Wat Po v. Chiang Mai Massage: A North / South Divide?

One of the sculptures in the Thai Yoga outcrop at Wat Po.

One of the sculptures in the Thai Yoga outcrop at Wat Po.

In September I attended the General Thai Massage and Foot Massage courses at Wat Po. The teacher from whom I first learned Thai Massage (a.k.a. Thai Yoga Bodywork or Nuad Bo Rarn) was trained in Chiang Mai by various teachers, and the style he teaches reflects that northern heritage. I was curious to see how the style of massage varied in the south from the northern approach that I had already learned. Would I be in uncharted waters? Or would the Wat Po course merely be a refresher of what I had already learned? These questions were on my mind as I began the course.

 

The answer turned out to be somewhere in between. The Wat Po approach wasn’t radically different from what I had already learned, but neither was it a carbon copy. One could clearly see the common origin of these styles. For yoga practitioners, a reasonable comparison would be to imagine you studied Bihar yoga, and then you sat in on an Ashtanga Vinyasa class. Most of the postures would be similar if not the exact same—e.g. a downward dog is a downward dog. However, the sequence is a little different, you may run into a posture or two that you hadn’t seen before, and there will be many little differences in points of emphasis and so on. The same could be said of two martial arts that have a recent common ancestor art. (However, I think martial arts evolve more rapidly than other systems of movement because there is a life and death urgency to adapt to local conditions, and so martial arts can diverge rapidly.)

 

I won’t get into every little difference in this post. For one thing, the first course I took was a 60 hour (10 day) course, and the Wat Po course was only half as long (5 day / 30 hours.) Therefore, some of the apparent differences might have more to do with the need to conform to time limitations than true stylistic differences. The Wat Po course was designed to impart a sequence that could be done in an hour-and-a-half bodywork session. The first course I took taught some material that was redundant in the belief that one could tailor one’s sequence to the recipient’s needs and / or the masseuse’s preferences.

 

As an example, at Wat Po we didn’t learn any massage of the chest or abdomen, but I was shown (in fact, I was recipient of) the Wat Po approach to abdominal massage and it was pretty much the same as I’d learned previously. In my earlier learning, the approach to energy lines was to stretch (longitudinally) the limb, then apply palm pressure, then work the line (typically with the thumbs), and then one would repeat the palm pressure and finish with a repeat of the stretch. At Wat Po, they went straight for the energy line (sen) and followed that with the palm pressure work. I have no way of knowing whether this difference was more due to timing or style.

 

Before getting into the differences, I will talk a little about similarities. The general approach was the same (e.g. the recipient is fully clothed in a light, comfortable garment(s)) and the massage is ideally given on a thin, dense mattress/pad on the floor–rather than on a table. The general principles of sequencing were the same. Namely, one began at the feet and worked in the direction of the head. Also, when working on a limb, one began at the distal end, worked toward the torso, and then back toward to the starting point. Also, energy line work was done before the stretches.  There were four positions in both styles: supine, side, seated, and prone, and—unlike many other forms of massage—the supine position was at the fore (i.e. neither style emphasized the prone position and back work over the supine in the way other varieties of massage often do.) Both styles of massage (as probably all massage) began with a brief introduction and questioning designed to make sure the individual didn’t have any contraindicated conditions. Both styles of Thai massage began with a moment of prayer or contemplation—this is similar to some styles and different from others and speaks to the traditional nature of Thai massage.

 

IMG_0031

The side and seated sequences were the most similar between the two styles.  I learned more in these sequences in the longer (Chiang Mai) course, but what was included in the Wat Po course was largely the same. Where the stretches were of the same type, they tended to be virtually identical. By that I mean to say that both styles had stretches that weren’t taught in the other style, but where that was not the case, the stretches were indistinguishable. For example, the pictured variant on sarpasana / bhujangasana [snake / cobra backbends] was done in the same manner in either style. (I learned more stretches in the first—Chiang Mai–course, because it was longer.)  Over all, the energy lines (sen) tended to be identical, but there weren’t always the same number of them, nor were the same ones always emphasized. There were some differences in the feet lines that I’ll get into below.

