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Detecting the Causes and Nature of Sub- Health States


In traditional Chinese medicine, first the nature of the disease is determined by differentiating cold, heat, deficiency and excess syndromes. This is followed by selecting therapeutic methods based on the syndrome. In gua sha therapy, the existence of cold, heat, deficiency and excess syndromes are determined from the appearance of the sha, such as its quantity, speed of appearance, color, and shape, as well as the temperature of skin after scraping and any positive reactions.


The left-upper back is the area over the heart, but is also the location of Tianzong (SI 11) of the small intestine meridian and an area corresponding to the breasts. When an abnormal reaction appears in this area, scrape other related body parts.




Sha that is bright red and radiantSha that is purple-red, bluish- purple or deep blue clip_image004 Deficiency of defensive qi, which are mostly heat syndromes or acute inflammation
Sha that is purple-red, bluish- purple or deep blue clip_image006 Blood stasis with poor circulation
Sha that is bluish- purple or deep blue clip_image008 Blood stasis with cold or a deficiency of defensive qi
Sha that is very dense, dark and without gloss clip_image010 Defensive qi deficiency or old diseases
With some symptoms, little sha appears, it appears slowly, or there is no sha and only opening of the sweat pores clip_image012 Deficiency of qi and blood, cold syndromes, and deep- rooted diseases of the bones, ligaments and tendons




Gua sha Basics


Besides the appearance of the sha, the pain induced by scraping also reflects the state of health and diseases. Soreness suggests deficiency of qi and blood, while distending pain indicates qi stagnation or disorders of qi movement Stabbing pain indicates blood stasis or poor blood circulation. Positive reactions without pain suggest old diseases without noticeable manifestations that involve chronic of qi and blood circulation. Positive reactions with pain indicate local inflammation or active symptoms due to chronic disorders of qi and blood circulation.