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Contents 1. What Is Facial Gua Sha? ................................................................................................................................ 4

What are the benefits of facial gua sha? ......................................................................................................... 4

Why is the gua sha tool better than my fingers?.............................................................................................. 4

Is facial gua sha painful? ................................................................................................................................. 5

Does facial gua sha cause bruises? ................................................................................................................ 5

Why this tool? .................................................................................................................................................. 5

Is facial gua sha for me and my skin type? ..................................................................................................... 5

2. Know the Basics .............................................................................................................................................. 6

Acupressure Points ......................................................................................................................................... 6

Reflexology Zones........................................................................................................................................... 9

Lymphatic System ......................................................................................................................................... 11

3. Telltale Signs on Our Face ............................................................................................................................ 12

4. How to Use This Book ................................................................................................................................... 16

5. About The Tool .............................................................................................................................................. 17

6. The Strokes ................................................................................................................................................... 18

7. The 7-Step Routine ....................................................................................................................................... 20

8. Tackling Stubborn Aging Signs ..................................................................................................................... 23

“11” Wrinkles/ Frown Lines ............................................................................................................................ 23

Crow‟s Feet Wrinkles .................................................................................................................................... 24

Forehead Wrinkles ........................................................................................................................................ 25

Wrinkles at Corner of Mouth and Cheek ....................................................................................................... 26

Freckles ......................................................................................................................................................... 27

Sagging Skin ................................................................................................................................................. 28

Puffy Face ..................................................................................................................................................... 29

Dark Circles ................................................................................................................................................... 30

Eye Bags ....................................................................................................................................................... 31

Melasma/ Chloasma on Forehead ................................................................................................................ 32

Melasma/ Chloasma at Outer Bottom Corner of Eye .................................................................................... 33

Melasma/ Chloasma on Cheek ..................................................................................................................... 34

Shop Acupressure Products by Dragon Acupuncture ........................................................................................... 35

Sources ................................................................................................................................................................. 36

About Us ....................................................................................................................................................... 36

3 |

The information on acupressure points for beauty and facial scraping massage techniques

contained in this book are best of our knowledge as well as research. The information is not

intended as a substitute for the medical advice of physicians. Speak with your trusted

professionals prior to practicing methods in this book. Please keep in mind that reactions

and results may vary with each individual.

Copyright © 2018 Easytech Trading Pte. Ltd.

Except as provided by the U.S. Copyright Act of 1976, no part of this publication may be

reproduced, stored in a retrieval system or transmitted in any form or by any means without

the prior written permission of the publisher.

Facial Gua Sha

4 | Copyright 2018. All rights reserved. TCMTips.com

1. What Is Facial Gua Sha?

Gua Sha, a natural alternative therapy invented by the Ancient Chinese, involves scraping your skin with a

massage tool to stimulate microcirculation of the soft tissue, which increases blood circulation. Through these

strokes, it is believed that the stagnant energy (“qi”), responsible for the inflammation causing chronic pain and

sickness, can be stimulated to flow smoothly again.

Facial gua sha is a much gentler version of the gua sha applied on the body. It is not expected to cause bruises

or skin rashes on the face and can be practiced frequently to improve various skin conditions. By applying simple

varying strokes to selected reflexology zones and acupressure points, we can address a wide range of skin

problems effectively. Instant results in erasing fine lines, puffiness and achieving better complexion are often

observed. Over time, enduring aging signs such as wrinkles and sagging skin can be reduced. And all you need

is a special facial gua sha tool that is gentle on your skin and a few minutes of your time each day.

The massage techniques in this book incorporate theories of gua sha (acupressure), facelift massage and

lymphatic drainage. So three things happen when the skin is scraped:

1. Surface of skin and particular acupoints are stimulated to increase blood circulation and flow of “qi” (results in

better complexion and reduces various skin problems)

2. Tense facial muscles are relaxed as pressure is applied (reduces depth of wrinkle lines), and

3. Stagnant lymph is activated to clear out toxins (reduces puffiness)

What are the benefits of facial gua sha?

With practice and patience, facial gua sha can achieve the following

Firms up your sagging facial muscles

Smoothens the skin and reduces the appearance of wrinkles on your face

Improves dark circles and bags under the eyes (the kind you get from advancing age)

Lightens age spots and other skin discolorations

Your complexion gets rosier and more radiant

Helps clear up acne, rosacea, and other skin diseases on your face

This is inexpensive. You can do it at the comfort of your home. Treat yourself to home facial spa anytime you

want.

Why is the gua sha tool better than my fingers?

The tool is better than your fingers in various ways. Firstly, your fingernails won‟t get in the way or acciden tally

scratch your face. And you won‟t tire your finger joints when you apply pressures on your finger tips for some

time. Moreover, the tool is smooth all around, cool to touch and can reach every corners of your face. You will be

amazed at how easy it is to adjust pressure simply by positioning and tilting the tool in different ways.

Facial Gua Sha

5 | Copyright 2018. All rights reserved. TCMTips.com

Is facial gua sha painful?

No, it is not supposed to be painful at all. As you perform gua sha on yourself, you are able to apply varying

pressure that is at balance between “pain” and “comfort”. As a rule of thumb, we typically apply more pressure to

areas with muscles, for example cheeks, as compared to those with little muscles such as neck and eye regions.

As you scrape, you may come across spots where you feel dull aches. These spots are often regions of

congestion of “qi” according to Traditional Chinese Medicine (TCM) or areas with lymphatic blockage. At these

spots, we continue to scrape but with lighter pressures and slower strokes. With several more sessions, you can

feel that the pain goes away and with that the particular facial problem related to this congestion gets mitigated.

Does facial gua sha cause bruises?

