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Gua sha (Chinese pinyin: guā shā), meaning "scraping sha-bruises", is a traditional Chinese medical treatment in which the skin is scraped to produce light bruising. Practitioners believe gua sha releases unhealthy elements from injured areas and stimulates blood flow and healing. Gua sha is sometimes referred to as "spooning" or "coining" by English speakers, it has also been given the descriptive French name, tribo-effleurage.

In most cases the patient feels an immediate shift in their condition particularly in their pain or sense of constraint. Gua Sha moves stuck Qi and Blood, releases the Exterior mimicking sweating, and moves Fluids. In a modern medical construct these fluids contain metabolic waste that congested the surface tissues and muscles. Gua Sha promotes circulation and normalizes metabolic processes. It is a valuable treatment for both external and internal pain, and facilitates the resolution of both acute and chronic disorders.