Gua sha is  a fork therapy that  being used extensively in china  and  south  east asia countries. Its uses has been documented in chinese scriptures at 200 BC, and  used as stand alone healing modality or supplement the massage or acupuncture therapy.

In chinese, Gua  means scrapping, rubbing or friction and sha means  the sandy or granular red appearance on the skin. In  short, Gua sha is to scrape away the stuck qi allowing the stuck qi to break out from the body as red granular sandy looking entity through the skin.

Gua sha  is often apply for muscular  disorder  condition by scrapping the targeted area repeatedly using gua sha tool. The intention is  to unblock the stagnation of qi or blood , promote the blood circulation , stimulate metabolic process and raise the sha.  The appearance of the sha is a great indicator to diagnose the nature and severity of the  condition. The darker color is the sha indicated the  more severe of the stagnation. The sha generally dissappear after 3-4 days , however  the sha can last for more than 7 days . This may indicate patient's poor blood circulation and  poor metabolic process. Patient is instructed to wear scarf or jacket to cover the sha area and avoid cold air or wind  exposure to the sha area.

On top of the  muscular  disorder condition, gua sha is also used for condition as below :

• Digestive disorders
• Cold, cough , asthma
• Fatigue
• Fever
• Heat stroke
• Headache
• Stiffness, pain and immobolity

There are numerous of gua sha tools are being  used. Smooth porseline spoon  is the most commonly used for body. Jade or crystal type gua sha tool is often  used for facial rejuvenation.

Gua Sha facial therapy helps promote the blood circulation on the facial skin. The  facial sculpting  can be achieved  by  using the stroke, lift and ironing gua sha technique on both the motor  point and meridian channel on face. By manually stimulating the skin structure of the wrinkle repeatedly using gua sha technique, skin tightening and  fine lines reduction  are observed following  clinical  experience.