Japanese Acupuncture – A Comparison with the Chinese Approach
As an acupuncture and shiatsu practitioner in Portland, one question I am frequently asked is, “How does Japanese acupuncture differ from Chinese style?” The short answer is that they both share the same theoretical basis but they differ in their technique and application. The long answer could fill several volumes. But here are a few of the more basic differences.
In Japanese style acupuncture, we believe that the body’s most responsive “Qi” lies on, or just beneath, the skin surface. From this perspective, it is unnecessary to needle deeply or to produce a strong needle sensation. Also, in Japanese acupuncture thinner needles and fewer needles are used in a typical treatment. In short, Japanese style follows the premise that “less is more”. It is only necessary to offer a gentle reminder and the body’s own healing abilities will do the rest.
Another difference between Japanese and Chinese acupuncture involves the use of several other modalities such as moxibustion, shiatsu (acupressure massage), cupping, intradermal needles and ear seeds. While traditional Chinese acupuncture may include these modalities, they typically do not hold the same importance in day-to-day practice as they do in Japanese style treatment. In Japan, for instance, it’s commonly held that moxibustion and shiatsu share a synergistic relationship with acupuncture. Typically, one or both are included, along with acupuncture, in almost every treatment.
Another unique feature of Japanese style is the tradition of treating both the front and the back side of the body in the same treatment. In Japan, it is widely considered that both the yin and the yang sides of the body should be addressed in a complete treatment.
In Japanese style acupuncture, we apply “direct” moxibustion, by means of small “rice grain” size cones of mugwart (Artemisia Vulgaris). Traditionally, these small cones are burned directly on the skin and the heat is controlled with a bamboo tube. In Chinese style acupuncture, moxibustion is not as common and when it is used, it is applied as “indirect” moxibustion, by means of a moxa stick which is lit and held close to the skin.
Another modality which is very popular in Japanese style is the use of intradermal needles. These are small (almost microscopic) sterile needles which are inserted horozontally about 0.5mm – 1.0mm beneath the skin. A piece of tape is then placed over the needle and it is worn continuously for 2 or 3 days. Likewise, ear seeds are small grains, about 0.5mm in diameter, which are taped on specific acupuncture points in the ear in order to gently stimulate the points for a day or two.
These are just a few of the more basic differences between Chinese and Japanese acupuncture. If you are seeking a therapy in order to stimulate the body’s own healing potential, without harmful side effects, both styles are excellent. To learn more about Japanese style acupuncture and shiatsu in Portland, please visit my main web site, Japanese Acupuncture and Shiatsu.
Thank you for visiting my blog. If you have questions about acupuncture and shiatsu, or if you have a specific health concern, please contact me at:
Bart Walton, L.Ac.
Licensed Acupuncture & Shiatsu
Portland, Oregon
503/939-5805
Tags: acupressure massage, Acupuncture, Cupping, Japanese acupuncture, Moxibustion, needle sensation, portland, Portland acupuncture, Qi, Shiatsu, yang, yin

