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Masunaga was an innovator in the field of shiatsu who drew from multiple influences to develop his approach. He lived during a time of cultural reinvention in Japan after World War 2. While his techniques built upon traditional East Asian medicine, he reacted against the mechanistic style of his teacher and excluded some traditional elements. His system emphasized key concepts like qi flow and diagnosis through palpation of the hara. Over time, his approach was interpreted and adapted by various successors.

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