Shiatsu Shiatsu therapy is an important aspect of macrobiotic and holistic healing. Related to acupuncture, shiatsu stimulates and unblocks energy channels by using finger pressure at various points on the body. Mucous, fats and toxins accumulate in the blood, organs and joints causing energy imbalances that produce stiffness, pain and fatigue. Improper diet along with a sedentary lifestyle cause these accumulations. Shiatsu is based on understanding the energy pathways of the body and how they are interconnected with its parts and functions. Shiatsu corrects energy imbalances and improves vitality. Shiatsu requires persons to be fully clothed in loose fitting attire. No massage oils are used.