 

Now let’s get to the differences. Starting with some small differences, the manner of palm pressure work was different between the two systems. In the Wat Po style, there was always one fixed point that one hand locked in place while the other hand applied palm pressure. I had previously learned to use both hands in a rhythmically alternating series of palm pressure applications.

 

One little difference that I found interesting involved the technique of closing the little flap over the ears at the end of the face and head massage (both styles close off the ears.) I had been taught to very gently release pressure so as to avoid any kind of popping that might disturb the recipient. However, at Wat Po the instructor taught to vigorously pull the fingers away—resulting in a pop. My guess would be that the idea was to get the recipient’s attention so that one could transition them from the face massage (which notoriously puts people to sleep) to a wakeful state so they could follow instructions for the stretches that followed. (We were taught face massage as part of the seated sequence. Previously, I had learned that this was an option, but that it was easier to do the face massage from supine so you didn’t have to worry about the recipient falling asleep and possibly falling over literally.

 

A final little difference was how the blood stop was done for the lower extremities. At Wat Po, they did the leg blood stop with both legs straight, whereas I had previously learned this technique with an open groin, i.e. the knee pointed out. (Both ways work about the same, but I think it might be a little less awkward to do it with the groin open as one is not in as close of proximity to the recipient’s privates.) The blood stop for the arm was identical.

 

The energy lines are one of the most fundamental aspects of Thai massage, and one would expect little variation in them between styles. This proved largely, but not entirely, true. For example, the leg lines were the same (as one might expect because one cannot stray too far from some lines without getting onto bone.) Also the points at the top of the shoulder, around the neck, the base of the skull, and the scapulae were the generally the same–except more or fewer points might be employed from one style to the other.

 

The arm lines were almost the same. The line on the back of the arm was the same, and the line that goes up the middle of the inner arm was the same. However, there was a second inner line that ran in line with the little finger along the lower edge of the arm (presuming the arm is straight out from the shoulder as it is for massaging the inner arm in both styles.) The lines of the back that were used were different. In my (not very accurate) diagram, the lines 1 and 3 were emphasized in the Chiang Mai style, but 1 and 2 were the lines used in the Wat Po system.

 

Back diagram_CM

 

The greatest divergence in lines and points was in the area of the feet. The best example of this can be seen in the lines of the sole. In the Chiang Mai style I’d previously learned there were five lines that radiated from a point where the heel transitioned into the arch about midway across the foot and went toward the base of each toe. The Wat Po style had three lines that were more or less parallel in line with the big toe, middle toe, and the little toe.  See diagrams.

 

 

The Chiang Mai 5 lines of the sole.

The Chiang Mai 5 lines of the sole.

The Wat Po 3 lines of the sole.

The Wat Po 3 lines of the sole.

 

In summary, the difference between these two styles wasn’t that great. In many cases the techniques were exactly the same, in most they were marginally different, and only rarely were they completely different.  I don’t really have a preference between the two styles. I think which would be a better experience comes entirely down to the skill of the masseuse / masseur.

TODAY’S RANDOM THOUGHT: Yoga, Mirrors, & Proprioception

OLYMPUS DIGITAL CAMERAThis morning a yoga teacher I’ve studied with posted this article on her Facebook feed. It’s by an Indian yogini who moved to the U.S., and it offers five differences between the practice of yoga in India and in America.

It occurred to me that one additional difference that’s frequently commented upon is that mirrors are ubiquitous in American yoga studios, but a rarity in Indian studios.

There are many possible explanations of this point of divergence. Among the more cynical interpretations is that when yoga spread internationally it was never explained that there are no asana (postures) whose drishti (focal point of gaze) is the reflected “bootilicious”, yoga-panted backside of other students.

The explanation one is likely to hear, however, is that a student needs mirrors to be able to see whether his or her alignment is correct. Sounds logical? Actually, it’s lazy in the same way as saying, “I wanted to know what Lord of the Flies is about, so I rented the movie.” (Read the damn book.)

