Step 1: Identify the condition
Before gua sha, it is first necessary to comprehensively collect disease data, carefully analyze, and clarify the clinical diagnosis to determine whether it is an indication for gua sha and consider whether there are contraindications.
The second step: according to the patient's illness and condition, determine the meridians or acupuncture points that need to be scraped, and also according to the patient's gender, age, fat and thin, the strength of the physique, the severity of the disease, the lesion site and the characteristics of the meridian acupuncture points taken, the appropriate selection of gua sha methods.
Step 3: Determine the position of gua sha In general, the position of gua sha is based on the principle that the practitioner of gua sha is simple and accurate, the patient is comfortable, and as far as possible to use a position to complete the entire treatment process. For patients with weak constitution or excessive mental tension, recumbent surgery should be used.
The common positions of Gua Sha therapy are as follows:
Prone position
Suitable for gua sha on the head, neck, back, waist and hips, lower limbs.
Lateral recumbent position
Suitable for scraping on the sides of the body or on the upper and lower limbs.
Supine position
Suitable for gua sha on the head, chest and abdomen, and limbs.
Sit prone
Suitable for scraping of the posterior head, neck, back, and upper limbs.
Sit on your side
It is suitable for scraping on one side of the head, cheeks, front and back of the ears, side of the neck, one side of the shoulder and upper limbs, and the flank ribs.
Sit back
Suitable for scraping of the forefront, face, neck, chest, abdomen, upper limbs or medial and anterior parts of the lower limbs.
Stand and stand forward
Suitable for scraping on the back, waist, and posterior parts of the lower limbs.
Step 4: Choose the right scraping board
Before gua sha, select a suitable gua sha board according to the location and condition of gua sha (the specific method has been described above for gua sha on the head, chest and abdomen and limbs.
Suitable for scraping of the forefront, face, neck, chest, abdomen, upper limbs or medial and anterior parts of the lower limbs. Standing and leaning forward positions are suitable for scraping on the back, waist, and posterior side of the lower limbs.
Before gua sha, select a suitable gua sha board according to the location and symptoms of gua sha (the specific method has been introduced earlier), and then check whether the gua sha board is clean and whether there are cracks in the edges. The scraping board can be washed with disinfectant or soapy water and then dried with a towel. Scraper plates of various shapes.
Step 5: Apply gua sha medium
Expose the part that needs to be scraped, put the mouth of the gua sha oil down, let it slowly drip from the small hole on the scraping site, and apply it from the bottom up with the scraping board. Gua Sha oil should not be applied too much, otherwise it will make the skin too slippery and not conducive to scraping. The face and head should generally not be coated with gua sha oil. Gua Sha blood activators can also be used to promote blood circulation and enhance efficacy.
Apply gua sha oil
Step 6: Gua Sha is performed
The practitioner holds the gua sha board with his right hand, after dipping the gua sha oil, use the wrist force to gently scrape down or repeatedly scrape from the inside to the outside, and operate in the same direction when scraping, the force should be moderate, the force should be uniform, generally scraped 10 to 20 times, to the subject can tolerate the degree. Gua Sha should be constantly asked how the patient feels, ask whether the patient can withstand the force of gua sha, whether the scraping site is painful, etc.
When gua sha is used by the laxative method or the flat patching method, the scraping time of each part is generally within 5 minutes, and the scraping time of each part of the supplement method is 5 to 10 minutes. For some patients with less or even less sha, the sha should not be forced. At the same time, the time of gua sha should be flexibly grasped according to the specific situation of the patient. The interval between the two gua sha is generally 3 to 6 days, and the scar on the skin disappears completely. Generally, 3 to 5 sessions is a course of treatment.
Step Seven: The aftermath should be done well
Promote the absorption of Gua Sha Blood Activator: Massage the scraping area with the palm of your hand so that gua Sha Blood Activator can be fully absorbed to increase the efficacy.
Clean the scraping area: Use a disinfectant cotton ball or a clean towel to dry the scraping oil.
Observe the color and morphological changes of the gua sha site: After the treatment of gua sha, due to different conditions, different colors and different forms of sha can appear in the treatment area. The sha in the deeper parts of the skin is mostly lumpy or nodular in different sizes.
After half an hour of gua sha treatment, the scars on the surface of the skin will gradually merge, and the deep lumpy sha will slowly disappear.
【Precautions for gua sha】
The house is kept tidy, quiet, warm and air circulating.
30 minutes after scraping out of the sha, do not take a cold bath.
Elderly and frail patients, children and patients who are prone to nervousness and fear of pain should be scraped with complementary methods, and the technique should be gentle. During the operation, attention should be paid to observing the patient's facial expression and overall state, so as to find and deal with unexpected situations in time.
There are lymphatic dispersions in the neck, armpits, waist and other places, and the operation technique should be gentle and do not pull strongly, so as to avoid obstacles to the return of yin qi lymph fluid or damage to the meridians