The therapy called "Seitai" includes emergency resuscitation, osteopathy, acupuncture, massage, Chinese herbal medicine, and various folk treatment techniques. In addition to treatment methods, the anatomy, physiology, and pathology that support modern medicine, such as breathing techniques, kiaijutsu, and ancient childbirth wisdom, are also covered. There is no fixed method, as the techniques are mixed together based on the unique ingenuity and ideas of practitioners at the time. Before the introduction of osteopathy and chiropractic, most manual therapies in Japan focused on meridians and It is based on Chinese herbal theory that originated from Chinese medicine, which has a physical view of acupuncture points, and focuses on working on meridians and acupuncture points. The idea of adjusting the mobidtty and elasticity of the spine itself by working on the spine and its surroundings, even if there was one. It seems that they were a very small minority. The rise of manual therapy that affects the spine in Japan is thought to have occurred after the Taisho period.