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Seven Basic Gua Sha Methods

Holding the Gua sha Tool

The gua sha tool is held in one hand, with the bottom of the tool pressing against the center of the palm, and the thumb and fingers grasping the tool naturally. Use the palm to apply downward force while scraping.

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Surface Scraping

Press half or the entire long edge of the gua sha tool against the skin at a 30 ~ 60 (usually 45) degree angle. Scrape evenly in one direction. This method is suitable for flat parts of the body, such as the trunk, limbs and head.

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Corner Scraping (One-corner,Two-corner Scraping)

1, One comer scraping

Press one comer of the gua sha tool against the skin at a 45 degree angle and scrape over acupoints from top to bottom. This method is suitable for acupoints such as Jianzhen (SI 9),Shanzhong (CV 17) and Fengchi (GB 20).

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2, Two-comer scraping

Press the groove of the gua sha tool against the spinous processes so the corners of the tool rest on either side of the spine. Scrape from top to bottom with the tool at a 45 degree angle against the skin pointed downward.

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Point Pressing

Place the corner of the gua sha tool on an acupoint perpendicular to the skin. Press downward while gradually increasing the pressure and then quickly remove the tool. This method is suitable for acupoints such as Renzhong (GV 26) and Xiyan (EX-LE4).

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Patting

Make a loose fist and use it to pat the body. This method is only applied on the elbow and knee fossa.

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Vigorous Scraping

Place the comer of the gua sha tool on a point perpendicular to the skin and keep the tool in constant contact with the skin while scraping in small strokes (2〜3 cm) with a fixed amount of pressure side to side or up and down. This method is suitable for the holographic zones on the head.

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Pressing-Kneading (horizontal, vertical pressing-kneading)

1, Horizontal pressing-kneading

Place the corner of the gua sha tool on a point at less than a 20 degree angle to the skin. Gently and slowly press and rotate the tool. This method is suitable for Hegu (LI 4), Zusanli (ST 36),Neiguan (PC 6),holographic zones on the hands and feet, and other tender spots.

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2, Vertical pressing-kneading

Place the border of gua sha tool on a point perpendicular to the skin. Gently and slowly press and knead the paint. This method is suitable for points where the bones of the skull meet and holographic zones on the radial side of second metacarpal bone.

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Unblocking Meridian Qi

Use the long edge of the gua sha tool to scrape up or down a meridian. This method is applied at the end of each gua sha session to unblock the meridians and collaterals of the whole body to relax the muscles and relieves fatigue.

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Gua sha Basics

Supplementing and Reducing Manipulations: Supplementing and reducing manipulations are classified into three groups in gua sha:

Supplementing: gentle pressing with slow scraping is used for deficient patients.

Reducing: powerful pressure with rapid scraping is seldom used.

Even method: can be applied in all patients, except those with weak constitutions. Even methods can be further divided into three types:

Moderate pressure with moderate scraping speed;

Strong pressure with slow scraping;

Gentle pressure with rapid scraping.