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What is Gua Sha
Gua Sha (pronounced gwah-shah) is a healing technique from Traditional Chinese Medicine (TCM). The name translates roughly to “scraping sand,” where “Gua” means to scrape or rub, and “Sha” refers to the reddish, sand-like bruising that appears on the skin during the treatment.Here is a breakdown of what it is and how it works:
About Gua Sha
Here is a breakdown of what it is and how it works:
The Technique
Practitioners use a smooth-edged tool (traditionally made of water buffalo horn, jade, or ceramic, though even a soup spoon can be used) to apply pressure and scrape the skin in long, unidirectional strokes. Massage oil or balm is usually applied first to lubricate the skin.
The Purpose
TCM Perspective: The goal is to move “stagnant” blood and energy (Qi) within the body. In Chinese medicine, pain is often believed to be caused by stagnation. Scraping releases this blockage and expels “wind,” “cold,” or “heat” (pathogens) from the body.
Modern Physiological Perspective: The scraping motion stimulates microcirculation of the soft tissue, which increases blood flow. It is often used to break down scar tissue and connective tissue adhesions, reducing pain and stiffness.
The “Sha” (The Marks)
One of the most defining characteristics of therapeutic body Gua Sha is the appearance of petechiae (tiny red or purple spots).
These look like intense bruises or a rash, but they are actually blood cells that have leaked out of the capillaries due to the pressure.
According to practitioners, the darker the color of the “Sha,” the more stagnation or toxins were released.
These marks are generally not painful and usually fade within a few days.
Two Common Types
It is important to distinguish between the two main ways Gua Sha is used today:
Body Gua Sha (Therapeutic): This is the traditional medical application. It is often vigorous and is used to treat chronic pain (like back or neck pain), fevers, and respiratory issues. This is the type that leaves the red marks.
Facial Gua Sha (Cosmetic): This has become a major beauty trend in the West. It uses very gentle pressure to assist with lymphatic drainage. The goal is to de-puff the face, reduce wrinkles, and sculpt the jawline. Unlike body Gua Sha, facial Gua Sha should not leave marks or bruising.
Frequently Asked Questions
