There are a number of key characteristics that are specific to Japanese acupuncture.

Japanese acupuncture needles are super-fine and are only inserted very shallowly on the skin. In some styles, they are just touched to the skin and not inserted at all. Thus, treatment is very comfortable for both adults and children who might feel anxious about acupuncture.

A hands-on approach to diagnosis involves gentle abdominal and channel palpation, along with examination of the pulse. Positive changes can be felt through these feedback mechanisms and improvement to symptoms experienced during the treatment.

Japanese acupuncture always addresses the root imbalance that is seen as the cause of the presenting condition. A number of systems are used, that allows for a diverse range of approaches tailored to the needs of each individual patient.

To effectively target symptoms through branch treatment, an extensive repertoire of treatment strategies includes moxa techniques, cupping, tuina massage, auricular acupuncture, structural adjustment and channel stretching exercises.

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Dr Manaka’s yin yang balancing system

Dr Manaka’s comprehensive and structured approach applies fundamental principles of yin and yang to the treatment process. It is a four-step protocol which treats both the root (underlying imbalance) and branch (presenting conditions/symptoms).

Using this approach, tension in the abdomen & back are released, enabling the body to return to a more harmonious state of balance and wellbeing. This dynamic approach, with its many feedback systems, means that both the practitioner and the person receiving treatment, can experience immediate changes.

Meridian Therapy

Meridian therapy (also known as ‘keiraku chiryo’ in Japanese) was developed in Japan in the 1930s as a movement to preserve traditional principles within the acupuncture profession.  Meridian therapy is based on the classical texts of Chinese medicine dating back 2500 years, with its emphasis on the meridian system that connects not only the musculoskeletal structure but also the internal organs.  The theory of the five elements and phases explains the dynamic inter-relationship of the meridians and their associated internal organs and aims to improve the circulation of qi (vital energy) to bring the body back into balance, on both a physical and emotional level.

Toyohari Meridian Therapy

Toyohari is a form of meridian therapy that was developed by a group of blind practitioners in Japan. It is one of the leading associations of Meridian Therapy in Japan. This association now has extensive branches in Europe, the USA and Australasia. It involves a unique style of needling using very fine silver needles and non-insertive needle techniques that influence the flow of the qi in the meridian system.

I came to Marian when I was trying to get pregnant and experienced irregular or no ovulation due to hormonal imbalances. I started regular acupuncture sessions with her, and also followed her nutritional advice and took some herbal supplements. A few month later I ovulated more regularly and conceived fairly quickly. I have no doubt the combination of those things have helped me to get there.

I continued to visit Marian monthly during my pregnancy and she was an amazing support for all my pregnancy ailments physically and emotionally. I noticed the difference of how my body issues were relieved and I felt less stressed and worried right after treatments. Thank you Marian!

Here is the result of your work, our little Zoe!


I initially came to Marian for fertility reasons following a recent miscarriage. I wanted help to recover and to become pregnant again. I knew I had come to the right place; her supportive and gentle approach treats the whole body and includes lifestyle and dietary advice. After seeing her for a few months, my menstrual cycle had regulated and I felt much stronger and calmer. Soon after, I found out I was pregnant again.

Marian treated me throughout pregnancy and addressed the various changes to my body, including varicose veins, disturbed sleep and heartburn. We found out that our baby was breech at 30 weeks and Marian showed me moxibustion techniques to do at home to help turn the baby around. She was an important part of helping me to approach my pregnancy and birth in a calm and relaxed way.

Marian has a deep and instinctive knowledge of the body, my experience was around fertility and pregnancy but she would be my first port of call for anything else that may arise. I would recommend her very highly indeed.



You can get more information on current scientific research into the effectiveness of acupuncture by visiting the following sites:

British Acupuncture Council
Journal of Chinese Medicine
Evidence Based Acupuncture