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.

Paleo-Stressing: Acute v. Chronic Stress

"What happened to the good ole days when I ate you people--not lived in your cages?"

“What happened to the good ole days when I ate you people–not lived in your cages?”

Paleolithic dieting is all the rage these days. I’m no expert on the paleo-diet, but–as I understand it–this refers to the practice of eating the foods consumed by our pre-agrarian ancestors. The idea is that if one consumes the foods that our species is evolutionarily-optimized to eating, one will be healthier.  Whether one believes in the merits of the paleo-diet or not on the whole, it’s hard to argue that one wouldn’t be better off eating less highly-processed and highly-refined foods and more things that look like food at a glance.

 

Our diet isn’t all that has changed since the days of our pre-agrarian ancestors. Modernity has brought with it an entirely new way of experiencing stress. Eliminating or reducing stress is a common topic of discussion, but not all stress is created equal. There’s a necessary form of stress, a stress that makes one better, stronger, faster, and smarter. We don’t want to willy-nilly eliminate stress; we want to reduce the wrong type of stress.

 

Our ancestors—like animals–experienced brief periods of intense stress (e.g. saber-tooth tiger attacks), followed by longer periods in which they were free of deadlines, carpools, and after-school activities. Now, no one likes to have a saber-tooth tiger stalking them. It’s unpleasant. Modern humanity has gone to great lengths to eliminate those short bursts of terror, but not without cost. (If you don’t believe me read Robert Sapolsky’s Why Zebras Don’t Get Ulcers.)

 

Whether or not you believe that eliminating acute instances of terrifying stress is bad for mankind, it’s hard to argue that modernity’s leveling process didn’t eliminate stress, but instead resulted in a chronic stress on a smaller scale. People today have impossibly long daily to-do lists, and they have to accept trade-offs between work, family, and personal development.

 

It’s true that you don’t get eaten by a giant cat when you drop the ball, but life is so packed diverse events that one may feel like one is dropping some ball constantly. If your boss thinks you’re a model employee, then your kids are probably going to need therapy. If you have a contented home life, your boss may have his or her eyes open for someone who can give the firm consistently 70+ hour work weeks. If you feel you’re doing alright on both the work and family front, your body and / or mind is probably a train wreck.

 

Chronic [mini] stress may feel better than acute [catastrophic] stress, but it takes its tolls in various ways. First, with our sympathetic nervous system (fight-or-flight reaction) constantly engaged our body’s power to heal itself is reduced. When the parasympathetic nervous system is engaged, the body devotes resources to long-term goals like getting healthier, but in stress mode activities not relevant to immediate survival shut down. This is a great system if you have periodic life and death stress, but is not so good if you’re under constant stress.

 

Second, chronic stress reduces sleep, and sleep is essential to one’s mental and physical well-being. There are a wide variety of symptoms associated with sleep deprivation such as forgetfulness, decreased concentration, decreased alertness, reduced reasoning ability, diminished problem-solving capacity, and depression—all of which can diminish our physical health through accidents, ailments, suicide attempts, and lack of energy for exercise.

 

Third, chronic stress can make one fat, with all the health issues that result. Some people use food as a coping mechanism. Other people eat too fast or choose their food poorly because of time constraints or because they are not mindful of eating as their monkey minds churn at a mile a minute. Then there is the more convoluted and complex issue of cortisol–a hormone released under stress that is linked to weight gain in at least some cases. Even if you don’t have a problem on the calorie intake side, the stressed individual may not do so well on the calorie burning side—either because of a lack of time to exercise or a lack of energy.

 

Modern humans are uniquely suited to chronic stress because we are the only species that achieves the same physiological stress response by remembering and obsessing about a stressful event as experiencing it. Abandoning the modern approach to living isn’t an option most are willing to entertain; but there are ways to combat chronic stress.

 

Move – Meditate – Mindfully Breath: The bad news is you’ve got to shoehorn these activities into your schedule daily (or at least several times a week.) The good news is that they don’t need to take up a lot of your day. There are a number of systems that address all three components in one handy package such as Qi Gong, Yoga, and some martial arts. I don’t think it matters so much which one chooses as how one goes about one’s practice.

 

Movement strengthens and strategically stresses the body, but it also increases one’s bodily awareness so that one becomes aware of how stress is manifesting itself in one’s body. Meditation teaches one how to live in the present moment, and it trains one to recognize the seeds of negative thought and emotion earlier so that one can counter-act them. Obviously, breathing is essential to life, but learning to be aware of one’s breathing patterns and to “manually override” the breath patterns associated with harmful emotional states is a beneficial skill.

