Correct Method and Sequence for Gua Sha - V1

Correct Method and Sequence for Gua Sha The sequence for gua sha depends on the health condition, 1st scrub the nape of neck, then back, then chest, last arms and legs. This is the general principle. The basic direction for gua sha is based on the "Yin Up / Yang Down" principle from Chinese meridian theory. As for the method of gua sha, it'll be described in detail in the following sections. (1) For the nape of neck and the back, the procedure is: 1. Scrub the nape of neck and the back: From the back of cervical vertebra, through the thoracic vertebrae, until the end of coccyx. Separate the path to 2 sections. Scrub one section at a time.

2 .Scrub left and right shoulder: First left then right. 3. Scrub Bladder Meridian's acupuncture points: From B-11 to the waist. They are located 1.5 Cun from the Governing Vessel Meridian, left side and right side.

4. Follow the figure, use Bladder Meridian as the center, and scrub 5 to 7 oblique lines. Use rib spacing as a reference to separate these lines. Never scrub the whole area. (2) Scrub the chest: 1. First scrub Conception Vessel Meridian: The path from VC-22 to lower abdomen can be separated to 3 sections. The first section is chest. The second section is from the region between the ribs to navel. The third section is from navel to VC-22. Scrubs section by section, never scrub to the end once. The navel can be lightly scrubbed. 2. Center Conception Vessel Meridian, from VC-22 down, scrub 3 to 5 oblique lines to the left and right sides. Don't scrub the breast.

(3) Scrub arms and legs: Arms and legs, inner side and outer side are different. 1. Outer side of arm: Scrub from tip of finger toward elbow and shoulder. www.geocities.com\kptsao2000\eguasha.htm – Pág 1 de 36

2. Inner side of arm: Scrub from shoulder to elbow and finger tip.

3. Lado externo e posterior das pernas: Esfregue da coxa em direção ao joelho e pé. 4. Lado interno das pernas: Esfregue para cima da ponta interna do tornozelo em direção ao joelho.

(4) Gua sha tool should be perpendicular to the skin. Always keep the same angle for every direction. (5) Only scrub with force in one direction. Don't scrub in return direction. www.geocities.com\kptsao2000\eguasha.htm – Pág 2 de 36

(6) Scrub evenly, not too quickly, too heavily, too hastily, in order not to let patient feel scared and painful, affecting the gua sha's result. (7) The complete gua sha and Ventosa procedure is: 1. Scrub relevant meridian, acupuncture points and body parts according to patient's condition. 2. Depends on the condition of sha and illness, select 1 to 3 places, tap the skin lightly with the plum blossom needle tool. 3. Quickly apply Ventosa on the location tapped in step 2. 4. Remove the cups after 3 to 5 minutes. 5. Apply moxibustion on these locations 3 to 5 minutes. (2) Gua Sha Lubricant Main function is for lubrication. According to ancient Chinese books, in early days only water was used for lubrication. Later Sesame oil and other oil were used too. Some Chinese herbs were added in the oil in order to help the flow of Qi and blood. The gua sha oil developed by the association of Chinese Scientific Qi Gong has 12 Chinese herbs in the oil. It is very efficient to help the flow of chi and blood. Because the main function of gua sha lubricant is for lubrication, any oil like Ponds, Vaseline can serve the purpose.

(II) Equipment for Ventosa

(1) Ventosa Set It can directly pull out the sha and drive the sick qi away. It can accelerate the circulation of Qi and blood. Its effect is very astonishing. In Chin dynasty, the cups were made of earth. Later, the cups were made of glass. They are easily broken, and hard to use. They are very to burn the skin. Recently a Korean invented pump type Ventosa set, eliminating the shortcoming of glass Ventosa set. And they are easy to use. So they soon replaced the glass ones, becoming the most popular tools in gua sha and Ventosa. There are many different brands, their qualities are varied. Users need to be careful to pick up the good ones. (2) Skin Needle Tool It is also called Plum Blossom needle tool, seven star needle tool. After Gua sha, tap the skin with the Plum Blossom needle tool, then apply Ventosa, the clogged sha can be directly pulled out. (3) Three Angle Needle Tool After gua sha, if there are purple traces, then the three angle needle tool is used to let a few drops of blood out of that area. (4) Moxa Roll After gua sha and Ventosa, apply Moxibustion to the affected part for 3 to 5 minutes.

