The origins of Shiatsu lie in Japanese traditional medicine. Shiatsu can be described as a Japanese form of bodywork derived from the same ancient principles as acupuncture. Touch is the essence of Shiatsu, and the medium of touch can be restorative, invigorating, soothing and calming.
Like acupuncture, Shiatsu works with the Qi (Ki, in Japanese), through the same channels and points. However, instead of needles, the Shiatsu practitioner uses a combination of massage, pressure, stretching, mobilisation and other bodywork techniques to affect the flow of Qi and blood.
As well as working at the more subtle level of Qi, Shiatsu is a comprehensive and integrated system of physical therapy, working with the muscles, joints and connective tissues.
Traditionally, Shiatsu is carried out on a futon mattress on the floor, using a variety of treatment positions (lying face up, face down, on your side or sitting). However, because I very frequently combine Shiatsu/bodywork and acupuncture, I work on a treatment table.
No oils are used for Shiatsu, and you remain clothed throughout. It is best to wear comfortable, non-restrictive clothing (loose-fitting cotton pants and a T-shirt, or something similar, are ideal).
Karl Farren Chinese Medicine Practice 