 

Massage / Bodywork: Whether self-administered or other-administered (the latter allowing greater distressing–particularly if the masseuse is skilled) massage is an activity, like movement, that can help one become aware of where one is physically holding one’s stress. These physical manifestations of stress can exacerbate the whole experience of stress. One should take time periodically to have bodywork done. A day rarely goes by in which I don’t work on my own neck, shoulders, head, or face, and I occasionally get professional Thai Yoga Bodywork done.

 

The Places that Scare You: Force yourself to go someplace (not necessarily literally a “place”) that scares you once in a while. This needn’t be skydiving or hand-gliding—but it could be. It may be a martial arts class in which one has to put on the gloves occasionally and go at it. It may be joining Tostmasters and having to give a speech in front of a crowd. It may be traveling to some backwater where you don’t know the language, but you want to learn. This is a very personal issue. (i.e. A Type-A personality he-man may not find that skydiving is outside his comfort zone. If so, sorry, skydiving doesn’t count, he may need to learn ballroom dancing, or something else that truly takes him outside being comfortable.) KEY POINT: The problem with hiding from all stressors is that it doesn’t result in a stress-free life, what happens is that smaller and smaller stressors loom bigger and bigger in one’s mind. Which brings us to…

 

Perspective:  One must put life’s challenges in perspective. Each person’s problems are important to them, and I don’t want to diminish anyone’s problems, but—come on—you’re not going to be eaten by a freaking saber-tooth tiger.

Tradition v. Modernity in Fitness and Movement Arts

 

TheScienceofYoga_BroadOne of my favorite professors (and I had a lot of them) was in the Religious Studies department of Indiana University in Indianapolis (IUPUI.) Among the lessons he taught us were the various forms of fallacious reasoning applicable to the discipline. He did so in a way that was both erudite and folksy, often in a humorous way.

 

 

 

While I don’t remember the formal names he gave these concepts or their technical definitions, I do remember the more colorful variations. One was the “firstist-is-bestist” fallacy in which it’s assumed that the old ways are inherently superior because bad ideas die out, and young ideas are at least as likely to be crap as not. This is sometimes called “appeal to tradition.” Over a sufficiently long time horizon this assumption may prove true (i.e. the time horizon beyond which Keynes warned we’d all be dead), but we know that wrong ideas can live on for centuries.

 

 

 

Another was the “outhouse” fallacy, which says that because pre-modern man didn’t have indoor plumbing they must have been complete idiots, and we should assume newer is better. This is sometimes called the “appeal to modernity.”  While there is some advantage to having access to the compiled knowledge of history, this doesn’t keep people from coming up with idiotic ideas regularly.

 

 

 

What made me think about these conflicting fallacies is that I’ve been reading a lot about the science of yoga–and other systems of movement–lately. Specifically, I was reading The Science of Yoga by William Broad. During the 20th century, yoga went from not giving a whit about science to trying to show that it wasn’t at all at odds with science–if not that it was grounded in science. (Note: this statement could be applied to many of the old ways—e.g. religions—which sought to prove themselves consistent with scientific evidence out of fear that–in the age of rationality–to be inconsistent with scientific observation would be death to old beliefs.) While the hucksters and con men seeking to bilk people out of money through shows of yoga “magic” have lost power (though some still exist and prey on the gullible regularly), this isn’t to say that science has yet won the day entirely.

 

 

 

Chapter two of Broad’s book discusses the findings of the scientific community on whether yoga has any merit as aerobic exercise. (The consensus is that it doesn’t.) Now, one would think that the whole yoga community would be pleased that academia has for the most part shown that yoga has a range of positive benefits that make it a worthwhile endeavor when practiced safely and conscientiously, but some have been unwilling to accept that yoga isn’t excellent cardio on top of all its unambiguous benefits. The established consensus is being ignored and a single seriously flawed study (small sample size, no control group, and—while peer-reviewed—the author was the journal editor) is cited, that one—of course—suggests that yoga meets all one’s cardio needs.

 

 

 

It’s easy to follow the incentives. For example, if one runs a yoga studio one would like to be able to say that yoga is a panacea for all of a person’s health needs. People are busy and lazy, and if someone else can sell them a silver bullet then they’ll lose business.  If one gives the matter thought, it becomes hard to imagine an exercise panacea. Consider a list of health goals that includes reduced stress, improved balance, greater flexibility, more strength, and enhanced cardiovascular capacity. One should see that some of these goals are at odds with each other. The first three goals—at which yoga excels–require holding a static position for a time while engaging in deep and controlled breathing. The fourth goal, strength enhancement, (which yoga achieves only in a limited way) requires repeated alternation of stressing and relaxing a muscle. And cardio, the fifth goal,–for which yoga is less than helpful–requires rapid and sustained motion so as to cause the heart to be stressed.

