How a Shiatsu Session Works
A shiatsu session is a moment of deep relaxation and energy rebalancing. Practised on a floor futon in comfortable clothing, it follows a precise protocol combining hara diagnosis, meridian pressures and gentle stretches. The practitioner uses thumbs, palms, elbows and knees to restore Ki circulation. This article details each session stage, from welcome to return, and sensations during and after treatment.
Before the Session
Wear loose, comfortable natural-fibre clothing (shiatsu is practised clothed, without oil). Avoid heavy meals two hours before. Plan to drink water afterwards. Inform the practitioner of any pathology, pregnancy or recent surgery.
Welcome and Energy Assessment
The session begins with a 10-15 minute interview covering consultation reason, general health, stress levels, sleep quality, digestion and emotional state. The practitioner also observes subtle signs: complexion, voice quality, posture and breathing.
Hara Diagnosis
Lying supine on the futon, the practitioner gently palpates abdominal zones, each corresponding to a meridian, identifying Kyo (empty) and Jitsu (full) areas. This guides the entire session.
Bodywork
The 45-60 minute core alternates positions (supine, lateral, prone, seated). The practitioner uses thumbs for precise tsubo pressure, palms for broad pressure, elbows for deep pressure and sometimes knees or feet. Pressure is perpendicular, applied with body weight (not muscular force), held 3-7 seconds. Gentle stretches and joint mobilizations accompany the pressure work.
Sensations During and After
During: diffuse warmth, tingling along meridians, pleasant pain on tension points, deep relaxation, drowsiness. After: lightness, fluidity. In following days, menken reactions (temporary fatigue, deeper sleep, transient headaches, heightened emotions) indicate the body rebalancing.
Follow-up Frequency
Monthly for wellness maintenance; weekly to fortnightly for therapeutic work, then gradual spacing. Season changes are traditionally privileged for preventive sessions.
Disclaimer
This article is for informational purposes. Shiatsu does not replace medical advice or treatment. Choose a certified practitioner.