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CTTM involves the use of thumb(s) and hands

to apply pressure to the Massage Points (MPs),
The Signaling Points (SPs; important points

located along the points and basic massage
lines that can be used in therapeutic mas-
sage according to the coordinates points of
[1-5]
CTTM) . MPs of the upper limbs comprise
Poed Pratu Lom points (points on the blood

vessels used for distribution of blood flow and
heat to the peripheral organs, Figure 1) and
[1-4]
basic points for shoulder massage (BSP,
Figure 2).
SPs are important points for manual Figure 2 Posterior aspect of a right upper limb show-
ing the locations of BSP or SSP1 (S), OSP1
therapy in CTTM. According to Sen‹ Prathan
(1), and OSP2 (2).
Sib (ùsibû means ten, and ùsen prathanû means
[6]
primary energy line) theory of Thai tradi-
tional massage, SPs distribute blood flow and

regulate blood and heat throughout the up-
per limbs. There are 50 SPs in the whole body,
[1-
with 15 of these located in the upper limbs Figure 3 Anterior aspect of a right upper limb show-
5]
. SPs in the upper limb comprise inner sig- ing the locations of ISP1 (1), ISP2 (2),
ISP3 (3), ISP4 (4) and ISP5 (5).
naling points (ISPs), which are numbered 1-5
(Figure 3), outer signaling points (OSPs) also
numbered 1 to 5, and shoulder signaling
[1, 5]
points (SSPs) numbered 1 to 5 .
Basic massage Lines (BLs) are impor-
tant lines for relaxation and preparation for

CTTM. BLs of the upper limb comprise a ba-
sic line of the inner forearm (BLIF), a basic
line of the outer arm (BLOA), and a basic line
Figure 1 Anterior aspect of a right upper limb show-
[1-4]
of the outer forearm (BLOF) . One previous
ing the locations of Poed Pratu Lom point
(A) and BLIF (a to b). study has shown that MPs correspond to the