Unlike body gua sha, we hold the gua sha tool at a much smaller angle to the face (for more details, refer to

Chapter 6) and apply much less force as the face is more sensitive than other parts of the body. As such, bruises

or “sha” (rashes due to breaking of capillaries) are not expected. If redness persists after facial gua sha, this

means that you have applied too much pressure. Use lighter hand and apply more lubricant (oil, cream, gel or

lotion) for the next session. With practice, you will get it right. Beginners are advised to start with the lightest

pressures such that the routine can be performed regularly.

Why this tool?

Ancient Chinese started with using ceramic spoons for gua sha. Other common materials developed over the

years include jade, bian stone, buffalo horn, wood and stainless steel. The tools often come in various shapes

and sizes, and are usually targeted for application on the body. Our tool, designed for the sole application on

faces, has corners and edges that can nicely fit our facial contour (for more details, refer to Chapter 5). As

compared to wood, our material, microcrystalline ceramic, does not get moldy when damp and can be cleaned

with soap easily. Unlike normal ceramic, jade or buffalo horn, our tool is made of a specially strengthened

ceramic that does not crack or break as easily when dropped. Our tool is much more economical than stainless

steel ones, which are more suitable for applications on large muscle groups. We also offer a 60-day replacement

guarantee should there be any damage to the tool. (Contact us: [email protected]).

Is facial gua sha for me and my skin type?

It is suitable for most adults with any skin types. It is a natural and non-invasive way of injecting youth to your skin

and mitigating skin problems. There are however a few things to note:

1. Avoid directly scraping on inflamed skin e.g. acne

2. If you have sensitive skin, make sure that you use a gentle hand and clean the scraping tool thoroughly

before use.

3. Beginners have a tendency to apply too much force. It is advised to start with lightest pressures when

you first start practicing scraping.

Facial Gua Sha

6 | Copyright 2018. All rights reserved. TCMTips.com

2. Know the Basics

Our massage method takes into consideration the lymphatic draining, acupressure point system and reflexology

zones on our face. We would not burden you with the detailed theories, but here is the basic knowledge that will

help you understand the techniques better.

Acupressure Points

There are 17 acupressure points that can effectively tackle skin problems related to aging. The table below

describes how to locate these points and their applications for beauty. What‟s more is that all the acupoints can

also be applied for other issues such as eye fatigue, pain, headache etc. For example, the next time you have

stuffy nose, try massaging acupoint Ying Xiang (LI-20). You will be amazed how quickly it helps clear your nose!

All the acupressure points shown are located on both sides of the face with exceptions of Shen Ting (Du-24) and Cheng Jiang (Ren-24).

Shen Ting (Du-24)

Mei Chong (Bl-3)

Yang Bai (Gb-14)

Zan Zhu (Bl-2)

Yu Yao

Si Zhu Kong (SJ-23)

Temple

Tong Zi Jiao (Gb-1)

Xia Guan (St-7)

Jia Che (St-6)

Di Cang (St-4)

Cheng Jiang (Ren-24)

Quan Liao (SI-18)

Jing Ming (Bl-1)

Cheng Qi (St-1)

Si Bai (St-1)

Ying Xiang (LI-20)

Facial Gua Sha

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Point Name Direction translation

Location Beauty applications Other applications

Forehead Area

Tai Yang/ Temple 太阳

Great Sun Extrapolate lines from eyebrow and tip of eye. Temple is where these two lines meet

- Crow's feet wrinkles - Melasma/ Chloasma at outer bottom corner of eye

- Temporal, one-sided migraine headache due to eye fatigue - Dizziness - Eye issues i.e. swelling, redness

Du-24/ GV-24

Shen Ting

神庭

Spirit Courtyard Midpoint of front hairline

- Forehead wrinkles - Headache - Chronic sinusitis - Anxiety - Vertigo

Bl-3/ UB-3

Mei Chong 眉冲

Eyebrows’ Pouring

Along hairline directly above inner tips of eyebrows

- Forehead wrinkles - Headache - Nasal obstruction - Epilepsy

Gb-14 Yang Bai

陽白

Yang White On the forehead, directly above the pupil and mid-point between the eyebrow and hairline

- Melasma/ Chloasma at forehead

- Frontal headaches - Eye issues i.e. redness, swelling, twitching etc

Eye Area

Bl-1/ UB-1

Jing Ming

晴明

Bring Eyes In a depression, at the inner corner of the eye

- Dark circles - Main point for all eye disorders

Bl-2/ UB-2

Zan Zhu 攢竹

Gathered Bamboo

At the inner tip of eyebrow, directly above the inner corner of the eye

- Dark circles - Headache - Sinus congestion - Eye allergies

Gb-1 Tong Zi Liao

瞳子髎

Pupil Crevice In the depression at the outer margin of the eye socket

- Crow's feet wrinkles - Dark circles

- Headache - Eye problems

St-1 Cheng Qi

承泣

Container of Tears

Directly below the pupil when eyes look ahead

- Dark circles - Eye bags

- Eye issues i.e. redness, dryness, twitching, itchy

St-2 Si Bai 四白

Four Whites Below Cheng Qi - Eye bags - Eye issues i.e. redness, excessive lacrimation, twitching - Facial paralysis

Yu Yao

魚腰

Fish Loin At the midpoint of the eyebrow, in a depression directly above the pupil

- Melasma/ Chloasma at forehead

- Frontal headache - Disorders of the eyelids

SJ-23/ TB-23

Si Zhu Kong

絲竹空

Silken Bamboo Hollow

In the depression at the outer tip of eyebrow

- Melasma/ Chloasma at forehead

- Eye pain, redness, swelling, drooping eyelids

Facial Gua Sha

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Point Name Direction translation

