Course Content
Safety and Cautions for Gua Sha
General Safety
• Gua Sha is not a sterile procedure. Instruments must be cleaned and disinfected after each patient use.
• Instruments used on intact skin is a non-critical item and should be cleaned and disinfected. Best safe practice is to use a
high - level disinfectant between uses.
• Instruments used on non-intact skin (e.g., used with needling) is a semi-critical item and should be cleaned and disinfected with a high-level disinfectant between patients.
Caution should be taken in the following cases:
● Diabetics, especially those with uncontrolled blood sugar, diabetic neuropathy
● Those who are unable to perceive heat or pain properly
● Those who have circulatory conditions
● Those who are unsure if their condition is contraindicated should seek guidance
from their primary care physician prior to receiving cupping therapy or gua sha.
● Malignant Tumors
● Use over major arteries and cautioned over large blood vessels
● Hemophilia or other bleeding/clotting disorders
● Patients taking blood thinners
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