Gua Sha is used whenever a patient has pain whether associated with an acute or chronic disorder. . There may be aching, tenderness and/or a knotty feeling in the muscles. Palpation reveals Sha when normal finger pressure on a patient's skin causes blanching that is slow to fade. In addition to resolving musculo skeletal pain, Gua Sha is used to treat as well as prevent common cold, flu, bronchitis, asthma, as well as any chronic disorder involving pain, congestion of Qi and Blood.
Usually, Gua Sha is effective to:
To apply gua sha, first lubricate the area with oil. If you do not have gua sha oil, you can use White Flower or any other oil. If there are any moles, cuts or unhealed areas, cover them with your fingers. Do not apply the gua sha tool to these kinds of areas. Hold the gua sha tool at a thirty degree angle to the skin, the smooth edge will touch the skin. The skin is then rubbed with a round-edged instrument in downward strokes. One area is stroked until the petechiae that surface are completely raised. If there is no Blood stasis the petechiae will not form and the skin will only turn pink.
Rub the skin in downward strokes using moderate pressure. The person should not feel pain although it might feel uncomfortable. Stroke one area at a time, until the petechia of that surface is completely raised and all the sha is up, which is when stroking no longer increases the number of dots or changes the color. Then move to the next area. The sha petechiae should fade in about 2-4 days. If it is very slow to fade, it indicates poor blood circulation and there may be more serious deficiency that will require additional treatments with combination of acupuncture or acupressure in specific areas. Gua sha treatment can be used up to three times weekly, and is most effective when used as a weekly treatment on chronic conditions.
The color of the Sha is both diagnostic and prognostic. Very light colored Sha can indicate Deficiency of Blood. If the Sha is fresh red, it is of recent penetration. If the Sha is purple or black, the Blood stasis is long-standing. If brown, the Blood may be dry. Dark red Sha can indicate heat.
In most cases the patient feels an immediate shift in their condition particularly in their pain or sense of constraint. Gua Sha moves stuck Qi and Blood, releases the Exterior mimicking sweating, and moves Fluids. In a modern medical construct these fluids contain metabolic waste that congested the surface tissues and muscles. Gua Sha promotes circulation and normalizes metabolic processes. It is a valuable treatment for both external and internal pain, and facilitates the resolution of both acute and chronic disorders.
Gua Sha is a completely safe technique, but it is serious medicine. Knowing when to use it and what to expect from treatment is as important as good technique. People who live in chronic pain often erect emotional defenses to cope with it or can feel completely hopeless. Having that pain ‘touched’ and relieved can be unsettling, even shocking. It is good to be moderate in activity after treatment, even rest. After treatment: no drugs, booze, sex, fasting, feasting or hard labor, including working out, for the rest of the day. In other words, mellow mode.