Location Beauty applications Other applications

Cheek Area

LI-20/ CO-20

Ying Xiang

迎香

Welcome Fragrance

Depressed regions at both sides of nose

- Puffy face - Freckles - Melasma/ Chloasma on cheek

- Loss of smell or taste, sinus issues, allergies - Sinus congestion

SI-18 Quan Liao

顴髎

Cheek Bone Crevice

Below the outer tip of the eye, a depressed area at bottom edge of cheek bone

- Sagging skin - Melasma/ Chloasma on cheek

- Facial disorders, spasm, Bell’s palsy - Upper jaw toothache

St-7 Xia Guan

下关

Below the Joint In the depression in front of the ear, near ear hole

- Wrinkles at corner of mouth and cheek - Sagging skin

- Facial pain - Lower jaw toothache - Hearing issues, deafness, ear pain, ear inflections

St-6 Jia Che

颊车

Jaw Bone A region when you bite, you can feel the muscles rise and harden and becomes depressed when jaw is relaxed

- Sagging skin - Puffy face - Wrinkles at corner of mouth and cheek

- Facial paralysis - Toothache - Loss of voice

Mouth Area

St-4 Di Cang 地仓

Earth Granary Half of a finger distance from tip of mouth

- Sagging skin - Puffy face

- Facial pain, paralysis - Inability to close the eye, eye twitching

Ren-24/ CV-24

Cheng Jiang

承浆

Saliva Container In a depression under lower lip in the mid-line

- Puffy face - Facial pain, paralysis - Toothache - Voice hoarseness - Dry mouth

Facial Gua Sha

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Reflexology Zones

In TCM, different organs of the body can be stimulated and/ or healed at various points of the body – not just in

the location of that organ. Different areas of the hands, feet, ears, and face all correspond to different organs and

systems of the body, so by applying pressure and/ or movement to these areas, a healthy flow of “qi” is either

restored (if there was stagnation) or maintained. Therefore, by massaging different areas of our face, we are like

massaging different TCM organs, which in term determine the health of our skin.

TCM lung – Skin function regulator

TCM lung produces “qi”, the very element of life. It is through the lung that energy is transmitted throughout the

body nourishing our skin and regulating the opening and closing of pores. If TCM lung is not functioning properly,

we would have skin that is pale, lackluster, with enlarged pores or pimples may appear.

TCM spleen, stomach, intestine – Factory of nutrients for skin

These digestive organs supply nutrients to skin. The health of TCM spleen determines if skin is supple with glow

or if muscle retains its elasticity. If these TCM organs are not functioning properly, skin would turn dry and yellow

due to the lack of nutrients while muscles would be lost. As a result, skin would age prematurely; spots would

appear and even hair would become dry and dull.

TCM heart – Nutrient pump

In TCM, not only does the heart pump blood, it also controls our mental activities. If TCM heart is not functioning

properly, skin cells will lose nutrients. As such, our face would appear dull or dark red and prone to discoloration

problems.

TCM Liver – Detox engine

It regulates the motion of „qi‟ and stores “blood”. Whether we can get a clear clean facial skin, it is determined by

the health of TCM liver. When we have emotional problems or lack of sleep, the “qi” in TCM lung become

stagnant affecting the movement of “qi” and detoxification process. As a result, face becomes pale green and dull.

If situation does not improve, over time skin discoloration, pimples, skin allergies, inflammations, loss of hair may

result.

TCM kidney, bladder – Injection of youth

TCM kidney is responsible for our body growth including skin. It determines our basic skin type, skin color and

speed of aging. If TCM kidney is weak, we accumulate stagnant “liquid” in our body. This results in dull skin, age

spots and puffy skin. People with weak kidneys are susceptible to osteoporosis, premature aging and early

appearance of wrinkles.

Facial Gua Sha

10 | Copyright 2018. All rights reserved. TCMTips.com

On our face, there are regions correlated to different TCM organs. By stimulating different reflex regions, it helps

stimulate the organs and in turn resolve the underlying causes to our skin problems. On the other hand, we can

also peek into the health of our TCM organs by observing signs on our face. More on that in Chapter 3.

Head (Face, Throat)

Lung

Heart

Liver

Small Intestine

Upper Body

Large Intestine

Spleen & Stomach

Lower Body

Bladder

Kidney

Facial Gua Sha

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Lymphatic System

When we massage, we move stagnant lymph on our face. Fluid and toxins from our face drain out via the right

and left lymphatic ducts, which are in the little dips right above the middle of each collarbone. If we apply

pressure in the correct directions, we encourage the lymphatic fluid to move along its pathways from the hairline,

down the neck to the collarbone and then drain into the body. As such, we only stroke the gua sha board in one

direction and not to and fro. And while all our scraping motions are from centre to side and upwards on our face,

we do scrape lightly downwards on the side of the neck to collarbone to encourage the drainage of toxins away

from the face. It is also important to note that lymph nodes are located very close to the skin surface; we apply

the lightest pressure when we sweep down the neck to avoid bruising.

Left lymphatic duct

Right lymphatic duct

Tonsil

Facial Gua Sha

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3. Telltale Signs on Our Face

Our face is like a mirror, reflecting our internal health and vitality. The appearance of aging signs or skin problems

on different parts of our face is actually a result of problems or imbalance of our TCM organs. This was in fact

one of the ways how ancient Chinese doctors carry out diagnosis without equipment or blood tests. We can learn

from this and peek in on changes of our own body just by observing the changes on our face. Read the table

below to understand the underlying reasons, in TCM perspective, when skin problems appear at different

locations of the face.

