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Guasha (Chinese: 刮痧; pinyin: guā shā), meaning “scraping sha-bruises”, is a traditional Chinese medical treatment in which the skin is scraped to produce light bruising. Guasha is sometimes referred to as “spooning” or “coining” by English speakers, it has also been given the descriptive French name, tribo-effleurage. This causes extravasation of blood from the peripheral capillaries and may result in sub-cutaneous blemishing (ecchymosis), which usually takes 2–4 days to fade. Sha rash does not represent capillary rupture (petechiae) as in bruising, as is evidenced by the immediate fading of the markings to echymosis, and the rapid resolution of sha as compared to bruising.

Guasha releases unhealthy elements from injured areas and stimulates blood flow and healing.