Acupuncture needling techniques in Japanese acupuncture involve very thin needles(often not much thicker than a strand of hair) and shallow insertions only 1-5 mm into the surface of the skin. As a result, most patients find that the treatments are relaxing and cause minimal discomfort. Often patients are unaware that the needles have been inserted. In Japanese acupuncture a strong emphasis is placed on palpation and touch. An individual diagnosis is derived by palpating the hara (abdomen) and taking one's pulse. Japanese acupuncture treatments are usually divided into 2 steps. The root and local treatment methods. The root treatment addresses core energetic and structural imbalances while the local treatment addresses symptomatic relief of the patients' current symptoms. Japanese style acupuncture is a gentle and effective style of acupuncture.