WATCH LIST FOR GUA SHA AND VENTOSA: Watch List for Gua Sha www.geocities.com\kptsao2000\eguasha.htm – Pág 3 de 36

(I) Situations which gua sha can not be applied (prohibited for beginner, not prohibited for professionals) 1. 2. 3. 4. 5. 6. 7. 8. 9.

10. 11. 12. 13.

14.

15.

16. 17. 18.

The following places are prohibited for gua sha: Furuncle, acne, malignant tumor, ulcerated area on the skin, bone fracture, breast and navel. Patients of diabetes, heart diseases, hemophilia, hepatitis, are prohibited for gua sha; especially hemophilia is due to lack of platelet; the blood is hard to congeal. If the patient is elderly or weak, you need to be very careful when applying gua sha. For pregnant woman, applying gua sha lightly can help to clean the blood very effectively; but applying gua sha with lots of force will cause miscarriage; be very careful. For a woman who suffers from leucorrhea, gonorrhea, pregnant, or who is in menstruation, doesn’t apply gua sha on her. If the patient's body calcium content is abnormal, causing bone fracture, don't apply gua sha on him/her. Don't apply gua sha to the injured area with lots of force. Don't apply gua sha within half an hour before and after the meal. During gua sha, lower the shoulder, focus your mind, take off anything from your hands and arms, for example, watch or bracelet, straighten your back, watch the face of the patient, pay attention to the changes of his/her facial expression. The reason why feeling more painful than before at the places after gua sha is because the obstruction of blood circulation is eliminated. So don't stop applying gua sha then. There is no solid rule that you have to use right hand or left hand to apply gua sha. You can use whatever hand that you are used to. After gua sha, you'll feel thirsty. You should drink one or two cups of lukewarm water or drink water with salt added in. For patients with serious illness, if traces of blood or even coagulated blood appear during gua sha, remember that this is a good sign, you can continue to gua sha. Within one or two weeks, the patient will have a fever, this is also good response. It shows that the body has the power of resistance. Occasionally after several times of gua sha, the patient's leg will have small red spots, eczema or sore openings. It means that some toxin has been expelled from these openings. The expelled places are related to the illness of internal organs. Feeling sleepy, yawning, false bowel movement, too much secretion of the eyes, running nose, the body producing bad odor, feeling painful and sore at unexpected places. These are the good signs. Keeping gua sha will have good result. It is better to finish gua sha in 30 minutes each time. Not over 50 minutes. Before gua sha, diagnose abnormal places very carefully. Check if the skin is injured, bleeding, ulcerous or tumor of the vein. Need to apply gua sha lightly at the places which are more painful. When apply gua sha to patients of serious illness, mental illness, or terminal stage of cancer, need to be very careful. www.geocities.com\kptsao2000\eguasha.htm – Pág 4 de 36

19.

When an acute abdominal illness seizures, check the related gua sha area for B-23, ???, B-20, B-21, B-22. It is easier to find out the cause of illness this way than checking individual organs. Only need to apply regular pressure stimulation, then very sensitive response can appear.

(III) For patients: 1. 2.

3.

The patient should trust the doctor. The effect of treatment will be faster. If the patient's illness is cancer, or the body of the patient is severely damaged by external injury, even it is not possible to recover back to original state, with proper gua sha treatment, the pain can be soothed and the mind will be relaxed. Before gua sha the patient should not be hungry, working too hard, tired, not enough sleep, or too tense. A patient with backache, 3 or 4 days after gua sha will feel that the backache is suddenly more serious than before. This is the best symptom. After this day, your illness is half way cured. Because feeling painful means that your blood circulation overcomes the obstacle. Scrub B-22 and Lymph area will cause fever. This is normal response. But the doctor can not apply too much force while gua sha.

4.

5.

(IV) For nursing one's health after Gua Sha 1. 2.

Drink a cup of lukewarm water or cold drinking water (never ice water or hot water) to improve metabolism. 2 or 3 days after gua sha, you will feel painful at the places of gua sha. This is normal response. After gua sha need to rest for 15 minutes. If sweating, need to wipe it out right away. Never eat oily, sour, spicy food, and food which is hard to digest.

3.

(V) Watch list for eating and drinking 1. 2.

3. 4. 5.

Should take medicine while cold or lukewarm, never hot. When the illness is almost cured, the patient's appetite has been recovered. Sometimes the patient will have excellent appetite. The patient still feel hungry after eating lots of food. At this moment, the patient has to stop eating. The patient should fast a couple times and then resume normal eating. If not so, the illness is very easy to relapse. The patient should eat simple and easily digestible food, for example, corn gruel, millet gruel. The patient should not eat fatty food, hot soup, hot wine and spicy food, in order not to affect the efficiency of the treatment and worsen the illness. If the patient has the following symptoms related to indigestion or dyspepsia: don't want to eat, got bellyache after eating, fart, stinking night soil, the patient should eat less. It is even better if the patient can fast a couple times.

