Japanese Meridian Medicine refers to a number of styles of treatment from Japan. The Japanese learned acupuncture from the Chinese but expanded and modified the tradition over hundreds of years. Japanese style treatments favor a gentler needling style than TCM treatments.  Japanese tradition tends to emphasize the use of palpation to discover the active points along a meridian, rather than relying on an anatomical map and specific functions for specific anatomical points. It combines root and branch treatment, meaning that constitutional imbalances are treated together with current symptoms. Some traditions favor shallower or non-inserted techniques, including teishin (a gold or silver needle held to the surface of the skin), rubbing or tapping, press tacks or press spheres, and moxibustion as a stand- alone treatment. In Japan, the careers of herbalism, acupuncture, moxabustion, and therapeutic bodywork are distinct specialties rather than being performed by one person.