Shiatsu could be considered a form of massage, which is often done through the clothes and incorporates simple points and holds. Its essence is simple to learn and effective. Shiatsu includes awareness of body posture, breathing and exercise. Like acupuncture, Shiatsu stimulates the body’s vital energy (known as Qi or Ki). Shiatsu is calm and relaxing in nature, yet dynamic in effect; the body begins to re-adjust itself and healing takes place. The receiver is supported to become more aware of their body/mind as an integrated whole, on either a conscious or subconscious level. They become aware of areas of tension or weakness on either a physical or emotional level and through this process healing occurs. As well as the points and meridians of acupuncture, work with the physical body, muscles, joints, blood and so on, is included. Massage type strokes like kneading or effleurage are part of shiatsu. It is characterized by extensive use of pressure techniques over acupoints often done using thumb or palms. The pressure varies according to the person, the area of the body, and what the work is being done for. It can be very deep, and help ease out physical tensions. It can be very light and feel soothing.