Japanese shiatsu massage’s Chinese roots and its use in modern holistic therapy
- Shiatsu was once performed only by blind masseuses. Modern practitioners in Japan combine it with other techniques to meet clients’ needs

While shiatsu, a type of Japanese massage often performed by blind masseuses, is a relatively modern massage technique, it has roots that stretch back thousands of years to China’s tui na style.
Tui na was introduced to Japan around AD700. Its impact was immediate, with the study of massage becoming part of the core curriculum for all medical students in Japan in AD702.
In the early 14th century, doctor and therapist Akashi Kan Ichi developed a practice based on tui na called anma that involved more recreational and relaxing massage techniques, as opposed to the therapeutic approach of tui na.
Some 300 years later, in the 1600s, acupuncturist and doctor Sugiyama Waichi further popularised anma, tailoring it towards pain relief. Since Sugiyama was blind, blind massage therapists became the preferred practitioners of the technique for the next few hundred years – in fact, for a long time, sighted people were not allowed to practice it.

Shiatsu, which means “finger pressure” in Japanese, developed in the early 20th century. Based on the principles of anma, it also incorporates other practices, including Western massage techniques.