Yes, looking in the mirror will give one instantaneous feedback, but it won’t help one develop the bodily awareness that’s a huge part of the value of yoga. One should be seeking to enhance one’s proprioception. That’s a fancy way of saying, “know where your parts are.” Proprioception is defined as:  “the ability to sense the position, location, orientation, and movement of the body and its parts.” The body has a built-in ability to determine where one’s various parts are in space and whether said parts are straight or crooked. One may not realize this because one may have poor proprioception… because one looks in the mirror instead of closing one’s eyes and listening to what one’s body has to say.

Yoga for Martial Artists

Long before I ever took a yoga class, I was doing a kind of yoga. It may have even had its roots in India, but it also might have blossomed independently. In the Japanese martial art I study, we called it junan taiso, and many of the poses would be recognizable to a yogi. While it didn’t include the complex and balance-challenging poses seen in yoga, stretches like the butterfly (Poorna Titali Asana), straddle stretch (Upavistha Konasana), and the back stretch (Pashchimottanasana) were virtually identical. As with yoga, the manner of breathing was as important as the nature of the stretch.

Butterfly Stretch (Poorna Titali Asana)

Butterfly Stretch (Poorna Titali Asana)

Back Stretch (Paschimottanasana)

Back Stretch (Paschimottanasana)

Straddle Stretch (Upavisthakonasana)

Straddle Stretch (Upavisthakonasana)

Flexibility is key in the martial arts, and not just the ones with high-flying kicks. Even grapplers and practitioners of the less fancy striking systems gain from increased flexibility, but it isn’t only increases in range of motion that yoga offers.

Let’s consider a modest front kick to a target no higher than the solar plexus. One might be inclined to say, “I don’t need yoga to help with that, I do that kick all the time, and have no problem reaching my target.” Do an experiment. Take a full 30 seconds to do the kick, from the time the foot leaves the floor to the time it extends out, and then hold it for 15 seconds, or so. If you succeeded in this without any problem, you may be good to go.

Front kick, slow-motion style.

Front kick, slow-motion style.

However, there are three problems that might plague one, and yoga is tailor-made to fix two of them. First, you may not have adequate range of motion. You may have thought you did because you can kick at speed and reach the target. But, you say, “Why would I need to kick in slow motion?” You wouldn’t, but this exercise shows you that you are having to use inertia to kick through the resistance of your own muscles. Unless you’re a hardcore bodybuilder that resistance might not seem too daunting, but you are essentially having the brakes applied–albeit softly–to your kick and that’s costing you speed and power.  Yoga can help you develop that range of motion. Consider the pose below, which requires the same type of flexibility.

Hand to Big Toe (Utthita Hasta Padangusthasana)

Hand to Big Toe (Utthita Hasta Padangusthasana)

Maybe you can raise your leg, but keeping it cantilevered in place is too much for you. This means you don’t have the strength to support your own leg. Either your leg is  heavy, your strength is lacking, or both. Building this kind of strength isn’t necessarily yoga’s forte. There are styles and approaches that may help you build that strength, but there are other things you can do that may be more efficient for that purpose–not the least of which is doing a whole bunch of kicks one after the other without a break until your leg is burning, and then doing some more.

You may have had the strength and flexibility, but found it hard to stay on balance. The naysayer says, “Yeah, but that imbalance would never be noticeable at speed. That is (as with the lack of flexibility) one can hide weaknesses with speed. While there maybe some truth in this, a lack of balance will cost you in subtle ways, and yoga can help. There are a number of postures that enhance one’s balance, balance on one’s foot, one’s head, or one’s hands (the latter could be useful for the ground grapplers.)

Warrior III (Virabhadrasana III)

Warrior III (Virabhadrasana III)

Headstand (Shirshasana)

Headstand (Shirshasana)

The Crane (Bakasana)

The Crane (Bakasana)

Tree (Vrksasana)

Tree (Vrksasana)

There are a couple of other areas in which yoga can help one’s performance as a martial artist. One is expansion of bodily awareness of issues of alignment and posture. These might not seem so crucial, but if you are in the martial arts for the long-haul, then having the awareness to make small adjustments can be the difference between chronic ailments or a lack thereof. It can be difficult to discover a misalignment in the quasi-combative environment of martial arts training. It’s easier to notice these issues in the slow and controlled practice of yoga.

