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Both practices increase oxygen and blood flow to help eliminate toxins and restore vigor. Massage is physical manipulation, and Reiki is energetic manipulation. Gentler than massage physically, Reiki is a powerful adjustment for emotional health and spiritual health as well as physical. Reiki is similar to massage in that it moves the flow of energy in the body, but the Reiki practitioner uses light touch, or holds their hands just above the body in the auric field to restore balance. Reiki energy generates healing heat through tapping into the flow of universal energy.