Shiatsu (指圧 Japanese from shi, meaning finger, and atsu, meaning pressure) - is a hands-on therapy technique originating in Japan. Shiatsu follows similar principles to Chiropractic or western massage using the principles of anatomy and physiology. The thumbs, palms, and fingers (no knees or elbows are used in the foundation form of shiatsu therapy) are used to apply pressure to designated areas of the body.
All Shiatsupractors (Lisenced Shiatsu practitioners) in Japan have to go through a government-regulated program which covers mostly the traditional form of Shiatsu Therapy. This traditional form, now commonly practiced in North America, was started by Tokujiro Namikoshi, from whose lineage subsequent Shiatsu practitioners have been trained. Namikoshi developed his knowledge through trial and error, eventually gaining acceptance in the late 1950s. His Shiatsu is described as "Diagnosis and Therapy combined", and relies on an understanding of how the body functions according to western principles of anatomy and physiology, as opposed to the principles in Traditional Chinese Medicine/TCM, although derivative forms of Shiatsu based on TCM (called Meridian Shiatsu) have been devised by later practitioners graduated from the Japan Shiatsu College established by Tokujiro Namikoshi in 1940.
published by Japanese medical department of the Ministry of Welfare (Current Ministry of Health, Labor and Welfare) in December 1957
“Diagnosis and Therapy combined” is the ability of the practitioner to use his sensory organs (palms, fingers and thumbs) to detect irregularities, such as stiffness of the surface of the body, and to promptly correct or heal these problems. To acquire this amazing skill takes considerable experience. The defining difference between Shiatsu therapy and modern and Kampo medicine (also known as Traditional Chinese Medicine, such as acupuncture and moxibustion) is this “Diagnosis and Therapy combined”; the fact that Shiatsu does not always require previous diagnosis before commencing treatment.
In modern medicine, the course of treatment can only be decided after a diagnosis has been made. In TCM, it is also necessary to diagnose before treating. In Shiatsu Therapy, practitioners promote the prevention and recovery of illnesses by stimulating the immune system and natural healing power that people already possess. Therefore, even without a diagnosis or with a language barrier, practitioners can, to quote Toru Namikoshi, treat patients with “thumbs and thin futon” at any time. Treating the body as a whole helps to restore the physical functions of the nervous system, circulatory system, bone structure, muscles, and internal secretion and stimulates its natural ability to heal illness. That being said, skilled practitioners can contribute considerably to regional health and medical treatment.
Shiatsupractor is the name given to the recently introduced international standardized Shiatsu license. This international standardization will not only ensure quality by setting guidelines for the practitioners of Shiatsu therapy, but also for the instructors, worldwide. In the past, in countries where Shiatsu has not been regulated by law, instructors often have not learned the medical basics, such as anatomy, physiology, pathology, which are required subjects in Japan, and those instructors often focus entirely on their knowledge of Kampo medicine. The name Shiatsupractor was first used in British Columbia, Canada in 1990’s has since been recognized by the International Shiatsu Association as the official name for the of the international standardized Shiatsu license. Presently, at the end of 2003, in the regions of North America (United States and Canada), Europe (member nations of the EU), and Japan, the use of Shiatsupractor is officially protected as a registered trademark. In Japan, the educational standard for Shiatsupractor approval corresponds to that of the licenses for Anma, Massage and Shiatsu Practitioners. In other regions, if there are no regulations by public officials in the country or states, the requirements are two years and 2200 hours in North America and two-to-three years and 1600 hours in Europe.
Shiatsu is an Alternative and/or Preventive Medicine. Shiatsupractors must have knowledge of medical foundations and clinical experience in order to develop a treatment plan. The following are some examples of conditions which will be improved and/or prevented by receiving Shiatsu Therapy.
Nervous system disorder E.g.: neuralgia, paralysis, convulsions, stroke recovery, polio, insomnia
Dyskinesia E.g.: rheumatoid arthritis, muscle aches, muscular atrophy, myositis, tendonitis, adhesion ablation, joint deformation, recovery of broken bones, dislocations and sprains
Digestive system disorder E.g.: gastroptosis, chronic gastritis, gastro-intestine atony, chronic enteritis, chronic constipation
Circulatory system disorder E.g.: heart neurosis, hyperemia, congestion, anemia
Urinary organ & reproductive organ disorder E.g.: paralysis, bladder convulsions, cystitis, mammary gland disorder
Metabolism disorder E.g.: gout, beriberi
Fatigue recovery & Rehabilitation E.g.: depending on the condition,
it may be necessary to follow a Medical Doctor's diagnosis and/or advice for the treatments.
Acute disorder E.g.: acute disease with fever、acute communicable disease
Malignant tumour E.g.: cancer, sarcoma
Acute poisoning E.g.: snake poison, insect poison
Acute inflammation E.g.: peritonitis, appendicitis
Bleeding disease E.g.: hemoptysis, bloody vomit, right after cerebral hemorrage
Trauma E.g.: wounds, broken bones, right after dislocation
Serious internal organ disease E.g.: chronic valvular disease, nephritis
Vessel disease E.g.: aneurysm, serious arteriosclerosis
Ulcer E.g.: gastric ulcer, duodenal ulcer
Tuberculosis E.g.: pulmonary tuberculosis, back bone carie
Venereal disease、suppuration disease E.g.: syphilis, gonorrhea
From the Shiatsu Guidelines issued by the Oriental Medical School Association under the Ministry of Health, Labor and Welfare of Japan
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