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Gua Sha is a novel (to the West), unique, important and an effective remedy for pain, inflammation, immune support and improvement of skin health and appearance.
Gua Sha is a Traditional East Asian Medicine, TEAM healing technique that applies instrument-assisteduni directional (one-way) press-stroking of a lubricated area of body surface inorder to intentionally create transitory therapeutic petechiae (red spots on the skin, less than 2 mm in diameter).
Petechiae represent extravasation of blood underneath the skin (cutis) and indicates an increase in micro perfusion in skin surface.
Guameans ‘to rub’ or ‘press-stroke’.
Sha is a term that describes blood congestion in a tissue.
Sha is also a term for small red or purple spotscalled petechiae.
Press stroking (gua) results in blood extravasation (sha) within the capillary net (without damage to the capillaries themselves), thereforesha is always red in colour, but can also be brown, blue, very deep red or nearly black, depending on the severity of the disorder.
The appearance, thecolour of Shaand its rate of fading can convey important information about the condition of the disorder.
Today, tagged as “folk medicine”, GuaSha practice owes its recognition and existence among scientific scruples of the West to Arya Nielsen¹, PhD who has carried out the most extensive and systematic research on Gua Sha and has become Western authority of this traditional healing technique.
The highlights of her findings are summarised further on this page.
Gua Sha moves chronic and acute stasis that is associated with such symptoms as stiffness, tingling, numbness and/or pain.
Gua Sha breaks the cycle of stasis that acupuncture alone sometimes cannot address.
In the body, stasis of Vital Substances:Qi, Blood, and Body Fluids, as well as dampness and phlegm can be caused by exterior, interior as well as other pathogenic factors(see section causes of pain).
Gua Sha immediately reduces pain local to anddistal to the treated area.
Pain relief lasts even after the sha (petechia) has completely faded.
Gua Sha may fully or partially resolve a presenting problem; it almost always helps.
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Being an excellent adjuvant, Gua Sha can be used alongside any other alternative medicine therapy methods as well as conventional medicine treatments, for example, physical therapy and medication.
Guasha was historically used to treat choleraand cholera-like disorders (So 1987) and is similar to the technique of frictioning used in early Western medicine to treat cholera (Jackson 1806).
Importance of Guasha also lies in its historical use in fevers which were associated with serious life-threatening illnesses.
Gua Sha is highly effective in the treatment of pain,stiffness and numbness and for functional disorders with impaired movement.
It resolves spasms and promotes normal circulation to the muscles, tissues, and organs directly beneath the area that is treated.
It is used for prevention and treatment of acute infectious illness, upper respiratory and digestive problems, and many other acute and chronic disorders.
In Chinese-language medical databasethere are case series for headache, migraine, facial paralysis, fever, influenza, adult and paediatric respiratory infection, sinusitis, bronchitis, pneumonia, and asthma – both for acute episodes and for prevention – and for paediatric enuresis.
Gua Sha is described in cases series of breast disease, mastitis, and hyperplasia, as well as for dysmenorrhea and recovery from induced abortion.
Gua Sha is applied in cases of acute and chronic hepatitis, for hypertension, insomnia, neurasthenia, skin problems, such as eczema, chloasma, shingles and post herpetic neuralgia, and eye problems, including styeand trachoma
Gua Sha is also described for postsurgical adhesions with intestinal obstruction.
Finally, Gua Sha has a special role in acute situations of thermal dysregulation that resonate with its therapeutic role in fever.
Gua Sha is especially effective for heat stroke, sunstroke, and also for patients who are cold or have an aversion to cold.
The primary mechanism that lies behind the healing process of Gua Shais associated with connective tissue (to be more precise connective tissue proper, further mentioned just asconnective tissue) and involves following aspects:
Activation of connective tissue by unidirectional press stroking and creation of therapeutic petechiae
400% increase in microcirculation in surface tissue that endure days after the treatment,
Stimulation of immune and anti-inflammatory responses,
Therapeutic effect of nitric oxide (NO) release in the tissues,
Anti-inflammatory cytokine secretion,
Upregulation of gene expression for an enzymeheme oxygenase-1 (HO-1),that has anti-oxidant, cytoprotectant, and anti-inflammatory effects.
Connective tissue is one of the largest and most extensive body organs.
It is a moist and fibrous membrane that is found in between other tissues (e.g. blood, lymph tissue, supportive tissue like cartilage and bone) everywhere in the body, including the central nervous system.
There is not a cell or space in the body that connective tissue does not integrate.
* It binds tissues into their organ shape, supplies tissues with vessels and ducts, properly fastens the organs within the body cavity, as well as binds organs to each other.
If all other tissue were removed, connective tissue would sustain the structure of the human form
Electrical andcellularsignalling of the connective tissueis responsive to mechanical forces (such as, Gua Sha, acupuncture, acupressure, cupping and massage) as such being the mediator of therapeutic effect.
Some connective tissueforms fascia(from Latin “band”).
Fascia are tough sheets or bands beneath the skin, called subcutaneous fascia.
Subcutaneous fascia is spread throughout the bodyin a three-dimensional web, from head to feet, without interruption in two layers, as superficial fascia and deep fascia that adhere to each other.
Subcutaneous fascia serves as a ‘body-wide signaling network’that transmits mechanical signals to and from the abundant fibroblasts, immune, vascular, endocrineand neural cells present within tissues, thus becoming an integral part of our Body’s Communication System (which comprises, nervousand endocrine systems, as well ascellular signaling (autocrine and paracrine).
Subcutaneous fascia aggregation sites coincide with the location of the acupuncture points.
Subcutaneous fascia as a ‘body-wide mechanosensitive signalling network’ researched by scientists today was understood by TEAM for over 2000 years in a medical paradigm based on ordinary human sensory awareness and interaction with the body, environment, health and illness.
For example, when outside Cold conditions are greater than a body’s warming ability, Cold penetrates the membrane (subcutaneous fascia), thus stagnating Qi, Blood andBody Fluids.
This stagnation can communicate a deeper stagnation (in deep fascia) which in turn can damage the Internal Organs.
First 4 hours post treatment, tension can be felt in the head, this effect is the result of increase of Qi and Blood circulation to the scalp and can last for several days.
Acute or severe stage → every day,
Recuperation stage → every other day,
Preventative stage → once a week to once a month (alternating between body and scalp acupuncture).
Skull defects, open brain injury, ulcers, scars on the scalp,
Pregnant women,
Epilepsy.
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