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Alergia Guasha: IG-4, B-1, E-3, E-8, VB-20, VG14, B-13, B-23, BP6 Ventosa: B-23, R-7

Bronquite

Guasha: B-13, B14, B-15, B-23, B-47, P-1, VC-17, VC-14, R-16, P-4, P-6 Ventosa: P-1, VC17, B-13

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Tonsilite Guasha: (1) E-10, E-11, VC-12, IG-4, B-10, VB-20, IG-17. Guasha: (2) From VG-15 to VG-14. Ventosa: VG-14.

Pneumonia Guasha: P-1, P-2, P-11, B-13, B-20, B-21, B-25, E-25. Ventosa: P-1, B-13.

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Asma

Guasha: Scrub VC-17, VC-14, C-7, CS-4 and VG-14, VB-21, B-13, B-15. Need to watch out if the patient feels very painful while scrubbing the VG-14. To cure children's bronchial asthma, need to scrub B-13 besides VG-14. If at the mean time there is a sore shoulder, need to scrub VB-21 too. If the patient feels stagnantly in the chest, scrub B-15. If asthma is very serious, scrub VC-22, P-1 too. Ventosa: VG-12, VG-4.

Palpitação Guasha: B-14, B-15, C-7, CS-4, R-7. Ventosa: B-14, R-7.

Coração, aperto (constrição) www.geocities.com\kptsao2000\eguasha.htm – Pág 8 de 36

Guasha: (1) From B-12 to B-17. Guasha: (2) B-22, B-23. Guasha: (3) Heart Meridian, Small Intestine Meridian. Ventosa: B14, B-23.

Angina Pectoris Guasha: (1) Press and drag from B-15 to B23. It can relax the spirit and muscle. Guasha: (2) Press and drag the Stomach Meridian and Small Intestine Meridian. It prohibits the stomach to press the diaphragm and the heart, in order not to provoke the heart into produce gripping pain. Ventosa: B-15, B-17, B-21.

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Hipertensão Guasha: VG-20, B-10, E-9, VC-4, VB-21, B-15, B-17, B-23, IG-4, R-1. It can stabilize the blood pressure. Ventosa: B-23, B-17.

Hipotensão

Guasha: VG-20, B-10, VB-21, B-15, B-23, IG-5, R-3, P-9, R-16, E-27. Ventosa: B-23, B-15.

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Hemiplegia Guasha: B-10, VB-21, B-14 to B-23, ID-11, B-50, P-1, VC-17, VC-12, E25, VC-4, ???, P-5, CS-7, ???, R-3, B-60, BP-9, E-35, E-36. Ventosa: B-15, B-18, B-23, VC-17, E-36, E-35, ???.

Frio, Aversão

Guasha: VC-17, R-16, E-27, R-9, B-14, B-23, B25, B-31, R-1. If the foot is very cold, press and drag harder on R-1. If both the hand and the foot are very cold, press and drag harder on TA-4. Ventosa: B-23. Também aplicar moxa em R-7.

Cirrose Hepática

Guasha: VC12, Pain Spot, www.geocities.com\kptsao2000\eguasha.htm – Pág 11 de 36

E-36, CS-6, VC-4, F-14, F-13, B-18, B-20, B-23. Apply moxibustion after gua sha. Ventosa: VC-12, E-36, B-18, F-14.

Baço, mau

funcionamento Guasha: B-20, B-21, B-27, F-13, VC-12, B-18, B-15, BP-6. Ventosa: B-20, BP-6.

Fraqueza Guasha: VG-12, B-18, B-23, VC12, E-27, TA-4, BP-6. Ventosa: VG12, VC-12, BP6.

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Magreza Guasha: B-18, B-20, B-23, BP6, VC-17, VC-12, VC-4, E-36. Ventosa: BP-6, E-36.

Obesidade Guasha: B-22, B-23, B-60, VC-12, VB-29, VC-4, BP-10, E-34, B-54, B-57, BP-8. Ventosa: B-23, VC12.

Cansar, facilmente Guasha: B-18, B-22, B-23, R-3, TA-4, VC-17, VC12, R-16, VC-4, R-1. Ventosa: B-23, VC-12, VC-17.

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Gastrite Guasha: VC-14, VC-12, E-25, B-17 to B-19, B-22. Ventosa: B-17, B21.

