Does Gua Sha Work? Benefits and Practices

If you are someone who is interested in alternative medicine or self-care practices, chances are you have heard about gua sha. This traditional Chinese medicine technique has gained popularity over the years, with many people claiming it can help with everything from reducing wrinkles and fine lines to easing muscle pain and tension. But does gua sha work? That’s exactly what I’m going to address in this article.

Join us to take a closer look at what gua sha is, how it works, and whether or not there is evidence to support its effectiveness.

What is Gua Sha?

Gua sha, also known as “scraping,” is an ancient Chinese healing practice that involves using a smooth tool, such as a jade or rose quartz stone, to scrape the skin in a downward motion. The goal of gua sha is to release stagnant energy, or qi, that may be trapped in the body, causing pain, inflammation, or illness.

How Does Gua Sha Work?

According to traditional Chinese medicine, gua sha works by stimulating the body’s natural healing mechanisms. By scraping the skin, gua sha practitioners believe they can increase blood flow to the affected area, reduce inflammation, and promote the flow of qi, which is said to be essential for good health.

The Benefits of Gua Sha

Pain Relief

One of the most well-known benefits of gua sha is its ability to relieve pain, particularly in the neck, shoulders, and back. According to one study published in the Journal of Pain Research, gua sha was effective in reducing pain intensity and improving functional mobility in patients with chronic low back pain.

Reduced Inflammation

In addition to relieving pain, gua sha may also help reduce inflammation. One study published in Complementary Therapies in Medicine found that gua sha was effective in reducing inflammation in people with chronic hepatitis B.

Improved Skin Health

Gua sha is often used as a facial treatment, with many people claiming that it can improve skin health by reducing wrinkles and fine lines, increasing blood flow to the face, and promoting lymphatic drainage. While there is limited scientific research on the benefits of facial gua sha, many aestheticians and skincare experts recommend it as a natural, non-invasive way to promote healthy, glowing skin.

Does Gua Sha Work? The Evidence

While there is limited scientific research on the effectiveness of gua sha, some studies have shown promising results. For example, one study published in the Journal of Alternative and Complementary Medicine found that gua sha was effective in reducing neck pain intensity and improving range of motion in patients with chronic neck pain. Another study published in the Journal of Traditional Chinese Medicine found that gua sha was effective in reducing symptoms of carpal tunnel syndrome.

In fact, most studies on gua sha have been small and conducted in a specific population, so more research is needed to determine its effectiveness for a wider range of conditions. Gua sha is generally safe for most people, but you should avoid it if you have any of the following conditions:

  • Open wounds or cuts
  • Skin infections
  • Blood clots
  • Osteoporosis
  • Cancer

Let’s talk to your doctor before trying gua sha if you are pregnant or breastfeeding.

How you can gua sha at home

Materials You’ll Need

  • Gua sha tool (typically made of jade, rose quartz, or other smooth, flat stones)
  • Face or body oil (optional)
  • A clean towel
  • A gentle cleanser (for facial gua sha)

Steps for Gua Sha

Choose Your Gua Sha Tool. Select one that suits your needs, whether it’s for facial or body gua sha.

Cleanse the area where you plan to perform gua sha. For facial gua sha, use a gentle cleanser to remove makeup, dirt, and oils. You can also apply a small amount of face oil to create a smoother glide for the tool.

Hold the gua sha tool in your dominant hand, ensuring a firm grip but not too tight.

Begin Gua Sha Strokes:

  • Start with gentle strokes. For facial gua sha, follow these steps:
  • Forehead: Begin at the center of your forehead and scrape outward, moving towards the hairline. Repeat 3-5 times.
  • Cheeks: Start from the nose and scrape along your cheekbones, moving towards your ears. Repeat 3-5 times.
  • Jawline: Begin at the chin and move upward along the jawline towards the ears. Repeat 3-5 times on each side.
  • Neck: Gently scrape from the base of your neck upward towards your jawline. Repeat 3-5 times.
  • Under the eyes: Use the curved part of the gua sha tool and lightly stroke from the inner corner of your eye to the outer corner. Be extremely gentle in this area.

Ensure that you’re using enough pressure to feel the tool on your skin, but it should never be painful. Gua sha should be a comfortable and relaxing experience.

Keep the tool at a shallow angle to the skin, typically around 15 degrees. Avoid holding it too flat against your skin to prevent bruising or injury.

You can repeat the strokes as many times as you like, but be gentle and don’t overdo it, especially if you’re new to gua sha.

After each use, clean your gua sha tool with warm, soapy water and a soft cloth to remove any oil or residue.

After performing gua sha, apply moisturizer or face oil to keep your skin hydrated and nourished.

Gua sha can be done on various parts of the body, not just the face. The key is to use gentle, upward strokes to promote relaxation, improve circulation, and relieve muscle tension. 

Gua Sha vs. Other Self-Care Practices

While gua sha is often compared to other popular self-care practices like acupuncture and cupping, there are some key differences between these techniques. Here’s a closer look at how gua sha compares to other traditional Chinese medicine practices:


Acupuncture involves inserting thin needles into specific points on the body to stimulate healing and relieve pain. While both gua sha and acupuncture are based on traditional Chinese medicine principles, they work in different ways. Acupuncture focuses on stimulating the body’s meridian points, while gua sha is more focused on releasing stagnant energy and promoting blood flow.


Cupping involves using special cups to create suction on the skin, with the goal of relieving pain and tension. Like gua sha, cupping is believed to promote blood flow and release stagnant qi. However, while cupping can be uncomfortable or even painful for some people, gua sha is generally considered to be more gentle and relaxing.


  1. Is Gua Sha Safe? Gua sha is generally considered to be safe when performed by a trained practitioner using clean tools. However, it may not be appropriate for everyone, particularly those with certain medical conditions or who are taking certain medications. It’s always a good idea to talk to your doctor before trying any new self-care practice, including gua sha.
  2. Does Gua Sha Hurt? While gua sha should not be painful, some people may experience mild discomfort during the treatment. This is usually described as a “scratching” or “burning” sensation. If you experience severe pain or discomfort during gua sha, you should stop the treatment and speak to your practitioner.
  3. How Often Should I Get Gua Sha? The frequency of gua sha treatments will depend on your individual needs and goals. Some people may benefit from weekly or bi-weekly sessions, while others may only need occasional treatments as needed. Talk to your practitioner to determine the best treatment plan for you.
  4. Is Gua Sha Covered by Insurance? In most cases, gua sha is not covered by insurance, as it is considered an alternative or complementary therapy. 

Final Takeaway

So, does gua sha work? While there is limited scientific evidence to support its effectiveness, many people swear by this traditional Chinese medicine practice for relieving pain, reducing inflammation, and promoting overall health and well-being. If you’re interested in trying gua sha, be sure to find a trained practitioner who can guide you through the process safely and effectively. With a little patience and an open mind, you may find that gua sha can be a valuable addition to your self-care routine.