How to Do Gwa Sha: Steps 4-9
Also Important: avoid rubbing over moles and areas of broken skin.
Do not rub over the vertebrae, bump, bump, bumpety, bump, bump; rub downwards alongside them. Gwa sha strokes should be smooth and firm, but gentle.
Do not rub over the ribs, bump, bump, bumpety, bump, bump. Rub laterally, between the ribs from the center of the chest and abdomen outward to the sides.
Keep reapplying Tiger Balm™ or oil to the skin after you have wiped it off with your spoon. You can scoop out the Tiger Balm™ which has accumulated inside your spoon.
Use about four pounds of pressure - maximum - when making your strokes. You can ascertain what five pounds of pressure is by pressing down with your thumb or fingers on a bathroom scale. Stroke, don’t fan the skin, in one direction – downward. Your level of pressure should not hurt the patient. I have seen one colleague produce deep dark reddish bruises wherever he rubs because he uses too much pressure. He rubs as if he’s digging for gold with that porcelain spoon. He’s not releasing sha; he’s actually breaking otherwise healthy capillaries. Don’t do that!
Rub general areas at first till you see redness appear in some areas.