Postures like Warrior II and the Side Angle Pose and show you where you are holding tension that you might not otherwise be aware of.

Warrior II (Virabhadrasana II)

Warrior II (Virabhadrasana II)

Side Angle Pose (Utthita Parsvakonasana)

Side Angle Pose (Utthita Parsvakonasana)

It must also be remembered that asana (postures) are only a part of yoga. Another aspect that can be extremely helpful for martial arts is pranayama, or the discipline of breathing.  There’s no substitute for cardio, but that doesn’t mean that one can’t benefit greatly from learning more about how to breath, and the science of breath. This is an area in which yoga excels. The great yogis made extensive study of breath and the effects that are achieved by various types of breathing, and these exercises can expand and strengthen the diaphragm and the muscles of the rib-cage. One tends to see the coup de grace strike and think, “There’s your problem.” However, often it’s fatigue that’s the underlying culprit. Better breathing can reduce fatigue.

Of course, meditation is another critical skill for calming the mind and learning to live in the present. Many martial artists already practice some form of meditation, but this is another option.

There is one more benefit and that is building greater confidence in your ability to exercise control over your body. There are many challenging postures in yoga. I don’t advocate all asana that have been taught historically because there can be such a thing as too much flexibility for a martial artist and some poses exercise joints in ways that were not meant to operate. There needs to be a proper balance of strength and flexibility, a proper tension within /between the skeletal and muscular systems. However, there are many poses that just take a bit of time and effort to develop the skill without putting too much wear on the body.

8-Twists Pose (Astavakrasana)

8-Twists Pose (Astavakrasana)

Chi: The Power of What Isn’t

Every morning I start my day with chi kung (a.k.a. qi gong), and many days I do tai chi (tai qi.) For those who are unfamiliar, chi is usually defined as “life force” or “life energy.” However, defining chi is neither simple nor will one find a consensus agreement. Some say chi is  “breath,” at which point its existence becomes a much less controversial, but also less explicative, concept. Others would say that chi is much more broadly dispersed than the “living” so “life force” is an understated definition.

Chi Kung are exercises combining breathing, movement, meditation, visualization, and self-massage that are used to keep one healthy. Because yoga also contains these components (e.g. breathing, movement, and meditation; though with very different specifics) some have even been known to call chi kung “Taoist yoga.” The idea behind these exercises is that chi is lost through living (some activities more than others), and can become blocked in the channels through which it is believed to move. Various exercises are used to replenish and ensure healthy circulation of the chi. Tai chi is a series of martial arts forms that are also considered to have the effect of replenishing and / or enhancing chi.

Two questions may leap to mind, especially among those who know me as a skeptic. First, do you believe in chi–despite the lack of evidence that it exists? (When I mention this lack of evidence, I am obviously not defining chi as breath or bodily fluids, in which case the most rabid skeptic would have to acknowledge its existence. However, then an entirely different set of questions is raised about the vast and complicated nature of chi kung exercises needed to circulate oxygen, which travels through blood vessels and not through channels or meridians. In other words, there’s no reason not to abandon a lot of the Traditional Chinese Medicine (TCM) / Taoist conceptions of health if one considers a narrow definition of chi.) Second, if you don’t have any reason to believe that chi is a real thing, why bother with the exercises?

First, no, I don’t believe in chi as a substance or physical entity in the way that your average Taoist priest does. I don’t mock or ridicule those who do, and I acknowledge it could always turn out that they were right and I was wrong and that my current state of ignorance combined with an incorrect deference to Occam’s Razor led me astray.

