Tuina combines soft-tissue massage, acupressure, and other manipulation techniques that realign the musculoskeletal and ligamentous relationships.

The focus is to help the body heal through regulating or stimulating the flow of energy through the Chinese Meridian Theory and to stimulate or relax the musculoskeletal system to optimize the health of the client.


There are different theories concerning the origin of tuina relative to anma/amma massage and acupressure. Anma/amma is most likely the earliest version of massage that led to tuina. Tuina includes anma/amma acupressure techniques and structural realignment work.


Treatment involves several components. Practitioners stimulate the appropriate acu-points along the energy meridians to increase or decrease energy flow at that particular point.

Acu-point stimulation is usually achieved through direct pressure, although massage techniques may also be used. Massage is performed to affect the muscular condition in an area and from a whole-body perspective.

The massage uses a variety of direct hand techniques – such as pushing, pulling, stroking, kneading, tapping, percussive motions, and friction techniques – either in isolation or in combination. The practitioner also teaches specific exercises related to the treatment to support ongoing development and maintenance of health.

Explore This Practice For

Tuina techniques can help stimulate energy flow and local blood circulation; relax, release, or tone muscle and fascial condition; and resolve trigger points.


A level of training that includes every competency component needed to safely and appropriately apply the treatment.


An additional treatment that first requires the practitioners to be trained in an appropriate related discipline.