Duodeno, úlcera Guasha: VC12, E-25, E27, E-42, B17, B-18, B20, B-23, E36, BP-6. Ventosa: VC12, B-17.

Estomago, cãibra / neurite / úlcera Guasha: (1) B18, B-19, B20, VC-14, VC12, E-34, E-36. Guasha: (2) Lightly press and drag uncomfortable area. Ventosa: E-36, VC-12.

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Intestinos, Catarro crônico Guasha: B23, B-25, B27, BP-6, IG10, E-25, E27, VC-4, E36. Ventosa: B23, B-27. Apply moxibustion on VC-8.

Arrôto

Guasha: 1. Scrub CS-6, VC-12, VC22 first. If the belch doesn't stop, also scrub F14, E-36. Apply moxibustion on VC-6 15 units. Scrub B-17, B-20, B-21 first then apply moxibustion on them. 2. Scrub IG-17, E-11, VC-14, B-17, IG-4. (Normally used for non-stopping belch) Ventosa: VC-12, B-17, VC-14.

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Constipação Guasha: VB-34, VC-12, E-25, E-27, B-20, B-22, B-25. Ventosa: VB-34, E-25.

Flatulência

Guasha: (1) Press and drag Large Intestine Meridian, especially IG-2. Guasha: (2) Lightly press and drag the center of the palm and the foot arch. Guasha: (3) B-18, B-19, B-20, B-21. Ventosa: B-18, B-21, VC-8.

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Anorexia Guasha: VC12, R-16, E-36, B-18, B-20, B21. Ventosa: VC12, E-36.

Metabolismo, doenças do Guasha: VG-20, B-17 to B-23. Ventosa: B-17, B-23, VC-12.

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Diabetes Guasha: E-25, E-27, VB-20, B-10, B-18, B20, B-21, B23, BP-9, BP6, E-36. Ventosa: B20, B-23.

Tireóide, Hiperfunção Guasha: First press and drag the whole palm and sole once, then press and drag B-20, B-21. Ventosa: B-20.

Dismenorréia, Menstruação Dolorosa Guasha: (1) Press and drag the back, waist, from VC-6 to VC-3, and both shoulders. Guasha: (2) R-3 to R-9. Ventosa: B-23.

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Disfunção Fisiológica (das atividades vitais) Guasha: (1) VC-4, E27, B-31, B-48. Guasha: (2) From BP-6 to BP-9. Ventosa: BP-6, VC-4.

Menopausa

Guasha: VG-20, B-10, VB-21, B-14, B-31, B48, R-3, VC-17, VC-4. Ventosa: VB-21, VC17.

Miopia Guasha: (1) Press and drag the Kidney, Urethra, Bladder reflexzones. Guasha: (2) From B-18 to B-23. www.geocities.com\kptsao2000\eguasha.htm – Pág 20 de 36

Guasha: (3) VB-34. Ventosa: B-18, VB-34.

Vista Cansada Guasha: B-1, B2, B-10, VB-20, from B-18 to B23, R-7. Ventosa: B-23, B-18, R-7.

Pé de Atleta

Guasha: (1)4th and 5th toe. Guasha: (2) B-22, B-23. Guasha: (3) BP-6. Ventosa: BP-6.

Pele Áspera Guasha: (1) From B-12 to B17. Guasha: (2) From B-23 to B25. www.geocities.com\kptsao2000\eguasha.htm – Pág 21 de 36

Guasha: (3) From the region between the ribs to VC-12. Ventosa: B-13, VC-12, B-23.

Envelhecimento, pele e músculos Guasha: (1) From B-12 to B-23. Guasha: (2) TA-4, VC-12, TA-1. Ventosa: B-23, VC12.

Urticaria, Eczema Guasha: (1) From B-18 to B-23. Guasha: (2) VG-20, VG-14, IG-11, IG-10, TA-4, VC-12, E-36. Ventosa: B-18, B-20, B-23.

Frieira

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Guasha: BP6, VC-12, E25, VG-14, from B-13 to B-23, B-25, TA-4, IG-4. Ventosa: B23, E-25.

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Acne Guasha: B-12, B-13, from B18 to B-23, VG-4, P-1, F14, VC-12, R16. Ventosa: B-13, B-13, B-20.

Cabelo, Queda Guasha: P-1, VC12, VC-4, VG-20, B-10, VG-14, from B-13 to B-23, IG-4, from P-5 to P-9. Ventosa: VC-12, B17.