Location Signs Underlying Reasons (TCM Perspective) Other Symptoms

Forehead Area

Centre of forehead

Dull and dark * Insufficient “qi” in kidney * Insufficient oxygen in brain * Weak “yang”

* Brain fatigue * Mental exhaustion

Bulging green veins

* Long-term fatigue and tense mental state * Insufficient blood circulation in the head and neck region

A lot of wrinkles * Insufficient “qi” and “blood” in the brain

* Fatigue * Mental exhaustion

Pimples/ Acnes * Too much “heat” in lung, stomach and liver * Mentally stressed * Decline in detox ability in liver

* Insufficient sleep * Insufficient water intake

Two sides of forehead

Dull and dark or with chloasma

* Functional disorder in liver and gall gladder

*Insomnia or sleep with lots of dreams

A lot of wrinkles * Insufficient “qi” and “blood” in liver and gall bladder

* Decline in function in liver and gall bladder

Pimples/ Acnes * Too much “heat” in liver and gall bladder

* Bitter taste in mouth * Insomnia

Bulging green veins

* Stagnated liver and gall bladder * Poor blood circulation

* Mentally stressed * Dizziness * Headache

Eye Area

Corners of eyebrows

Pimples/ Acnes * Disorder in spleen and stomach * Too much “heat” in stomach

In-between eyebrows

A lot of wrinkles * Weak “blood” and “qi” in lung

Red or with pimples

* Too much “heat” in lung * Inflammation in throat

In-between the eyes

Pale * Weak “qi” in heart * Mental exhaustion

A lot of wrinkles * Weak “qi” and “blood” in heart

Surrounding of the eyes

Skin appears dull and dark

* Weak “qi” in kidney * Menstrual disorder

* Insufficient sleep * Fatigue

Crow’s feet wrinkles

* Insufficient “qi” and “blood” in gall bladder meridian

Wrinkles below the outer corner of eye

* Weak upper body * Inflammation at shoulders

Facial Gua Sha

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Location Signs Underlying Reasons (TCM Perspective) Other Symptoms

Eye Area (continued)

Surrounding of the eyes (continued)

Chloasma below the outer corner of eye

* Muscle strain at shoulder and neck * Painful shoulder and neck * Inflammation at shoulders

Sagging under eye * Weak “qi” in stomach and spleen * Loss of appetite * Indigestion

Puffy eye bags * Over-eating * Beware of high level of lipids

Long-term dark circles

* Exhaustion * Going to bed past midnight * Early signs of gynecological problems

Dull and dark, with green veins

* Weak kidney

* Menstrual disorder

Nose Area Middle of ridge

Appearance of cross or horizontal wrinkles

* Weak “qi” in liver and kidney * Sore waist * Spinal problems

Whole nose

Red * Too much “heat” in stomach and spleen * Alcohol overdose

Green veins at ridge

* Stomach ache * Bloated tummy * Indigestion

Tip of nose Dull and greenish * Too much “chill” in spleen * Coldness in abdomen * Cold feet

Side of nose

Dull and lack luster

* Weak “qi” in stomach * Weakening of functions of stomach and intestines * Long-term constipation

Pimples/ acnes, blackheads

* Too much consumption of oily and fatty food

Cheek Area

Front

Dull red or with pimples/ acnes

* Accumulation of “heat” in small intestine * Stagnated flow of “qi” and “blood” of the heart meridian

* Moody * Irritable

Appearance of red capillaries

* Weak “qi” in heart * Stagnated flow of “blood” in heart

Chloasma * Weakening of digestive system * Weak “qi” in heart * Stagnated blood flow

Side

Chloasma, dull or age spots

* Weak “qi” in kidney * Disorder in metabolism

Pimples/ acnes * Too much “heat” in stomach and small intestine * Accumulation of toxins in intestines * Too much sweet food * Lack of control in diet

Facial Gua Sha

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Location Signs Underlying Reasons (TCM Perspective) Other Symptoms

Lip Area

Lip

Bright red lips * Fever * Inflammation in respiratory path

Green purplish lips

* Congested blood flow at heart * Lack of oxygen * Intoxication

Pale lips * Malnutrition * Weak in “blood”

* Cold limbs

Black lips * Problems in digestive system * Weakening of kidney function

Surrounding of the lips

Wrinkles at corners of mouth

* Weak “qi” in stomach * Early signs of stomach diseases

Pimples/ acnes around the mouth

* Too much “heat” in stomach and intestine * Lack of control in diet * Stagnated movement in stomach and intestines

Upper Lip

Chloasma * Weak and “chill” large intestine * Beware of ovarian diseases

* Constipation * Irregular periods

Dull red * Too much “heat” in large intestine * Irregular menstrual period * Beware of ovarian diseases

* Bad breath

Wrinkles * Weak “qi” in large intestine * Beware of ovarian diseases

Pale or appears green

* Too much “chill” in large intestine * Weakening of the ovaries * Decline in sexual functions

* Constipation or diarrhea * Bloated abdomen

Lower Lip

Red * Too much “heat” in the stomach * Gastritis

* Stomach ache

Pale white * Too much “chill” in stomach * Loss of appetite * Stomach feels cold and sore

Tongue

Bulging green veins under tongue

* Veins at under tongue are reflection of coronary veins in our heart. * Green veins are a sign of poor blood circulation at heart * If the green veins are bulging and twisted with dull and purplish appearance, beware of coronary heart diseases

Facial Gua Sha

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Location Signs Underlying Reasons (TCM Perspective) Other Symptoms

Chin Area

Middle

Dull and lack luster

* Weak “qi” in kidney * Too much “chill” in uterus * Endocrine disorders

* Sore waist * Irregular periods

Horizontal wrinkles

* Weak kidney * Waist pain * Hemorrhoids

Red, pimples/ acnes

* Endocrine disorder * Beware of ovarian diseases

* Irregular periods

Green veins * Tired and lack energy * Sore waist and weak knees * Rheumatism in lower body

Two sides

Dull or with chloasma

* Poor blood circulation in lower body

* Sore in lower body * Feeling cold * Indigestion

Lots of wrinkles, sagging skin

* Weak “qi” in spleen * Weakening of digestion system

* Lack of strength in lower body

Pimples/ acnes, dull and lack luster

* Too much “liquid” and “heat” in stomach and intestines

Facial Gua Sha

16 | Copyright 2018. All rights reserved. TCMTips.com

4. How to Use This Book

In the book, we demonstrate a simple 7-step routine that can be easily added to your daily beauty regimen (see

Chapter 7). In each step, we provide suggestions on the part of the tool to use and the amount of pressure to

apply. The standard scraping routine goes over most parts of the face and can be completed within a few

minutes. After this, you would probably observe reduction in puffiness, smoothened fine lines, and a better

complexion.

