
 
Lesson 3: Principles of Zen Shiatsu 
Bodywork
   Consistent with the basic concepts of Traditional 
    Chinese medicine, Zen Shiatsu is grounded in that health theory that health 
    problems are attributed to or involve:
  - imbalances of yin and yang 
    
 - disharmonies between the internal organs 
    
 - blockages of the circulation of ki (in 
  Chinese: qi; in English: chi) through the meridians 
  
 
The unique features of Zen Shiatsu, compared to Traditional Chinese medicine 
techniques such as acupuncture or other shiatsu techniques, are these:
    - For diagnosis, abdominal palpation is the primary technique used. Abdominal 
      diagnosis (in Japan: hara diagnosis) is an ancient Chinese technique 
      that had been largely abandoned in China, but became important of Kampo 
      (the Japanese practice of Chinese medicine) around the beginning of the 
      18th century. Abdominal diagnosis is used in Japan for herbal medicine prescribing, 
      acupuncture, and Zen Shiatsu. The diagnosis is primarily aimed at determining 
      whether each meridian is relatively empty (Japanese: kyo, Chinese: 
      xu) or relatively full (Japanese: jitsu; Chinese: shi). 
      At the end of each treatment the abdominal diagnosis is performed again 
      to ascertain improvements that have occurred. 
 
  
 
Alex Holland President 
  and Founder, Asian Institute of Medical Studies
 
Ask a Zen Shiatsu question
  - Pressure is applied at intervals along the meridians that were described 
  by Masunaga. He presented 12 meridians, corresponding to the 12 basic 
  organ-affiliated meridians of the Chinese system. The meridian pathways are 
  similar to, but not the same as, the Chinese ones; the main difference being 
  an extension of each meridian to a range from legs to arms, passing through 
  the associated diagnostic region of the abdomen. 
 
 
 
  
  - The treatment involves brief contact with each point, in a somewhat 
  rhythmic pattern as a portion of a meridian is traced. The contact is with 
  fairly strong pressure that is applied using the movement of the practioneer 
  body, fingers, elbows, and other parts of the body. 
 
 
  - To attain the proper combination of pressure and movement along the 
  meridian, the practioneer may move frequently around the recipient's body and 
  may even move the recipient (who is instructed to remain passive), such as 
  lifting the head or arms. The actions may include turning or bending over the 
  recipients body parts with the purposes of gaining access to essential points, 
  stretching the meridians, and using gravity or leverage to attain the needed 
  pressure at certain points. The therapy does not focus on one part of the 
  body, even if the health problem is localized; the whole body becomes 
  involved. 
  
 - The practioneer works within a meditative state, focusing on the responses 
  of the recipient so as to properly direct the therapy, as opposed to focusing 
  on selection of pressure points by a theoretical 
 
 
 
  system. To develop this condition of heightened awareness and clear 
intention, the practioneer practices meditation regularly.
Because of its connection to Traditional Chinese Medicine, Zen Shiatsu serves 
as an excellent adjunct to acupuncture therapy as well as Chinese or Japanese 
herb prescribing, fitting well with the theoretical framework. Further, it 
serves as a complementary therapy for Western methods of manipulation, including 
chiropractic or standard massage (e.g., Swedish style), providing an entirely 
different stimulus to the body.
 
 
  Although Masunaga's Zen Shiatsu is considered essential reading for practioneer, 
    the main textbook of Zen Shiatsu used today is Shiatsu Theory and Practice 
    by Carola Beresford-Cooke (first published 1996; revised edition 2002). She 
    has outlined five basic principles of Zen Shiatsu as follows:
  - Relax The practioneer must be in a comfortable physical and mental 
  condition to convey comfort to the recipient; the arms, hands, neck, and 
  shoulders must be relaxed, not tensed, to give the proper treatment and to 
  perceive the recipient responses. 
 
 
 
  
    - Use penetration rather than pressure. It is understood that the body has 
      spots (called tsubo) that can receive the pressing by the practioneer; 
      the muscle gives way to the penetrating force to let it enter, rather than 
      being pushed away by pressure. The result is an entirely different experience 
      than the mere finger-pressing, and requires that the practioneer have the 
      correct position in relation to the recipient and be mindful of the technique 
      being used. 
    
 - Perpendicular penetration without side-to-side motion. Unlike many massage 
  techniques where movement across the surface is emphasized, Zen Shiatsu 
  involves penetration at each point, perpendicular to the body surface. 
  Although there are a few exceptions, the treatment does not involve rotations, 
  back-and-forth, or wiggling movements of the hands, but simple direct 
  inward-directed movements. 
  
 - Two handed connectedness. The Zen Shiatsu practioneer maintains two hands 
  on the recipients body; one hand may be still and holding a part of the body 
  in position, while the other is active, penetrating points on the meridians. 
  The practioneer is advised to give attention to the role of both hands, not 
  just the mode active one. 
  
 - Meridian continuity. The focus of the therapy is to treat an entire 
  meridian, not just individual points or regions. This is based on the theory 
  that the imbalances to be addressed are based in the meridians, which require 
  a free flow of ki throughout.