MOD091 – Gua Sha

Definition:

Gua Sha is a traditional Chinese healing technique that involves scraping the skin with a smooth-edged tool to promote circulation, release tension, and stimulate the body’s natural healing processes. The words Gua Sha literally mean “Scraping sha-bruises” This practice is rooted in Traditional Chinese Medicine (TCM) and is used to address various physical ailments, as well as to enhance skin health and appearance.

Explanation:

Gua Sha practitioners apply controlled pressure and friction to specific areas of the body using specialised tools made from materials like jade, rose quartz, or stainless steel. The technique involves a series of precise strokes that can create temporary marks on the skin, known as “sha,” which are believed to indicate the release of stagnant blood and Qi (energy). Physiologically the movement of scraping can also break adhesions between layers of tissue in the body. This allows layers of tissue to glide past each other, promoting flexibility and coordination.

This process is thought to stimulate microcirculation, reduce inflammation, and promote lymphatic drainage. While traditionally used on the back, neck, and limbs to alleviate muscle pain and stiffness, Gua Sha has also gained popularity in facial treatments for its potential to improve skin tone, reduce puffiness, and enhance overall complexion. Practitioners tailor the intensity and focus of the treatment based on individual needs, often incorporating it into a broader holistic health approach that may include other TCM practices.

Evidence to Efficacy:

There are a number of studies that provide some evidence demonstrating the efficacy of Gua Sha:

• Chronic Neck Pain: A 2011 randomized controlled trial found that Gua Sha was more effective than heat therapy in reducing neck pain after one week of treatment.
• Musculoskeletal Pain: A 2010 systematic review of controlled clinical trials indicated that Gua Sha may be effective for treating musculoskeletal pain.
• Perimenopause Symptoms: Research suggests that weekly Gua Sha treatments may help reduce symptoms of perimenopause, including hot flashes, fatigue, insomnia, and depressed mood.
• Physiological Responses: A 2021 review in the Journal of Medicine and Primary Care proposed that Gua Sha triggers a series of physiological responses involving the skin, nervous system, and immune system, leading to potential therapeutic advantages.
• Circulation and Immune Function: A 2016 study suggested that Gua Sha helps improve immune functions of the skin and body, as well as boost skin circulation and its response against intradermal antigens.
• Microcirculation: One study demonstrated that Gua Sha causes a “fourfold increase in microcirculation,” improving blood flow through the smallest vessels in the body.
• Chronic Low Back Pain: Research indicates that Gua Sha can be beneficial for chronic low back pain, offering a non-invasive option for managing musculoskeletal discomfort.
• Tension Headaches: Studies suggest that Gua Sha may be effective in treating tension headaches.

Governing Body:

While there is no specific regulatory body for Gua Sha practitioners in the UK, several organisations provide training, certifications, and oversight on standards:

• The Association of Traditional Chinese Medicine and Acupuncture UK (ATCM): This organisation represents practitioners of Traditional Chinese Medicine, including those who practice Gua Sha. They provide guidelines for safe practice and professional conduct.
• The British Acupuncture Council (BAC): Although primarily focused on acupuncture, many members also practice Gua Sha as part of their TCM toolkit. They offer training and maintain professional standards for their members.
• The Federation of Holistic Therapists (FHT): This organisation accredits courses and maintains a register of qualified therapists, including those who practice various forms of massage and bodywork, which may include Gua Sha.
• College of Integrated Chinese Medicine: This institution offers training in various aspects of Chinese Medicine, including Gua Sha techniques.
• London School of Massage: They offer workshops and courses on Gua Sha as part of their continuing professional development programs for massage therapists.

It’s important to note that many practitioners of Gua Sha in the UK may have received their training as part of broader Traditional Chinese Medicine or massage therapy programs.

What Good Looks Like:

In the context of Gua Sha, here’s what a good experience should look like:

Initial Consultation: The practitioner should conduct a thorough health assessment, discussing your medical history, current concerns, and treatment goals. They should explain the Gua Sha process, potential side effects, and expected outcomes.

The Treatment: The practitioner should start gently, gradually increasing pressure based on your comfort level. Strokes should be smooth and controlled, following the body’s meridians and muscle groups. Communication should be ongoing, with the practitioner checking your comfort level throughout.

Outcomes: Reduced muscle tension and pain: You should feel a noticeable decrease in muscle tightness and discomfort. Improved circulation and lymphatic drainage: Your skin may feel warmer, and you might notice reduced puffiness or swelling. Enhanced relaxation and stress reduction: You should feel more relaxed, both physically and mentally. Greater sense of well-being and vitality: You may experience increased energy and an overall feeling of wellness.

Long-term Benefits: With regular treatments, you should notice cumulative benefits such as improved flexibility, reduced chronic pain, and enhanced overall health.

What to Ask a Practitioner:

What types of conditions do you typically treat with Gua Sha?

Desired Answer: Gua Sha is commonly used to treat musculoskeletal pain, chronic pain, inflammation, respiratory conditions, and stress-related disorders. The practitioner may also offer facial Gua Sha for skin health and relaxation.

What should I expect during a Gua Sha session?

Desired Answer: The Practitioner should talk you though from start to finish what happens in a session. From applying the oil or lotion to your skin to the type of smooth-edged tool they will use to scrape the skin in a series of strokes. They should note that you may experience temporary redness or mild bruising, which indicates the release of stagnant energy and improved circulation.

What if I have sensitive skin or find the treatment uncomfortable?

Desired Answer: The practitioner should be able to give you a number of options they will try if you feel uncomfortable, such as adjusting the pressure and technique. Communication is key, so please let me know if you experience any discomfort during the treatment.

What aftercare advice do you provide following a Gua Sha session?

Desired Answer: After the session the practitioner should recommend keeping the treated area clean and dry, staying well hydrated, and avoiding extreme temperatures.

For those interested in self-practice or learning more about Gua Sha techniques, the following resources can be helpful:

Books:

“Gua Sha Scraping Massage Techniques by Dr. Wu Zhongchao

“Facial Gua Sha: A Step-by-Step Guide to a Natural Facelift by Clive Witham

YouTube Channels:

“Gua Sha by Wildling” provides tutorials on various Gua Sha techniques for both body and facial treatments.

“Lanshin” offers detailed videos on facial Gua Sha and its benefits.

Related Therapies:

Acupuncture (MOD07): A traditional Chinese medicine practice that involves inserting thin needles into specific points on the body to balance energy flow (Qi) and promote healing. Acupuncture can complement Reiki by addressing energetic blockages.

Acupressure (MOD03): A therapeutic tool with thousands of plastic spikes that stimulate acupressure points to relieve pain and promote relaxation.

Massage therapy (MOD97): This hands-on therapy involves manipulating the body’s soft tissues to relieve tension, reduce pain, and promote relaxation.

Cupping therapy (MOD05): While not strictly acupuncture, it is often used in conjunction with it. It involves placing cups on the skin to create suction, promoting blood flow and healing.

Traditional Chinese medicine (TCM) (MOD167): An ancient medical system that includes various forms of herbal medicine, acupuncture, massage, exercise, and dietary therapy.

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