In the Chapter 8, we focus on addressing specific stubborn aging signs utilizing the TCM theories in acupressure

and reflexology. There are numerous acupressure points on our face. By knowing the correct spots to apply

stimulation, we can effectively address facial problems to the point (pardon the pun). In TCM, the very area

where aging signs, i.e. wrinkles, dark spots, dull skin appear is a reflection of problem of TCM organ. By

stimulating those reflex zones, we can help solve the core problems inflicting the aging signs. You can pick

additional massages related to your concern from this chapter and add them to the standard 7-step routine.

Facial Gua Sha

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5. About The Tool

Our facial tool is made of microcrystalline ceramic, which feels like ceramic to the touch but is much stronger and

has better tolerance to breakage and cracks. It is smooth with no sharp edges and cool to touch. The board is

shaped with the different curves and edges that fit the contours of our face.

The more pointed the edge; the higher pressure is the stroke. For example, if you find part 1 to be painful, try part

5, which has a larger angle. Refer to our suggested use of tool part in the diagrams when you first start. But do

feel free to experiment on your own.

Besides the gua sha board, you will also need a mirror (placed on wall or desk) and some form of lubricants.

There are many different lubricants that you can use. You can select any natural facial oils such as almond oil,

grape seed oil and coconut oil. Or just use your usual facial lotion, cream or oil. The key is to reduce friction when

you sweep the board on your face. Do remember to clean the oil off your face after each scraping session before

you apply your usual facial cream or oil.

To care for the tool, clean with soap water or alcohol swab and dry after each use. Keep it safely to prevent it

from dropping or colliding with hard objects.

Part 3 Flat edge for sweeping at higher pressure than the long curved edge (Part 6)

Part 4 Rounded curved out edge for sweeping large area like forehead

Part 6 Long curved in edge for sweeping large areas like cheek, neck

Part 1 Pointed end for massaging specific acu-points and get to hard to reach area

Part 2 Forked area for jaw line

Part 5 Less pointed end for massaging points (less pressure than part 1)

Facial Gua Sha

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6. The Strokes

To hold the gua sha board, rest the edge of the board on your palm while your thumb and the remaining four

fingers hold onto either side of the board.

For techniques used in this book, there are only 3 simple strokes that you need to master.

1. Scrape

Use the long edges of the gua sha board to cover more skin, and tilt it at about 15 degree angle to the skin

surface, almost flat but not quite, and glide the board to give a gentle pull on the skin. The smaller the angle, the

gentler is the pressure. Remember that for our face, we do not want to scrape with more than 45 degree angle as

it may cause bruises.

Use the curved edge to sweep from centre to the side on forehead to reduce appearance of wrinkles

Use the forked area to grab the jaw and pull upwards toward the ear to refine the jaw line

Use the large curved edge to lift up the cheek from the side of mouth towards temple to firm up the sagging skin

Facial Gua Sha

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2. Point press in circular motion

Unlike sweep motion, we only use the tip of the gua sha tool to apply pressure in stationary circular motion on a

specific point. We apply this massage to stimulate acupressure points. We typically position the tip at about 30

degree angle to the skin surface. Feel free to adjust the angle to get the right amount of pressure. Again, start

with a lighter hand.

Use the tip to massage acu-point Cheng Jiang (Ren-24)

Use the tip to massage acu-point Tong Zi Liao (Gb-1)

Use the tip to massage acu-point Ying Xiang (LI-20)

3. Flat Press in circular motion

Very similar to point press, we position the tip almost flat to the skin surface to cover a larger area and apply

pressure in circular motion on that area. We use this massage to warm up reflex zones.

Massage in circular motion with the tip almost flush with our skin surface to warm up the reflex zone for head (face + throat)

Facial Gua Sha

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7. The 7-Step Routine

This simple routine can be performed regularly. We suggest limiting the massage to once a day and 3-5 times a

week. The routine takes less than 5 minutes. You can incorporate additional problem-specific strokes in chapter 8

to this routine.

Before you start, you should apply some cream, gel, oil or lotion to a dry, clean face to prepare the skin. You also

have to remember to clean the gua sha board with soap before and after each session. Please take note

All sweeping motions should be done in one single direction, never back and forth.

All our scraping motions will be upwards as we are countering sagging with the only exception at step 1

when we sweep our lymphatic ducts in the dumping direction away from our face.

The tool should glide smoothly over the face. If this isn't the case, add more moisturizer as needed.

Avoid directly massaging broken skin, blemishes and other sensitive areas.

You may experience a dull ache on certain spots. These spots could be related to lymphatic drainage or

congestion of “qi” in TCM. You do not need to avoid those painful spots. Just stroke slowly and with

lighter pressure if it is too painful. This painful spot will go away after several sessions of gua sha (and

that‟s when you mitigate the skin problem)

Slight redness is common immediately after the massage and should dissipate within minutes.

If the massage leaves any marks on your face, you‟re pressing too deep. Try to lighten your strokes,

apply more lubricants or use your non-dominant hand.

Do what feels right. You may follow the strength scale on the amount of pressure to apply for different

strokes. Or experiment on your own to use varying degrees of pressure on different parts of the face.

Feel free to spend extra or less time massaging different areas of your face.

If you have sensitive skin prone to spots, you will have to use very light force.

Limit the massage to once a day. If you are susceptible to puffiness, we advise you to perform the

routine in the morning. If you would like the facial gua sha massage as a way to relax tense facial

muscles, you can do it at night.

Start with a few sessions a week and slowly work up to 5 times a week.

