Gua Sha Massage Therapy, its Health Benefits side effects

If you’re battling a cold, and like all mankind, hate going to the doctor, perhaps you could see what traditional Chinese massage could do for you.

About Gua Sha Massage

In Gua Sha massage, the term “gua” means “scraping” or “to scrape”, and “sha” is the term used to describe the millet-like redness that may occur after the treatment that has been carried out. Interestingly, Gua Sha massage technically isn’t a massage at all. Rather, Gua Sha is the name of the instrument that is used during the treatment. This therapy can be performed on its own or it can be used in conjunction with another form of massage. Another name for this therapy is “spooning”. The most common scraping instrument that is used is a buffalo horn, which has a very smooth comb-like shape – without the teeth. Jar lids or Chinese soup spoons can also be used.


The Gua Sha, or instrument, is used because the hands alone may not be enough to dispel heat, increase oxygen to the area, and stimulate blood flow in the way that the Gua Sha can. In Traditional Chinese Medicine, the buffalo horn has cold properties, and it is therefore effective in helping to dispel heat from the body.

Gua Sha is used to cure a common cold, flu, bronchitis, asthma, headaches, fevers, chills, cough, abdominal complaints, diarrhea, as well as chronic disorders involving pain and blocked Qi.

The practitioner uses a section of cow horn or a wooden scraper to scrape the back, neck, buttocks, and limbs. Oil is used as a lubricant on the skin to lessen the pain of scraping.

Traditionally, a spoon or coin would be used to scrape the skin, but in modern practice, therapists use a small, hand-held tool with rounded edges.

Gua sha tools are often weighted to help the practitioner who is doing the procedure to apply pressure.

Practitioners of traditional East Asian medicine see some materials as having energy that will support healing — these materials include bian stone, jade, and rose quartz. Medical grade stainless steel is often used for IASTM or when gua sha is done in a clinic.

Practitioners will apply oil to the area of the body that is being treated, which allows the therapist to move the tool across the skin more smoothly.

The gua sha practitioner will press the tool into the body with smooth, firm strokes in one direction. If gua sha is being carried out on the back, or back of the legs, a person may need to lie face down on a massage table.

What are the benefits of gua sha?

Gua sha may reduce inflammation, so it’s often used to treat ailments that cause chronic pain, such as arthritis and fibromyalgia, as well as those that trigger muscle and joint pain.

Gua sha may also relieve symptoms of other conditions:

Gua Sha Massage

1. Hepatitis B

Hepatitis B is a viral infection that causes liver inflammation, liver damage, and liver scarring. Research suggests that gua sha may reduce chronic liver inflammation.

One case study by a trusted Source followed a man with high liver enzymes, an indicator of liver inflammation. He was given gua sha, and after 48 hours of treatment, he experienced a decline in liver enzymes. This leads researchers to believe that gua sha has the ability to improve liver inflammation, thus decreasing the likelihood of liver damage. More research is underway.

2. Migraine headaches

If your migraine headaches don’t respond to over-the-counter medications, gua sha may help. In one study trusted by Source, a 72-year-old woman living with chronic headaches received gua sha over a 14-day period. Her migraines improved during this time, suggesting that this ancient healing technique may be an effective remedy for headaches. More research is needed.

3. Breast engorgement

Breast engorgement is a condition experienced by many breastfeeding women. This is when the breasts overfill with milk. It usually occurs in the first weeks of breastfeeding or if the mother is away from the infant for any reason. Breasts become swollen and painful, making it difficult for babies to latch. This is usually a temporary condition.

In one study trusted Source, women were given gua sha from the second day after giving birth up until leaving the hospital. The hospital followed up with these women in the weeks after giving birth and found that many had fewer reports of engorgement, breast fullness, and discomfort. This made it easier for them to breastfeed.

4. Neck pain

Gua sha technique may also prove effective for remedying chronic neck pain. To determine the effectiveness of this therapy, 48 studies participants trusted Source were split into two groups. One group was given gua sha and the other used a thermal heating pad to treat neck pain. After one week, participants who received gua sha reported less pain compared to the group that didn’t receive gua sha.

5. Tourette syndrome

Tourette syndrome involves involuntary movements such as facial tics, throat clearing, and vocal outbursts. According to a single case study trusted Source, gua sha combined with other therapies may have helped to reduce symptoms of Tourette syndrome in the study participant.

The study involved a 33-year-old male who had Tourette syndrome since the age of 9. He received acupuncture, herbs, and gua sha, and modified his lifestyle. After 35 once-a-week treatments, his symptoms improved by 70 percent. Even though this man had positive results, further research is needed.

6. Perimenopausal syndrome

Perimenopause occurs as women move closer to menopause. Symptoms include:

  • insomnia
  • irregular periods
  • anxiety
  • fatigue
  • hot flashes

One study trusted Source, however, found that gua sha may reduce symptoms of perimenopause in some women.

The study examined 80 women with perimenopausal symptoms. The intervention group received 15-minute gua sha treatments once a week in conjunction with conventional therapy for eight weeks. The control group only received conventional therapy.

Upon completion of the study, the intervention group reported a greater reduction of symptoms such as insomnia, anxiety, fatigue, headaches, and hot flashes compared to the control group. Researchers believe gua sha therapy might be a safe, effective remedy for this syndrome.

Does gua sha have side effects?

Gua sha causes tiny blood vessels near the surface of the skin called capillaries to burst. This creates distinctive red or purple bruises, known as sha.

The bruises usually take a few days or a week to heal and can be tender while healing. People can take an over-the-counter painkiller, such as ibuprofen, to help with pain and reduce swelling.

A person should protect the bruised area and take care not to bump it. Applying an ice pack can help to reduce inflammation and ease any pain.

Gua sha practitioners should not break the skin during the treatment, but there is a risk it could happen. Broken skin increases the possibility of infection, so a gua sha practitioner should always sterilize their tools between treatments.

Gua sha is not suitable for everybody. People who should not have gua sha include those:

  • who have medical conditions affecting the skin or veins
  • who bleed easily
  • who take medication to thin their blood
  • who have deep vein thrombosis
  • who have an infection, tumor, or wound that has not healed fully
  • who have an implant, such as a pacemaker or internal defibrillator

Is gua sha painful?

Treatment is not supposed to be painful, but gua sha deliberately causes bruising, which may cause discomfort for some people. These bruises should heal within a few days.

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