage has its own Thai cultural and institutional history even where its sen-line vocabulary creates a useful comparison.

Each system requires training in its own methods, consent practices, safety limits, and professional scope. Similar pressure pathways do not make the techniques interchangeable.

HISTORY AND CONTEXT
Chinese compilations in the Huangdi Neijing tradition name anmo — pressing and rubbing — among therapeutic methods.[S5]Documented · Confidence: Moderate
Meridian-based styles describe their work in the channel vocabulary of East Asian medicine. This describes the traditions’ own frameworks rather than an established biomedical mechanism.[S5]Traditional account · Confidence: Moderate
Japan’s 1947 practitioners statute wrote anma, massage, and shiatsu into licensing law.[S7]Professional milestone · Confidence: High
RELATED HISTORYEast Asia · anmo, anma & afterExplore the related history

Member techniques

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ShiatsuMD-TECH·SHI-009
DESCRIPTION
Usually performed through clothing, using sustained or rhythmic finger, thumb, palm, or other pressure according to the practitioner's school.
REGION
Japan
HISTORY
Modern Japanese system · developed in the early 20th century
DEPTHModerateEnergy-framedTraditional systemMBLEX-MAPPEDHIST CONF · HIGH
AnmaMD-TECH·ANM-008
DESCRIPTION
Often performed through clothing and without oil, using kneading, pressing, rubbing, and related manual methods.
REGION
Japan
HISTORY
Traditional practice · documented in Edo-period Japan
DEPTHModerateTraditional systemEnergy-framedBEYOND EXAM SCOPEHIST CONF · MODERATE
Tui naMD-TECH·TUI-010
DESCRIPTION
Practitioners combine rubbing, kneading, pressing, point work, and assisted movement within Chinese manual-therapy frameworks.
REGION
China
HISTORY
Traditional living practice · multiple historical forms
DEPTHModerateTraditional systemClinical & rehabilitativeBEYOND EXAM SCOPEHIST CONF · MODERATE
Thai massageMD-TECH·THA-011
DESCRIPTION
Usually performed clothed on a mat, with rhythmic pressure, assisted movement, positioning, and practitioner body mechanics.
REGION
Thailand
HISTORY
Traditional living practice · multiple regional lineages
DEPTHModerateTraditional systemEnergy-framedMBLEX-MAPPEDHIST CONF · HIGH
AcupressureMD-TECH·ACP-025
DESCRIPTION
Fingers, thumbs, palms, or tools apply non-needle pressure to selected points within varied East Asian practice frameworks.
REGION
East Asia · multiple traditions
HISTORY
Traditional and modern practice family · multiple lineages
DEPTHLight–moderateTraditional systemEnergy-framedBEYOND EXAM SCOPEHIST CONF · MODERATE
Thai massage also connects to another technique family while retaining its own cultural history.