However, I have a pretty high standard for believing a person, place, or thing exists. I need to be able to observe it.  If I can’t perceive it directly, but there is some indirect sign it exists, then that indirect sign needs to be the simplest possible explanation I can imagine given my current state of knowledge. (Yes, I realize that Occam’s Razor isn’t a law, it can always be that an unlikely explanation is the correct explanation. I also know the raft of indirect signs of chi, and, yes, I’m saying I can imagine simpler explanations than an energy source that is immeasurable but powerful enough have bodily effects.) While I don’t believe in chi (or meridians, or the yet undiscovered organ called the “triple heater”) as physical things, I do believe in conceptual chi which is an object of visualization.

Moving on to the second question, I practice these exercises because they make me healthier.

This, of course, raises another question, “How can these exercises be effective if chi is not real?”

Now I have to go Socratic on my hypothetical questioner. The Socratic dialogue goes like this:

S: Have you ever been to a scary movie?

A: Of course, I have. What kind of a troll has never seen a scary movie?

S: I’m Socrates. I’ll ask the damned questions around here, thank you very kindly.

So while you were watching said movies, did you ever get startled? That is, did your pulse ever pound a bit harder; did you ever take a gasping breath; did your hands ever grip the armrest with white knuckles; or did you ever get butterflies in your stomach?

A: Of course, that’s part of the horror movie watching experience.

S: So, then, you were under the impression that the events you were watching were actually happening, and that the killer might come out into the theater after you at any moment?

A: No, of course not. Don’t be absurd!

S: And yet this thing that was not real–that was just symbolic or conceptual–had actual physiological effects?

[At this point Socrates breaks into his superiority dance.]

I think visualizing chi flow has positive benefits both mentally and physically. The mental benefits may be clear. The physical benefits result from putting oneself in the moment and conducting activities (deep breathing and movement) that help one de-stress. This process of de-stressing helps one to be healthier. Does it matter that one does the exercises as they have been handed down from ancient China? Probably not, but I believe that trial and error (even without complete information about anatomy and physiology) yield some impressive results. Of course, there are many other systems (e.g. yoga) that can work equal wonders using an approach that is quite different in its detail. (I also don’t believe in Chakras, but can imagine great benefits from behaving as if they exist.)

MindOverMedicineI just started reading a book by a medical doctor named Lissa Rankin. Rankin’s book, entitled Mind Over Medicine, presents evidence from a large body of scientific literature suggesting the mind often plays a major role in wellness by way of mechanisms that aren’t yet fully understood, but which defy the traditional view of Western medicine.

Rankin was intrigued by the vast number of anecdotal cases of what doctors call “spontaneous remissions.” Spontaneous remissions are when a patient becomes healthy in a way that defies explanation (i.e. they had no treatment, they had insufficient treatment, and they had an illness for with the body’s immune system is normally believed incapable of doing the job on its own.) She wasn’t satisfied with these one-off stories involving placebos, fake surgeries, busted radiology equipment, faith healing, etc, but rather wanted to see what the scientific literature contained by way of scientific double-blind studies on the subject.

She found there was evidence to support mind over matter when it came to illness, and that there was a fledgling explanatory literature. She also learned that while there was a large database of spontaneous remissions, there had not yet been an attempt to determine whether there were common characteristics of those who showed the “placebo effect” (getting well while being in the placebo group of a double-blind study) or other spontaneous remissions.

My point is that there is good reason for skeptics to consider that there may be a lot more to health and well-being than our current paradigm suggests.

BOOK REVIEW: The Book of Massage by Lucinda Lidell

The Book of Massage: The Complete Step-By-Step Guide to Eastern and Western TechniquesThe Book of Massage: The Complete Step-By-Step Guide to Eastern and Western Techniques by Lucy Lidell

My rating: 4 of 5 stars

Amazon page

I picked up this book because I recently began studying Thai Yoga Bodywork (TYB.) While The Book of Massage doesn’t specifically deal with Thai massage, as a neophyte, I figured some general reading was in order, and there aren’t a lot of widely available books that deal with Thai massage specifically (at least not where I currently reside.)My first testimonial of this book is that I looked through over a dozen books on massage at my local bookstore, and this is the one with which I walked home.