 

 

 

Of course, individuals have tried to rectify yoga’s cardio deficit by creating yoga styles that add speed and repetition. If one does five sun salutations per minute for 45 minutes, then—congratulations–you are now getting cardio and strength building. Unfortunately, you are now losing out on the first three goals of stress reduction, balance enhancement, and flexibility improvement. Those three things requiring holding poses while engaging in relaxed and controlled breathing. So the question is whether one is happy having sacrificed the benefits yoga does better than everything else in a desire to have yoga gain benefits that other exercise systems probably still do better.

 

 

 

The old systems of movement and exercise, be it yoga or chi kung, have shown themselves to have merit. However, the mechanisms by which that merit is achieved (or the nature of the merit) are often not what the system’s mythology suggests. There’s no need to fear science, but one should be ready to embrace what is shown true and set aside what is shown to be false.

 

 

 

On the other hand, this modern idea that we can have our cake and eat it too by throwing together disparate systems, which often have conflicting goals and modes of operation, needs to be reevaluated. All of these fads have been created where someone crams together tai chi and yoga or yoga and jazz dance or Zen meditation and parkour and they think they have the ultimate system based on a more complete picture of modernity, and what they’ve got is a muddle.

 

 

 

What we need is the tested merit of tradition without its voodoo, and the compiled knowledge of modernity without its hubris.

 

BOOK REVIEW: Higher Judo by Moshe Feldenkrais

Higher Judo: GroundworkHigher Judo: Groundwork by Moshe Feldenkrais

My rating: 4 of 5 stars

Amazon page

If you’re at all familiar with Dr. Moshe Feldenkrais, most likely it’s for the system of bodily awareness and efficient movement that bears his name (i.e. the Feldenkrais Method.) You may be completely unaware that Feldenkrais was a first-rate judōka who trained under judō’s founder Jigoro Kano, and that his experience with judō played a major role in his understanding of the principles of natural and efficient movement. (It should be noted that Feldenkrais was neither a medical doctor nor a doctor in a medical / biological field, but was a physicist by training.)

Higher Judō was originally published in 1952, and was out of print for many years until a new addition was brought out in 2010 (with three new forwards and some additional back matter.) It’s not hard to imagine why the book made a comeback after such a hiatus–and 26 years after the death of Dr. Feldenkrais. The book explains the ground fighting techniques of judō, which are the basis of Brazilian Jujutsu (BJJ), and BJJ is a dominant form of ground and submission work within Mixed Martial Arts (MMA.) Given the immense popularity of MMA, and the desire of fighters to hone their technique to the utmost, it’s a good time to bring this half-century old book back to the fore.

The book consists of twelve chapters. The first half of these chapters deals with preliminaries such as principles of movement, philosophy, and basic movement exercises. The second half gets into the tactics of ground work. The arrangement for the latter chapters is largely by position of the competitors relative to each other (e.g. the mount, 12 o’clock, side control, in the guard, etc.)

The first half has few graphics, but the last half is packed with line drawings that are based on photographs (ostensibly it was cheaper or easier to reproduced the line drawings back in the day.) The line drawings offer sufficient detail so that one can see what is being done (to the degree one would be able to see it in a photo or even in person—i.e. some of the techniques are subtle and the written description becomes essential.)

The book is a good overview of the basics of ground work with a few unusual and rare techniques thrown in. Feldenkrais points out that some techniques are more important than others, and that one should drill a few of the most critical ones rather than focusing a lot of time on the more eccentric techniques. As I’ve written many times before, I don’t believe that one can learn a martial art from a book. However, if you’ve been taught these types of techniques, you’re sure to find this book an interesting reference with some ideas for approaching ground work training.

Some of the characteristics of the book could be taken as positive or negative, and I’ll leave it to the reader to decide. First, Feldenkrais avoids using names for techniques. He uses neither the common Japanese names for the techniques (e.g. there’s no reference to juji gatame, tomoe nage, or hadaka jime) nor the common English names. He goes by figure number attached to the aforementioned line drawings. Second, he has thoroughly cross-referenced the book such that you might be on the page containing figures 228 and 229, and he’ll make reference to figure 52. So the book involves a lot of turning back (I wrote in the page numbers where off-page figures were referenced so I wouldn’t have to find what page the figure was on each time.) Third, Feldenkrais is a scholar by training and is not averse getting a bit wordy and verging on abstruse. Of course, the flip-side of this is that he provides a great deal of precision in his language. That being said, I found this book readable and much less ponderous than one of his Feldenkrais Method books that I read.

I’d recommend this book for anyone interesting in gaining a better understanding of ground fighting. In the early sections of the book he provides excellent food for thought about the judō approach to movement, and in the latter half he catalogs the basics in a thorough and logical fashion.

View all my reviews

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.

View all my reviews