Shiatsu means finger pressure

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:: Shiatsu means finger pressure
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Shiatsu means finger pressure

Shiatsu literally means 'finger pressure', and every treatment is preceded by an in-depth case history.
The severity of the illness and potential recovery time can usually be estimated by gently pressing certain areas of the abdomen. This form of diagnosis is called a hara diagnosis, used mainly by Shiatsu practitioners, and is also used as a means of monitoring progress at the beginning of each treatment, which is carried out fully clothed in a warm room, usually on a futon (thick padded mattress) on the floor.

The hara diagnosis, which was developed by Shisuto Masunaga, a doctor of psychology and shiatsu master, consists of gently pressing the soft organs within the abdomen. This explores the dynamics of energy within the body and the human energy field, which should be in a state of continuous movement, expansion and contraction, and transformation.
The continuous movement of expansion and contraction is known as kyo-jitsu (kyo – expanded; jitsu – contracted). In health the exchange is continuous, but in physical/mental illness a pattern becomes fixed and unmoving, systems within the body try to compensate and symptoms arise.
As the pattern becomes more long term and fixed (the natural movement of energy gravitating towards a denser body), symptoms worsen and the body/mind now deteriorates and the illness becomes steadily entrenched. As a general rule, the more 'jitsu' to be found within the hara the greater the potential for early recovery, and the hara diagnosis also indicates the areas that will be more responsive to treatment.

Bound-up Energy
Treating the 'bound up' client is an easier proposition for the therapist. Energy is usually held in tension in the upper body, neck, shoulders and back – nothing moving. The approach to treatment is markedly different from the deficient client. The polarity of kyo-jitsu is well marked and fixed; energy is not available for use. Freeing this off is the first step to re-establishing the natural flow of expansion and contraction. Once freed and moving, stimulation of the energetic system is the next step.


There appear to be two main energy categories: 'deficient' and 'bound up'.

Deficient Energy
The totally deficient client will appear to have no signs of life within the hara – resilience nil. Unnecessary movement of limbs, stretching and rotating have a detrimental effect, using up vital energy. A strong treatment would be like trying to move a car away from a standing position in top gear, stalling the car – energetically stalling the client who would be drained and exhausted after the experience.
Sessions are initially short and quite specific with little movement of the client's limbs, and treatments are centred on energetically responsive areas that are recognized by the experienced practitioner.
With shiatsu, unlike acupuncture, 'tsubos' or 'acupuncture points', are not limited to those which are to be found neatly numbered and catalogued and placed on charts for all to see. Points manifest like hot springs on the body and are readily recognized by the trained practitioner

The areas that are stimulated (mainly by thumb pressure) are left alone if they are not immediately responsive, as persistence on the part of the therapist will, in this case, tire the client, as will long sessions at this early stage in treatment. All small pockets of energy that may be classed as 'jitsu' (or contracted energy) are considered 'good news' and left alone for the time being. Once there are signs of improvement in the client's condition these pockets of jitsu will be called upon to play their part in raising the energy levels of the client and assist in the process towards health.

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