Gua Sha

Gua sha, also known as coining, can be performed with a variety of tools, all of which achieve similar results. These tools are smooth, round-edged, firm instruments similar to Chinese porcelain spoons. The practitioner applies oil or liniment to the area to be treated, then uses the tool to massage the patient. The skin is not broken; the tool slides along the surface of the skin. It may leave marks similar to those left by cupping.