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Traditional writing describes gua sha marks in terms of blood and meridians. Here is what the colour on your skin can and cannot show.

Old explanations, modern readers

Traditional writing about gua sha often refers to moving blood, clearing heat or opening meridians. Read literally, that language can be confusing. In traditional Chinese medicine these are theoretical ideas used to guide practice. The marks left on the skin do not by themselves give a diagnosis, and they do not demonstrate that an illness has been drawn out of the body.

Asking what a session is for

At the Lane Cove clinic, Dr Christine Shen, Acupuncturist, includes gua sha among her traditional techniques. Before treatment, it is worth asking her:

• What is this session intended to address?
• What skin response might I see, and how long might it last?
• How will we tell whether it is worth continuing?

If you bruise easily, take blood-thinning medicine or have noticed unusual skin changes recently, mention these first. Christine may suggest a conversation with your GP where that is appropriate.

Respecting tradition while staying clear-eyed

A good explanation leaves room for both the cultural context of gua sha and the limits of what the visible marks can show. You can find the history meaningful and still ask direct questions about what the colour does and does not indicate.

Skin recovery guides what comes next

Before any further session, tell Christine about tenderness that lingers, irritation or bruising that looked different from what you expected. The tool and method should be chosen for you, not to reproduce a photo of a particular shade. She can then talk through whether to proceed, adjust or consider another option.

Seeing the marks in context

It is natural to be curious, or even a little alarmed, when you first see gua sha marks in the mirror. Take a quick photo if you like, note how the area feels, and bring both to your next visit in Lane Cove so you can talk about them together.