BIOFIELD THERAPY

What Is Biofield Therapy?

Biofield therapy is an umbrella term used in integrative-health and research literature for a group of practitioner-mediated practices that includes Reiki, Therapeutic Touch, Healing Touch, and external qigong. Depending on the modality, a practitioner may use light touch, hold the hands near the body, or work without physical contact. [1]

There is no single universally accepted definition of biofield therapy. Different traditions describe their practices using concepts such as energy, qi or ki, balance, intention, or interaction with a biofield. Those frameworks are important for understanding the practices, but use of the category does not by itself establish that a particular subtle-energy field or mechanism has been scientifically demonstrated. [2]

The related phrases biofield healing and energy healing are also used in public and practitioner settings, although they are broader and less standardized than the research term biofield therapy.

Biofield Therapy Is a Category, Not One Single Practice

Biofield therapies share some features, but they should not be treated as interchangeable. Their histories, procedures, training systems, explanatory models, and research bases differ.

Reiki

Reiki is a Japanese practice in which a practitioner commonly places the hands lightly on or just above a clothed recipient. Reiki also includes self-practice, contemplative elements, ethical teachings, and, in some traditions, distant practice.

Explore What Reiki Is →

Therapeutic Touch

Therapeutic Touch generally involves focused practitioner attention and patterned movements of the hands near the recipient’s body, often with little or no physical contact. Within the Therapeutic Touch framework, those actions are understood in terms of assessing and responding to an energy field.

Healing Touch

Healing Touch uses a structured practitioner process that may include gentle touch as well as hands held above the body. Its professional standards also emphasize informed consent, practitioner boundaries, and accurate representation of credentials. [3]

External Qigong

External qigong is distinct from the better-known forms of qigong in which a person performs movements, breathing, or meditation for themselves. In external qigong, a practitioner works with another person using a traditional framework of directing or working with qi. Procedures vary by protocol.

These four practices are among the biofield therapies most clearly represented in contemporary clinical-research literature. [1]

Practices such as mindfulness meditation, breathwork, acupuncture, acupressure, biofeedback, music-based practices, and sound-based practices may also be used in complementary or wellbeing settings, but they should not automatically be classified as biofield therapies.

Biofield Therapy, Reiki & the Biofield: What’s the Difference?

The terms are related, but they refer to different things.

The biofield is a broader concept used in scientific, integrative-health, and traditional discussions. Depending on context, it may refer to measurable biological electrical or magnetic phenomena, broader research constructs, frontier hypotheses, or traditional subtle-energy frameworks. Those meanings should not be collapsed into one another.

Biofield therapy is a category of practices in which a practitioner works with another person using a modality that is commonly described through an energetic or biofield framework.

Reiki is one specific practice within that larger category.

Classification is not mechanism. Being classified as a biofield therapy does not establish that Reiki—or another modality—has been shown to operate through a single scientifically demonstrated subtle-energy mechanism.

Explore What the Biofield Means →

What Happens During a Biofield-Therapy Session?

There is no universal biofield-therapy session.

In many forms, the recipient remains clothed and may sit comfortably or lie down while the practitioner works with the hands on, just above, or around the body. Some modalities use relatively consistent hand positions or sequences; others are more individualized. A session may be mostly quiet or may include a brief conversation before and afterward.

Session length also varies by modality, practitioner, and setting.

The clearest way to understand a session is to separate what the practitioner does from why a particular tradition believes those actions matter. A practitioner may visibly position the hands near the body, for example, while that modality may interpret the action in terms of energy flow, qi, balance, or the biofield.

Those are different levels of description.

Touch, Near-Body & Hands-Off Approaches

Some biofield therapies permit gentle physical touch. Others commonly use hands held near the body, and some sessions combine both approaches.

Touch should never be assumed. A practitioner should explain what is proposed and respect the recipient’s preferences and consent. An energetic, intuitive, or spiritual rationale does not override ordinary physical boundaries. [3]

What About Distant or Remote Practice?

Some traditions, particularly Reiki, include forms of practice in which practitioner and recipient are not in the same physical location.

The existence of distant practice is different from the scientific question of whether remote and in-person sessions produce equivalent outcomes. That equivalence has not been established across the category, and distant practice should not be explained as scientifically proven evidence that physical distance is irrelevant.

Explore Distance Reiki →

What Might Someone Experience?

There is no single experience that shows a session has or has not “worked.”

People sometimes describe warmth, coolness, tingling, heaviness, lightness, drowsiness, relaxation, emotion, mental quiet, or other sensations. Someone else may notice very little or nothing unusual.

These experiences can be meaningful to the person having them, but they do not by themselves demonstrate energy transfer, removal of a blockage, change in a chakra, tissue healing, nervous-system repair, or clinical effectiveness.

A person who notices nothing unusual should not be told that they are resistant, blocked, or unable to receive the practice.

Why People Explore Biofield Therapies

People come to these practices for many different reasons.

