1922
Reiki clinic in Harajuku
In April 1922, he moved to Tokyo and started a healing society that he named Usui Reiki Ryoho Gakkai (Usui Reiki Healing Method Society). He also opened a Reiki clinic in Harajuku, Aoyama, Tokyo. There he taught classes and gave treatments.
The lowest degree of his training was called Shoden (First Degree) and was divided into four levels: Loku-Tou, Go-Tou, Yon-Tou, and San-Tou. (Note that when Mrs. Takata taught this level, which in the West we refer to as Reiki Level I, she combined all four levels into one. This is most likely why she did four attunements for Level I.) The next degree was called Okuden (Inner Teaching) and had two levels: Okuden-Zen-ki (first part), and Okuden-Koe-ki (second part). The next degree was called Shinpiden (Mystery Teaching), which is what we call master level. The Shinpiden level includes, Shihan-Kaku (assistant teacher) and Shihan (venerable teacher).
Contrary to previous understanding, Usui Sensei had only three symbols, the same three we use in the West in Reiki II. He did not use a master symbol. This fact has been verified by Hiroshi Doi and by research done by Hyakuten Inamoto, Arjava Petter and Tadao Yamaguchi.
1923
Kanto earthquake
In 1923, the great Kanto earthquake devastated Tokyo. More than 140,000 people died and over half of the houses and buildings were shaken down or burned. An overwhelming number of people were left homeless, injured, sick and grieving. Usui Sensei felt great compassion for the people and began treating as many as he could with Reiki. This was a tremendous amount of work, and it was at this time that he began training other Shihan (teachers). It was also at this time that he developed methods including a more formal Reiju (attunement) process.
1925
Demand for Reiki
Demand for Reiki became so great that he outgrew his clinic, so in 1925 he built a bigger one in Nakano, Tokyo. Because of this, his reputation as a healer spread all over Japan. He began to travel so he could teach and treat more people. During his travels across Japan he directly taught more than 2,000 students and initiated twenty Shihan, each approved to teach in the same way he did.
1926 - 98
Award for Works
The Japanese government issued him a Kun San To award for doing honorable work to help others. While traveling to Fukuyama to teach, he suffered a stroke and died March 9, 1926. His grave is at Saihoji Temple, in Suginami, Tokyo, although some claim that his ashes are located elsewhere.
There were many hands-on healing schools in Japan at the time Usui Sensei started his school. These other schools were not part of Usui Reiki. There may have been some connection between Reiki and MahiKari and Johrei as these two Japanese religions have a Reiju like (attunement) process and offer people healing through the hands. After Usui Sensei died, his students erected a memorial stone next to his gravestone. Mr. J. Ushida, a Shihan trained by Usui took over as president of the Usui Reiki Ryoho Gakkai, and was responsible for creating and erecting the Usui Memorial stone and ensuring that the grave site would be maintained. Mr. Ushida was followed by Mr. lichi Taketomi, Mr. Yoshiharu Watanabe, Mr. Toyoichi Wanami, and Ms. Kimiko Koyama. The current successor to Usui Sensei is Mr. Kondo, who became president in 1998