In the Zen-shiatsu system, perpendicular pressure is applied to tsubo and meridians to help harmonise the flow of Ki. The objective of a Zen-shiatsu practitioner is to identify and stimulate change in patterns of Kyo-Jitsu. Ki deficient from a Kyo area creates an excess, Jitsu. The subsequent Jitsu compensates for, protects and often hides the Kyo. Each Kyo has a paired Jitsu, therefore each deficiency is balanced by an equal excess.

The meridian system in zen-shiatsu is twice as long as the traditional system. In the traditional system a meridian would travel to or from either the hands or the feet. However in the zen-shiatsu system each meridian travels to all limbs, effectively doubling their length.

Zen-shiatsu promotes the idea of two handed connectedness. Forming an awareness of connection between both hands increases the connection with the client. Often one hand, the mother hand, is passively observing while the other hand, the child hand, is active.

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