Some are looking for a quiet or supportive experience. Some are interested in Reiki or another energy-based tradition as part of spiritual or contemplative practice. Others are curious about complementary approaches to wellbeing or want an additional supportive practice while receiving conventional health care.

People may also seek biofield therapies while experiencing pain, stress, anxiety, fatigue, serious illness, or other health concerns. That tells us why someone may seek a practice; it does not automatically tell us what research has established that practice can treat.

Separating those two questions is important.

How Does Biofield Therapy Work?

There are two different ways to answer this question: how the traditions explain the practice and what scientific research has established.

How the Traditions Explain It

Different modalities use different concepts.

Reiki traditions commonly speak about ki. External qigong uses the concept of qi. Therapeutic Touch and Healing Touch frequently use language involving energy fields, flow, balance, intention, or interaction between practitioner and recipient.

Within those traditions, practitioners may understand the session as supporting balance, responding to areas of energetic disturbance, or facilitating a person’s own process of wellbeing.

These are legitimate descriptions of the practices’ traditional or professional frameworks. They should not automatically be translated into statements of established anatomy or physiology.

What Science Has Established

Researchers can study whether people experience changes after an intervention without first knowing why those changes occurred.

That means a study can measure pain, anxiety, quality of life, heart rate, cortisol, or another outcome without establishing that the result was caused by energy transfer, biofield realignment, vagal stimulation, electromagnetic correction, or another proposed mechanism.

Ordinary elements of an encounter may also contribute in some settings. Human touch has measurable physiological and psychological effects, and expectations, rest, attention, interpersonal interaction, and the ritual or context surrounding an intervention can influence experience. Those possibilities do not explain every form of biofield practice, particularly hands-off or distant approaches, and they should not simply be declared the mechanism either.

At present, no single biofield-specific mechanism has been scientifically established. NCCIH similarly notes that the energy field proposed in Reiki has not been scientifically demonstrated. [4]

Electromagnetic, photonic, biophoton, quantum, and nonlocal explanations remain areas of hypothesis or frontier investigation rather than established explanations for how biofield therapies produce clinical outcomes.

Explore the Biofield, Measurement & Frontier Science →

EVIDENCE & RESEARCH

What Does Research Suggest?

Biofield therapies have been studied much more extensively than a casual reading of the topic may suggest—but the evidence is also more complicated than simply counting favorable studies.

A Growing but Uneven Evidence Base

A 2025 scoping review identified 353 human biofield-therapy intervention studies, with Reiki and Therapeutic Touch the most frequently studied named modalities. The research included a wide range of populations and outcomes. [2]

That review is useful for showing the breadth of the field. It was not designed to determine whether biofield therapies are effective or safe, and it did not conduct a risk-of-bias assessment. Its counts of positive, mixed, or nonsignificant studies therefore should not be treated as a score proving effectiveness. [2]

Research also differs substantially by modality. A finding from Reiki should not automatically be presented as evidence for Therapeutic Touch, Healing Touch, external qigong, or biofield therapy as a whole.

Some Findings Are Encouraging

Reiki currently has one of the more developed evidence bases within this category.

A 2024 meta-analysis involving 13 studies and 824 adults found a pooled reduction in anxiety scores associated with Reiki. At the same time, results varied considerably among studies, with very high statistical heterogeneity, and findings were less consistent in some populations. [5]

A 2025 meta-analysis of randomized trials involving 661 participants reported a statistically significant but modest pooled improvement in quality of life following Reiki. The studies were also heterogeneous. [6]

These findings deserve to be represented as positive evidence. They do not establish that Reiki will produce the same outcome for every person, and they should not be generalized automatically to every biofield therapy.

Other modalities have more limited or inconsistent evidence. For Therapeutic Touch, for example, a 2021 evidence assessment found many favorable individual studies but substantial methodological problems; only four of 21 included studies were judged at low risk of bias. [7]

What the Research Does Not Yet Establish

Across the field, important limitations remain.

Studies differ in practitioner training, session structure, number of sessions, comparison groups, populations, outcome measures, blinding methods, and research quality. Small studies remain common, and favorable findings coexist with mixed and nonsignificant findings.

A 2026 systematic review of Reiki and Therapeutic Touch in palliative settings found reports of improvement in symptoms and quality-of-life domains as well as participant descriptions of relaxation, comfort, and emotional support. The authors also identified methodological limitations and sparse harms reporting, making firm conclusions difficult. [8]

Research therefore supports neither a blanket statement that “biofield therapy works” nor the opposite claim that “nothing has ever been found.”

The more accurate picture is a developing evidence base in which some modality-specific findings are encouraging, other results are mixed or uncertain, and questions about mechanism, generalizability, and research quality remain open.

Explore Evidence & Research →

Safety, Consent & Scope

Many biofield therapies involve little physical manipulation, and direct physical risk appears relatively low in many light-touch or non-contact settings. That should not be translated into a claim that these practices are completely safe, have no side effects, or have been proven safe for every population.