I found Lidell’s book to be a valuable resource. The book covers three approaches to massage: oil massage, shiatsu, and reflexology. As the subtitle suggests, this book addresses both Eastern and Western approaches to massage. The section labeled simply “Massage” is one that deals largely in the Western approach, as it’s suggestive of the Swedish style of massage. This involves oil, no / few clothes on the recipient, and a variety of strokes that are delivered over relatively broad areas (as opposed to the deeper acupressure approach of the latter methods.) The oil massage chapter begins with an overview including what type of oil to use and the basic strokes, and then provides a sequence before delving into specific techniques for various body parts or groups of body parts.

Shiatsu is a Japanese form of massage that is based on the concepts of Traditional Chinese Medicine (TCM.) I found this style to be much closer to what I’ve learned in TYB. Like TYB, both patient and recipient are clothed, there is no oil, acupressure is the norm, it requires no table, and there is a match up between what are called “energy lines” in TYB and “meridians” in Shiatsu. Shiatsu even employs similar stretching techniques to those that are the hallmark of TYB. I can imagine these systems having a common ancestral art.

The order of the shiatsu chapter is basically the same as the chapter on Massage. First, there’s necessary background information. This consists of a couple of pages on the basic Taoist concepts on which TCM is based (e.g. Chi, Yin & Yang, and the five elements) and related vocabulary like “tsubo” (pressure points) and meridians. The section then goes on to address basics of posture and bodily tools (palms, thumbs, elbows, knees, etc.), the sequence of the massage, and then the specifics of various body parts.

Reflexology massages only the feet and hands in the belief that points on these appendages map to other parts of the body. In other words, practitioners believe one can increase wellness throughout the body by working points on only the feet or hands. It’s said that the roots of reflexology may be ancient and that it may have been practiced in Egypt in 2300BC, but the modern school was developed by an American physician in the early 20th century. TYB does borrow from reflexology (though not necessarily the modern form of it), so some of this was also similar to what I learned in TYB. Again, the order of this section went from the generic information one needs toward the specifics of how to apply a given technique on a particular part of the foot or hand.

In addition to the three core sections, there were chapters before and after that provide the reader with useful information. Some of this was banal but obligatory (e.g. a brief history of massage and a discussion of the importance of touch among the human species), but some of it was essential practical information such as how to create the proper environment and how to center oneself before delivering a massage. There was also information that will be useful for some about massages involving babies, expectant mothers, the elderly, athletes, and oneself.

Perhaps the most beneficial of the “supplementary” chapters was one that dealt with the subject of how to read bodies. This may seem like an odd topic. However, it’s useful to be able to recognize where an individual holds his tension or where her posture is off–a problem that can create many muscular difficulties. There’s a short overview of anatomy, which I found useful, and a shorter overview of “chakras and auras,” which I personally didn’t find useful but can see where others might.

There are several strengths and relatively few weaknesses to this book. I found the organization to be logical. The graphics are a combination of photos and line drawings, and they work well together. I thought it was great that the author explained that Shiatsu is to be done in comfortable, loose-fitting clothing and that the only reason the graphics display the masseuse in a skin-tight body suit was so that the baggy clothing wouldn’t inhibit the reader’s view. Also, I found the written descriptions worked well with the graphics. One often needs a written cue as to where to find a certain point or line, and just showing it in a picture can be misleading given the wide variety of body types as well as the granularity of the graphic in contrast to the specificity of a point one may need to hit.

I suppose I should warn the easily mortified and / or very religious that there are full and partial frontal nude photographs in the section on oil massage. [I doubt such people are a major demographic for giving or receiving massage, but one never knows.]

I don’t have a lot of complaints. As it’s set up like a workbook, a spiral binding might have been nice, but I recognize the huge challenges of that. Plus, I’m not certain that one can or should learn massage from a book. Rather one should look at it as information to support study with a skilled teacher–or to experiment with once one has already developed some skill. The sections early and late in the book that talk about the importance of human touch didn’t add much, but they were also brief.

If you’re looking for a book on massage that covers a broad set of bases, but yet gives adequate detail for learning, I think this book is a good choice. I’d say it piqued my interest in learning Shiatsu.

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