Facial Gua Sha

21 | Copyright 2018. All rights reserved. TCMTips.com

For each step, apply each stroke for 3-5 times on one side of the face, and then repeat the same on the other side before moving on to the next step. Diagrams below indicate suggested use of the tool and relative amount of pressure but do feel free to experiment.

Step Stroke Tips

Preparation Apply cream, gel, oil, or lotion generously to a dry clean face Clean the gua sha board with soap or water Position your face in front of mirror with good light

1

Warm up lymphatic drainage path

Use the large curved side to sweep at a small angle from outer corner of the jaw, near the ear lobe, down to the dip above the middle of the collarbone on the same side. Be very gentle. Lymph nodes are very close to the surface. We only want to warm up the drainage path so that toxins can be drained away from our face easily when we massage later.

2

Smoothen out forehead wrinkles

Use the curved end to scrape in fluid motion from the centre of forehead (“third eye”), above the eyebrow, outwards to hairline. Position the tool at 15 degree angle to the skin. You can apply more pressure as long as comfortable.

3

Brighten up the eyes

Use the large tip to glide from the inner corner, apply pressure outwards against eye socket to the outer corner of the socket, stay on the brow bone, in each stroke. Sweep similarly at the under eye area (where eye bags would show up). At the inner and outer corners, stay momentarily to apply small pressure in circular motions to further stimulate blood circulation. Be gentle and do not pull the delicate skin around the eye.

4

Tighten the cheeks/ Reduce smile lines

2-stroke movement for the cheek. Upper stroke starts at middle of the nose and go upwards to end at the temple. Bottom stroke starts at the base of nose towards the root of the ear. Apply more pressure to lift up the face. The correct amount of pressure gives you the right balance of pain and comfort. At region of pain, go slower. With time, the pain point will go away. ** You may use the other hand to hold the skin while you scrape.

Facial Gua Sha

22 | Copyright 2018. All rights reserved. TCMTips.com

Step Stroke Tips

5

Erase fine lines at upper lip

Start at centre of upper lip and glide outwards to end at corner of the mouth.

6

Tighten chin area

From the centre of chin upwards and end at where your chewing muscles are. Go ahead to apply more pressure to lift up the face with each stroke. ** You may use the other hand to hold the skin while you scrape.

7

Refine jaw line/ Reduce double chins

Use the fork of the tool to fit into jaw line and start with the tool pressing against the middle of chin and the soft area under chin (where a double chin would show up). Then scrape upwards to the bottom of your ear lobe. Go ahead to apply more pressure to lift up the face with each stroke.

Finish Your face should feel slightly warmed after the session as if you’ve just finished a light jog.

Massage your face with fingertips to let the cream soak in and then rinse off. After that, apply your usual facial moisturizer when your skin is still energized and warm.

Drink a glass of warm water to enhance the drainage of toxins. Clean the gua sha board.

Tips: Please take extra care in cleaning the eye area after each session, especially if you are susceptible to milia seeds, as the cream, gel or oil you use for the face may not be suitable for the delicate eye area.

Facial Gua Sha

23 | Copyright 2018. All rights reserved. TCMTips.com

8. Tackling Stubborn Aging Signs

You can pick techniques from this chapter and add it to the 7-step routine.

Wrinkles

As we age, collagen and our ability to replenish elastic fiber in our skin diminish. As collagen becomes thin or

broken, wrinkles appear. In TCM, wrinkles are signs of lack of “blood” and “qi”. As different regions of our face

correspond to different TCM system and organ, the region where wrinkle first appears indicates the ageing of our

corresponding TCM organ.

“11” Wrinkles/ Frown Lines

We focus on two reflex zones on our face, namely, 1. Head, face, throat, and, 2. Heart & lung. Apply flat press,

with the tool tip almost flat to the face, and massage in circular motion. Do so for 5-10 times until the skin feels

warm and turns slightly pink.

In TCM, area between the eyes, where frown lines appear, corresponds to TCM heart and lung. Excessive

wrinkles at this area could be a sign that you have over-exhausted yourself, thus harming TCM heart. To nourish

the TCM heart and lung, make sure that you get sufficient rest.

Flat Press in Circular Motion Head, face, throat reflex zone: At centre of forehead near hairline

Flat Press in Circular Motion Heart & Lung reflex zones: Between eye brows

Facial Gua Sha

24 | Copyright 2018. All rights reserved. TCMTips.com

Crow’s Feet Wrinkles

Apply massage in circular motions at two acu-points: Tong Zi Liao (Gb-1) and Temple, and also in regions where

wrinkles are. Do so for 5-10 times until the skin feels warm and turns slightly pink. Repeat on the other side of the

face.

Point Press in Circular Motion Temple: Meeting point of the extrapolated lines from eyebrow and tip of eye.

Point Press in Circular Motion Tong Zi Liao (Gb-1): In a depression at the outer margin of the eye socket

Facial Gua Sha

25 | Copyright 2018. All rights reserved. TCMTips.com

Forehead Wrinkles

Use the large curved tip to scrape upwards at the hairline, making sure that you pass acu-points Shen Ting (Du-

24) at center and Mei Chong (Bl-3) at both sides. Do so for 10 times.

In addition, flat press in circular motion the region at the center just below the hairline. By massaging this head

reflex zone, we can help relax the brain. Do so for 5-10 times until the skin feels warm and turns slightly pink.

Centre of the forehead corresponds to TCM brain organ. The appearance of forehead wrinkles is a sign of fatigue

and lack of oxygen in the brain. If you have excessive wrinkles at this region, you need to avoid overworking your

brain and learn to relax (and reduce worries).

Scrape Across Acupoints Shen Ting (Du-24): At midpoint of hairline Mei Chong (BI-3): Along hairline directly above inner tips of eyebrows

Flat Press in Circular Motion Head, face, throat reflex zone: At centre of forehead near hairline

Facial Gua Sha

26 | Copyright 2018. All rights reserved. TCMTips.com

Wrinkles at Corner of Mouth and Cheek

Use the long curved side of the board to sweep from chin, below the lower lip, up and out towards the earlobe.