Direct Physical Risk

The safety literature is less complete than benefit-oriented summaries sometimes imply.

For example, the 2026 palliative-care review found that only one of nine included Reiki/Therapeutic Touch studies explicitly monitored adverse events. Limited reporting makes it difficult to infer universal safety simply because most publications did not describe harms. [8]

This does not indicate that biofield therapies are inherently dangerous. It means that absence of reported harm is not the same as comprehensive safety evidence.

When touch may be used, the practitioner should explain the process and obtain consent.

Recipients should be able to request a hands-off approach where the modality permits it, change their preferences, ask questions, or end a session. Professional Healing Touch standards explicitly address informed consent, physical boundaries, practitioner transparency, and legal scope. [3] [10]

Complementary, Not a Replacement for Needed Care

Biofield therapies are best understood here as complementary practices.

They do not replace medical diagnosis, emergency care, medication management, mental-health treatment, or other evidence-based care when those are needed. A person should not delay appropriate professional evaluation or discontinue prescribed treatment because of advice from a biofield practitioner who is not separately licensed to provide that care.

NCCIH similarly advises that complementary practices should not be used as a substitute for proven conventional treatment or as a reason to postpone seeing a health care provider. [9]

Children, Pregnancy & Medically Complex Situations

It is not appropriate to assume that a low-intensity practice has been proven universally safe for children, pregnancy, frail older adults, or medically complex people.

Research exists in some of these populations, but evidence and adverse-event monitoring remain limited. Individual circumstances, the form of the practice, use of touch, and the person’s existing care all matter.

Choosing a Practitioner

Because training and regulation vary by modality and location, the term biofield practitioner does not automatically mean licensed health professional.

Training & Credentials

Look for someone who clearly and accurately describes their modality training, certification, experience, and any separate professional license they hold. Private modality certification should not automatically be confused with medical, nursing, psychological, or other regulated licensure.

Consent & Boundaries

The practitioner should explain what the session involves, whether touch may be used, and respect consent, privacy, and physical boundaries throughout the session.

Scope & Claims

A practitioner should stay within their actual scope rather than diagnosing conditions, directing medication changes, or promising cures and guaranteed outcomes without the professional authority and evidence required to do so.

Transparency & Coordination

Look for someone who is comfortable with the practice being used alongside appropriate conventional care and who is transparent about what is known, what is uncertain, and what the practice is intended to provide.

NCCIH likewise recommends considering a complementary practitioner’s training and experience and whether the person is willing to work collaboratively with other health care providers. [9]

Explore the Topic Further

What Is the Biofield?

Explore measurable biological fields, traditional subtle-energy frameworks, frontier research, and what remains scientifically unresolved.

Explore the Biofield →

What Is Reiki?

Explore Reiki’s meaning, history, practice, lineage, traditional framework, and contemporary research.

Explore Reiki →

Evidence & Research

Explore the research literature in greater depth, including clinical outcomes, systematic reviews, biomarkers, mechanisms, distant practice, study quality, and limitations.

Explore Evidence & Research →

Distance Reiki

Explore the Reiki tradition of distant practice and what research does—and does not yet—establish about remote delivery.

Explore Distance Reiki →

Return to the Learn Hub →

Interested in Experiencing Reiki?

Biofield Transformations’ individualized biofield practice is Personalized Remote Reiki. The other modalities discussed on this page are included for education and category context; they are not all services offered by Biofield Transformations.

Explore Personalized Remote Reiki →

Selected Sources & Further Reading

  1. Hammerschlag R, Sprengel ML, Baldwin AL. Biofield Therapies: Guidelines for Reporting Clinical Trials. Global Advances in Integrative Medicine and Health. 2024.
  2. Sprengel ML, et al. Biofield Therapies Clinical Research Landscape: A Scoping Review and Interactive Evidence Map. Journal of Integrative and Complementary Medicine. 2025.
  3. Healing Touch Program. Code of Ethics. Professional guidance addressing consent, boundaries, credentials, and practitioner conduct.
  4. National Center for Complementary and Integrative Health. Reiki. Federal overview of practice, research, safety, and scientific uncertainty.
  5. Guo Y, et al. Therapeutic Effects of Reiki on Interventions for Anxiety: A Meta-Analysis. BMC Palliative Care. 2024.
  6. Wang W, et al. Effects of Reiki Therapy on Quality of Life: A Meta-Analysis of Randomized Controlled Trials. Systematic Reviews. 2025.
  7. A Rapid Evidence Assessment of Recent Therapeutic Touch Research. Nursing Open. 2021.
  8. Pontes-Gomes R, Reis-Pina P. Reiki and Therapeutic Touch for Symptom Burden and Quality of Life in Palliative Settings: A Systematic Review. Palliative Medicine. 2026.
  9. National Center for Complementary and Integrative Health. Are You Considering a Complementary Health Approach?
  10. Healing Touch Program. Scope of Practice. Guidance addressing licensure, diagnosis, prescribing, informed consent, referrals, and professional scope.