How to Do Gwa Sha: Steps 1-3
Again, apply Tiger Balm™ or some other oil liberally to the surface of the afflicted area.
Take a porcelain spoon and face the hollow side towards the patient’s skin.
Rub downward and outward with moderate intensity (more on intensity later) along the various acupuncture meridians associated with the patient’s pain:
on the back, go downwards one inch lateral to the spine;
on the neck, go downwards from below the earlobe cleft to along the top of the shoulder on the Gall Bladder meridian;
stroke downwards along the urinary bladder meridians on the neck and back, along both the inner and outer U.B. meridians;
stroke downwards along the medial aspects of the shoulder blades, that is along the rhomboid attachments to the shoulder blades;
stroke between the ribs in the intercostal spaces, from the center of the chest outward;
stroke down the center line of the chest, gently as there is little subcutaneous fat there;
stroke downwards along the acupuncture meridians (triple warmer, large intestine, small intestine) of the posterior aspect of the arms;
stroke downwards along the acupuncture meridians (urinary bladder, gall bladder, stomach) of the lateral and posterior aspects of the leg; and
only occasionally stroke downwards along the medial aspects of the acupuncture meridians of the arms (heart, pericardium, lungs) and legs (spleen, liver, kidney).