Then end the stroke with point massages at acupoints Xia Guan (St-7) and Jia Che (St-6) using the pointed tip of

the tool. Repeat this set of strokes for 5-10 times. Then repeat on the other side of the face.

Also, massage the lower body reflex zone at the lower cheek. Flat press with circular motions for 5-10 times.

Then, repeat on the other side of the face.

Wrinkles at corner of the mouth are signs of insufficient strength of the lower body, and weakness in TCM spleen

and kidney. To aid reduction of wrinkles in this region, add some exercise routines, such as weight training, to

increase the muscle strength of the lower body.

Point Press in Circular Motion Xia Guan (St-7): In the depression in front of the ear, near ear hole

Point Press in Circular Motion Jia Che (St-6): A spot at your jaw where when you bite, muscles rise

and harden

Scrape Up Along Jaw Line From center of chin up and out towards ear lobe

Flat Press in Circular Motion Lower Body reflex zone: Lower cheek area near mouth

Facial Gua Sha

27 | Copyright 2018. All rights reserved. TCMTips.com

Freckles

Freckle is a sign of weakness in TCM kidney, causing poor circulation of “blood” and “qi”. Working on the 7-step

whole face massage routine would help facilitate blood circulation and metabolism of skin cells, and dissipation of

the melanin to reduce the signs of freckles.

On top of the daily routine, massage the lung and kidney reflex zones with the tip positioned almost flat to the

face for 5-10 times each. Lung is responsible for metabolism of skin cells while kidney stores “energy”.

Massaging these two reflex zones would further enhance metabolism and blood circulation.

In addition, massage acupoint, Ying Xiang (LI-20), at both sides of nose for 5-10 times until skin feels warm.

Furthermore, apply flat massage in regions where freckles appear for 5-10 times until skin feels warm and turns

slightly pink to enhance blood circulation to the troubled spots.

Point Press in Circular Motion Ying Xiang (LI-20): Located at a

depression at both sides of the nose

Flat Press in Circular Motion Lung reflex zone: Area between eye brows

Flat Press in Circular Motion Kidney reflex zone: At lower outer corner of the eye on cheek bone * Plus area with freckles

Facial Gua Sha

28 | Copyright 2018. All rights reserved. TCMTips.com

Sagging Skin

In TCM, sagging cheeks is a reflection of poor digestive functions of spleen and stomach, which are responsible

in replenishing nutrients for the skin, causing skin to lose its elasticity prematurely.

Locate and point press these four acupoints at both sides of the face, namely, Xia Guan, Jia Che (St-6), Quan

Liao (SI-18) and Di Cang (St-4). Massage each point in circular motions for 5-10 times.

Next, use the big curve edge of the tool to perform a gentle slow upward circular motion across the cheeks.

Ensure sufficient lubricant on your face before you start. Apply larger pressure whenever you sweep upwards. Do

so for 5-10 times on each side of the face. Your face should feel warm after this scraping.

Finally, perform a flat press in circular motion for 5-10 times on the reflex zones for small & large intestines at

both sides of the face to help improve digestion and absorption of nutrient in the body.

Flat Press in Circular Motion Small & large intestine reflex zones:

Area next to the ridge of the nose

Scrape Up in Circular Motion From center of chin up and out towards ear lobe

Point Press in Circular Motion Xia Guan (St-7): In the depression in front of the ear, near ear hole

Point Press in Circular Motion Jia Che (St-6): A spot at your jaw where when you bite, muscles rise

and harden

Point Press in Circular Motion Quan Liao (SI-18): Below the outer tip of the eye, a depressed area at

bottom edge of check bone

Point Press in Circular Motion Di Cang (St-4): Half of a finger distance from tip of mouth

Facial Gua Sha

29 | Copyright 2018. All rights reserved. TCMTips.com

Puffy Face

Repeat steps 4 and 6 of 7-step routine to sweep up the face from centre or another 5 times. Then perform point

press on the following acupoints: Ying Xiang (LI-20), Di Cang (St-4), Jia Che (St-6) on both sides of the face and

Cheng Jiang (Ren-24). Do so for 5-10 times until skin feels warm.

Point Press in Circular Motion Ying Xiang (LI-20): Depressed regions at both sides of nose

Point Press in Circular Motion Di Cang (St-4): Half of a finger distance from tip of mouth

Point Press in Circular Motion Jia Che (St-6): A spot at your jaw where when you bite, muscles rise and harden

Point Press in Circular Motion Cheng Jiang (Ren-24): In a depression

below lower lip in the mid-line

Facial Gua Sha

30 | Copyright 2018. All rights reserved. TCMTips.com

Dark Circles

Dark circles are often accompanied with lack of sleep, sore waist, irregular periods, and lack of energy. Persistent

dark circles are sometimes an early sign of gynecological problems.

To reduce dark circles, repeat step 3 of the daily routine 5 more times to increase blood circulation to the eye

surrounding. As you scrape, look for area with pain sensation and then focus on massaging that area.

In addition, perform point press for the four acupoints around the eye for 5-10 times on each side of the face. For

acupoint, Jing Ming (Bl-1), you may position the tip at 90 degree angle to the face to reach this narrow point.

Just to share a few more beauty tips

Try to drink a cup of carrot juice or tomato juice every morning to help reduce eye fatigue.

Drink more water to help remove toxins.

Have sufficient sleep and go to bed early. 10pm to 2am is the period for sleeping soundly to nourish

TCM liver, highly related to eye health. If you are not asleep during this period, condition of dark circles

could worsen.

