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The history of shiatsu massage lies within the ancient Chinese. They used the principals of shiatsu in both their medical philosophy and practice. It was developed around 530 B.C. Later, shiatsu massage was exported into Japan, Southeast Asia, and Korea where it was widely practiced. In the 20th century, this therapy was used for treating simple muscular tension and providers were licensed. Shiatsu became popular in the United States, Europe and Australia in the 1970s.