Shiatsu
Shiatsu is a Japanese manual system characterized by pressure applied with fingers, thumbs, palms, and sometimes other contacts within distinct schools. It is related to Anma and broader acupressure concepts but is not synonymous with acupressure, Tui na, or Thai massage.
How it is practiced
Sessions are commonly clothed on a mat or table. Sustained or rhythmic pressure, whole-body sequences, position changes, and movement vary by school and are adapted to the client’s condition and consent.
Some schools organize practice through channel, meridian, or energy language. This record presents that language as cultural and lineage framework, not as an established biomedical mechanism.
- 01Intake and positioning — Comfort, health context, pressure tolerance, and the school’s session format are established.
- 02Whole-body orientation — Broad contact or an opening sequence establishes rhythm and response.
- 03Pressure sequence — Finger, thumb, palm, or other permitted contacts follow the chosen school’s approach.
- 04Reassessment — Position and pressure are adjusted throughout; the close follows the school’s attributed method.
History and origins
Safety and considerations
No absolute contraindications specific to this technique are documented; general massage contraindications apply — acute systemic infection or fever, suspected thrombosis, and acute medical emergencies.[S20]
Training and professional context
Shiatsu methods and theory differ across schools. Specialty training does not transfer medical diagnosis authority or make every school’s credential equivalent to licensure.
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
Related techniques
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