Thai massage operate on the theory that the body is permeated with "lom," or "air," which is inhaled into the lungs and which subsequently travels throughout the body along 72,000 pathways called "sen," or "vessels."

Typically, massage therapists manipulate a handful of major sen lines by pressing certain points along the lines.. A significant part of the practice of Thai massage also includes yoga-like stretches which are intended to stimulate the sen and move lom through the body via a pumping action which is connected with the patient's breathing.

The theory of sen and lom is often translated into English as "meridians" and "energy." While there are some superficial similarities to Chinese meridian theory, the Thai system is markedly different as the sen are unconnected from the internal organs

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