Thai Massage Revealed: Ancient Medical Science That Stands the Test of Time 

Thai massage, also known as traditional massage, is a form of local wisdom and an integral part of Thai traditional medicine that has been passed down from past to present. It is a method used to care for, treat, and alleviate various ailments to improve overall well-being. 

History and origin of Thai massage 

It is believed that its origins can be traced back to the medical knowledge of Jīvaka Komarabhacca, the royal physician to King Bimbisara. This practice is thought to have been brought from India along with the spread of Buddhism, traditions, and culture into Thailand. Passed down through many centuries, the techniques have continued to evolve, eventually developing into what is now known as ‘Thai massage,’ which is taught and practiced widely today. 

The earliest historical evidence referencing Thai massage is found in the Sukhothai-era stone inscription of King Ramkhamhaeng, discovered at the Wat Pa Mamuang archaeological site. During the Ayutthaya period, additional evidence appears in the records of the French envoy La Loubère, who documented Thai massage practices during the reign of King Narai the Great. He wrote that “In Siam, when someone falls ill, treatment begins by stretching the body, with a knowledgeable practitioner using their feet to apply pressure. It is also said that pregnant women often had children step on their backs to ease childbirth and reduce pain (according to the beliefs of that time)”. 

During the reign of King Borommatrailokkanat, evidence from the Three Seals Law—specifically in the ‘Civil Administration’ section—mentions the establishment of a medical division that included the Department of Massage Practitioners. However, when Ayutthaya fell to Burma twice, many massage manuscripts were destroyed or damaged. Fortunately, numerous community healers and temple physicians throughout the provinces helped restore and reconstruct the lost knowledge. 

Later, during the Rattanakosin period, King Rama I ordered the restoration of Wat Pho and commissioned the compilation of Thai massage manuals once again. Statues of ruesi dat ton (hermit yoga poses) were created, and massage inscriptions were engraved and displayed around the cloister surrounding the ordination hall. 
 
During the reign of King Rama III, the first institution of traditional medicine—the Wat Pho Traditional Medical School—was established. The massage teachings were inscribed on stone tablets and displayed at Wat Pho for the public to study, where they remain accessible to this day. 

Types of Thai massage 

Thai massage is a branch of traditional Thai medicine that helps treat and alleviate various ailments. Historical records classify Thai massage into two main categories as follows: 

1. The Royal Court Style 
   This style of massage was performed for high-ranking nobles or members of the royal court, such as the king. Because of its royal context, the techniques were designed to be formal and respectful, using only the fingers and hands to make contact with the recipient. The methods were passed down from court massage practitioners and court physicians to their successors who served within the palace. 
2. The Commoner (Folk/Traditional) Style 
   This is the general or folk style of massage, in which the practitioner may use the hands, feet, elbows, and knees. The techniques were traditionally passed down from ancestors through generations and could be learned by anyone. Today, instruction in this style is offered at temples such as Wat Pho, Wat Samphraya, and Wat Prinayok. 

The differences between the Royal Court style and the Folk (Commoner) style of Thai massage can be summarized as follows: 

• The Royal Court style is highly meticulous, focusing on treating more complex conditions and requiring deep knowledge and understanding of massage principles. 
• The Folk (Commoner) style is widely practiced among the general public, focusing on relaxation and relieving common physical discomforts such as joint stiffness or muscle soreness. 

What is the difference between Thai massage, Aroma massage and Swedish massage? 

FAQ: What is each type of massage? 

• Thai massage, also known as ‘traditional massage,’ is a therapeutic branch of traditional Thai medicine used to treat and alleviate various conditions. 
• Aromatherapy massage: This massage technique incorporates essential oils to create a deeply relaxing experience. It is especially popular among women, as the oils help moisturize the skin and enhance overall skin appearance. 
• Swedish massage: Originating from Western massage traditions, this style is one of the most popular spa treatments worldwide. It focuses on relaxing the upper layers of muscle and reducing muscle soreness. 

FAQ: Massage Techniques 

• Thai massage: This style uses the hands, arms, elbows, knees, and feet, focusing on techniques such as pressing, kneading, squeezing, stretching, pulling, and applying herbal compresses. 
• Aromatherapy massage: This technique uses the palms of the hands, focusing not on deep pressure but on creating comfort and relaxation. It helps reduce fatigue and relieve muscle tension. 
• Swedish massage: This style uses the fingers to massage and stroke along the muscles, emphasizing techniques such as gliding, kneading, tapping, pressing, and shaking. 

FAQ: Who is it for? 

• Thai massage: Suitable for individuals experiencing general muscle aches or symptoms of office syndrome. 
• Aromatherapy massage: Suitable for those experiencing muscle fatigue or seeking stress relief, as well as individuals—especially women—who want to nourish their skin for a more hydrated and radiant appearance. 
• Swedish massage: Suitable for individuals who do not prefer intense pressure and for those whose work involves repetitive positions—such as standing, sitting, or walking all day—especially those with office syndrome. 

Benefits and Advantages of Thai Massage 

1. It helps improve blood circulation, stimulates the lymphatic system, and enhances the functioning of various organs while also boosting the immune system. 
2. It helps relax the body and reduce soreness of overly-used muscles, such as the joints and tendons, and also helps ease muscle stiffness. 
3. It helps relieve stress, promoting relaxation, mental calmness, better sleep, and can also reduce headaches. 
4. It can help reduce symptoms of varicose veins, hemorrhoids, body swelling, as well as back pain or lower back pain. 
5. It helps the body feel refreshed and energized, ready for daily activities. 

Precautions and Warnings for Thai Massage 

1. Those who have just eaten or still feel full. 
2. Children, the elderly, and pregnant women should always consult and receive approval from physicians before getting a massage to avoid any potential adverse effects. 
3. Individuals with underlying health conditions, such as high blood pressure or diabetes. 
4. People with open wounds, chronic wounds, burns, or wounds that have not healed well. 
5. Individuals with severe osteoporosis, loose joints, bone fractures, or those who have recently undergone bone surgery. 
6. Individuals with cancer or tumors should avoid acupressure techniques and must receive medical approval before getting a massage to prevent any potential complications. 

In Brief 

Thai massage is a form of traditional Thai medical wisdom that has been passed down for centuries. It is a therapeutic practice that helps treat, restore, and improve various health conditions. Beyond its physical benefits, Thai massage also promotes mental well-being by providing relaxation, reducing stress, and refreshing the mind. However, before receiving Thai massage, one should assess their physical condition and determine whether it is appropriate, in order to avoid any potential adverse effects. 

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