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Woman Receiving Tibetan Massage at Sunset, Ananda Spa, Ananda in the Himalayas, The Palace Estate, Narendra Nagar, Tehri Garhwal, Uttarakhand, India. The stones used in the Tibetan Massage symbolize the 5 elements: SA or earth, CHU or water, ME or fire, LUNG or air, and NAMKHA or sky.