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When Not to Perform Gua Sha: Contraindications and Safety Guidelines

Published 2026-06-03 · 142 words · Acupressure

Abstract illustration of gua sha strokes and cupping

Gua sha is a traditional Chinese medicine (TCM) technique that involves scraping the skin with a smooth-edged tool to stimulate blood circulation and promote healing. While it can be highly effective for certain conditions, it is not suitable for everyone or every situation. Understanding the contraindications is essential for safe and effective practice.

After gua sha, it is normal to experience mild soreness or tenderness in the treated area for 2–3 days, as the skin has undergone superficial stimulation. Keep the area clean and avoid exposure to wind or cold.

References

Huangdi Neijing (Yellow Emperor's Inner Classic) discusses the principles of promoting qi and blood flow through external therapies. The Bencao Gangmu (Compendium of Materia Medica) notes precautions for scraping therapies. Modern TCM textbooks such as Chinese Acupuncture and Moxibustion (Cheng Xinnong, 1987) also outline contraindications for gua sha.

This article is for wellness education only. It is not a diagnosis or treatment plan. If you are pregnant, taking medication, or managing a diagnosed condition, consult a qualified healthcare professional before trying acupressure, dietary changes, or other practices described here.