Many civilizations have practiced reflexology. Evidence of this has been documented on four continents: Asia, Europe, Africa, and North America. The most common theory is that the earliest form of reflexology originated in China, as much as 5000 years ago. The early Taoists are credited with originating many Chinese health practices. The Cherokee tribes of North America to this day practice a form of reflexology that they continue to pass from generation to generation. Reflexology travelled across India, Japan, Asia, and China. Traditional East Asian foot reflexology is called Zoku Shin Do. This is the foot portion of the Japanese massage technique.

The roots of Zoku Shin Do go back to ancient China and are over 5000 years old. Many changes took place in zone therapy, or reflexology, as new knowledge was added. In China, reflexology reached a new level. The practice of acupressure using the fingers turned into the practice of acupuncture using needles. The study of the reflex points still existed, but the knowledge was linked or added to and taken in a new direction—the direction of meridians. The Chinese concept of meridian therapy is an important part of the foundation of reflexology.