Caxumba Guasha: From IG-4 to P-11, from R-7 to R-9, from B-12 to B13. Ventosa: R-9, B-13.

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Halitose Guasha: (1) For Halitosis due to the disease of the cavity of the mouth, fix the teeth completely. Guasha: (2) For Halitosis due to the malfunction of the Stomach and Intestines, press and drag B-15 to B-21, C-7. Ventosa: B-15.

Varizes

Guasha: (1) Press and drag the reflexzones of Kidney, Urethra, Bladder, Adrenal Gland and Vertebra. Guasha: From BP-6 to BP-9. Ventosa: BP-6.

Hemorroidas Guasha: (1) VG-6, VG-1, Add VG-20 for those whose' piles slip out of the anus.

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Guasha: (2) LUNG MERIDIAN, LARGE INTESTINE MERIDIAN. Guasha: (3) B-54. Ventosa: P-6, B-54.

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Lumbago

Guasha: VC-12, R-16, BP-9, E-36, B-22, B-23, B-47, B-25, VB-29, B-27. Ventosa: B-23, E-36.

Ciática

Guasha: From B22 to B-28, B-50, B-51, B-54, B-57, VB-34, E-36, VB39, E-41. Ventosa: B-23, E36.

Joelho, dor no

Guasha: B-54, B-57, F8, B-53, R-1, BP-6, E34, BP-10, E-35, E-36. Ventosa: BP-10, E-36, Pain Spot.

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Costas, dor Guasha: ID-15, ID-14, VB-21, B11, B-12, B-13, B-14, B-15, B17, B-36, B-37, B-42, ID-13, ID12. Ventosa: Pain Spot.

Ombro, dor

Guasha: If arm pain, scrub IG-15, IG-11, IG-10, IG-4, CS-3, CS-5, TA-3, ID-7, ID-4, ID-3. If pain at the shoulder, scrub B11, ID-15, VB-21, ID-13. If pain at the back of shoulder, scrub VB-21, IG-15, ID-13, TA-4 and ID-9. Ventosa: Pain Spot.

Ombro, dor dos 50 Guasha: P-2, P-1, VB-20, B-10, TA-15, IG-15, ID-11, B-23. Ventosa: P-1, IG-15, ID-11.

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Pescoço/Ombro duro Guasha: B-10, VB-20, VB-21, B-13, B-38, B-18, B-25. Ventosa: VB-21, B-38.

Pescoço, dor muscular Guasha: First press and drag the VB-20 on the sick side, then press and drag VG-14, VB-21, ID-9, TA-5, VB-39, Pain Spot. It should stop the pain. One or two times should cure the pain. Ventosa: VG-14, Pain Spot.

Pernas cansadas Guasha: B-54, B-57, R-1, BP-6, E-36, E-41, B22, B-23, VB-29, B-25, B-51. www.geocities.com\kptsao2000\eguasha.htm – Pág 30 de 36

Ventosa: E-36, B-23.

Cintura com musculatura cansada Guasha: VG-4, B-23, VG-3, B-25, B-26, E-41. Ventosa: Pain Spot.

Braço, dor

Guasha: Scrub the following acupuncture points in order: VG-14, VB21, TA-4, ID-11, B23, P-1, IG-14, C-3, P-5, CS-4, C-7, IG11, IG-5, TA-4. For the pain from the tip of the little finger to elbow, through the middle of the palm to the middle finger, need to scrub C-3, C-7. Ventosa: VG-14, ID-11, IG-11.

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Panturrilha, cãibra

Guasha: B-25, B-28, B-54, B-57, R-1, R-3, B-60. Ventosa: B-54, B-57.

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Tontura Guasha: Press and drag the Govern Vessel Meridian and Bladder Meridian from neck to hip, the left and right sides of calf. Ventosa: B-18, VG-14, VB-34.

Enjôo em viagens Guasha: VG20, B-10, TA17, VC-12, B18, B-20, R-9. Ventosa: VC12, B-18.

Cabeça, dor de

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Insônia

Ressaca Guasha: B-10, VC-17, VC-12, VC-7, IG-4, E-36, B-13, IG-8, B-23. Ventosa: B-18, E-36.

Artrite Reumatóide Crônica Guasha: B-10, TA14, TA-4, B-18, B20, B-23, B-54, VC14, P-5, VC-4, CS-7. Ventosa: B-23, Pain Spot.

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Maquiagem

Esterelidade Guasha: B23, B-48, B-28, VC-4, VC-3, BP-6. Ventosa: B23, VC4(for man only), VC3(for woman only).

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