Point Press in Circular Motion Zan Zhu (Bl-2): At the inner tip of eyebrow, directly above the inner corner of the eye

Point Press in Circular Motion Tong Zi Liao (GB-1): In a depression at the outer margin of the eye socket

Point Press in Circular Motion Cheng Qi (St-1): Directly below the pupil when eyes look ahead, between the eyeball and rim of eye socket

Point Press in Circular Motion Jing Ming (Bl-1): In a depression, at the inner corner of the eye

Facial Gua Sha

31 | Copyright 2018. All rights reserved. TCMTips.com

Eye Bags

Eye bags, sagging skin below the eye or wrinkles under the eye are signs of weak “qi” in TCM stomach and

spleen. It is often accompanied with loss of appetite, decline in digestive functions, bloated stomach or

constipation. Persons with puffy eye bags often over-eat and have poor metabolism of fats. They need to beware

of issues of high lipids. If the eye bags are persistent and very obvious, the person needs to beware of

arteriosclerosis. Medical checkup is advised.

To reduce the signs of eye bags, massage these two acupoints, Cheng Qi (St-1) and Si Bai (St-2) directly below

the center of the eyes. Perform point press in circular motion for 5-10 times at each point and on both sides of the

face.

Point Press in Circular Motion Si Bai (St-2): Located below the pupil, in a depression on cheek bone

Point Press in Circular Motion Cheng Qi (St-1): Located below the pupil when eyes looking forward, between the eyeball and rim of eye

socket

Facial Gua Sha

32 | Copyright 2018. All rights reserved. TCMTips.com

Skin Discoloration

Skin discoloration such as Melasma/ Chloasma on face usually occurs on pregnant, post-natal or middle-aged

women. It is closely related to body exhaustion, high mental stress, irregular periods and constipation. In TCM, it

is due to disorder in skin blood circulation as result of insufficient or stagnant “qi” and “blood”, and imbalance in

TCM organs. The spot where skin discoloration occurs often reflects stagnant “blood” and “qi” of the

corresponding reflex TCM organs. By focusing on strengthening the corresponding TCM organs, we can attempt

to solve the skin discoloration problem at its core.

Melasma/ Chloasma on Forehead

Skin discoloration often occurs at the both sides of the forehead, where the meridian for gall bladder is. It

indicates a disorder of TCM liver and gall bladder.

Scrape from center of forehead out and sideways towards hairline, similar to step 2 of daily routine, but with

addition of scraping the eye brow. Make sure you scrape past the 3 acupoints, namely, Yang Bai (Gb-14), Yu

Yao and Si Zhu Kong (SJ-23). To enhance result, massage areas of discoloration. Do so for 5-10 times on each

side of the face.

Yang Bai (Gb-14): On the forehead, directly above the pupil and mid-point of the eyebrow

Scrape Outward Through Acupoints

Yu Yao: At the midpoint of the eyebrow, in a depression directly above the pupil

Si Zhu Kong (SJ-23): In the depression at

the outer tip of eyebrow

Flat Press in Circular Motion Area with skin discoloration

Facial Gua Sha

33 | Copyright 2018. All rights reserved. TCMTips.com

Melasma/ Chloasma at Outer Bottom Corner of Eye

The cheek area under the eye is the reflex zone for upper body. As such, the appearance of skin discoloration at

the outer bottom corner of the eye is a sign of “chill” or strains at the shoulder joints. A person needs to beware of

ailment at shoulder region.

Focus on scraping region under eye. Scrape out from center towards temple. Then, massage the temple using

point press in circular motion. In addition, apply flat press to massage the cheek area under the eye and area

with discoloration. Do so for 5-10 times on each side of the face until skin feels warm.

Scrape Under Eye From inner corner of the eye out and up towards the temple

Point Press in Circular Motion Temple: Extrapolate lines from eyebrow and tip of eye. Temple is where these two lines meet

Flat Press in Circular Motion Upper body reflex zone: Area below outer corner of eye

* Plus area with skin discoloration

Facial Gua Sha

34 | Copyright 2018. All rights reserved. TCMTips.com

Melasma/ Chloasma on Cheek

The appearance of melasma/ chloasma on cheek is often accompanied with symptoms like shortness of breath,

lack of energy, feeling flustered, tightness at chest and decline in digestion functions e.g. loss of appetite, bloated

abdomen and diarrhea. It is a sign of weakening in digestive systems and cardio functions.

Apply point press to the two acupoints, namely, Ying Xiang (LI-20) and Quan Liao (SI-18). Also flat press the

intestine reflex regions and area with skin discoloration. Do so for 5-10 times on both side of the face until skin

feels warm.

Flat Press in Circular Motion Large and small intestine reflex zones: under the inner corner of the eyes * Plus area with skin discoloration

Point Press in Circular Motion Quan Liao (SI-18): Below the outer tip of the eye, a depressed area at bottom

edge of check bone

Point Press in Circular Motion Ying Xiang (LI-20): Depressed regions at both sides of nose

Facial Gua Sha

35 | Copyright 2018. All rights reserved. TCMTips.com

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Sources

国医绝学健康馆. (2011). 刮痧排毒.

Nielsen A. (2007). The effect of Gua Sha treatment on the microcirculation of surface tissue: a pilot study in

healthy subjects.

Regional Office for the Western Pacific, World Health Organization (WHO). 1993. Standard Acupuncture

Nomenclature, 2nd ed (pdf)

张秀勤. (2011). 刮痧美容.

About Us

P. Sze, despite her background as an engineer, is passionate about Traditional Chinese Medicine (TCM) and

natural therapies. With strong desire for organization and efficiency, her ambition is to tap into the vast, and often

times complex, world of Chinese Medicine to extract useful relevant resources, and to present it in a simple

manner that everyone can readily apply in everyday life.

TCMTips.com is a growing compilation of resources and community related to TCM and natural therapies. Its

core belief is that the solutions of many pains and sickness in modern world can be resolved by simply changing

lifestyle and applying natural remedies.

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solutions developed are so simple that beginners can try out on their own with little or no help from professionals.

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