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Gua Sha in Chinese, it’s another form of therapy effect through action and friction of the skin. A Chinese porcelain spoon is usually used in a manner to stimulate the skin and underlying tissue, and hence the chi of the meridian. Gua means scrap or rub. Sha is reddish, elevated, melt-like skin rash. This treatment is often more effective than cupping for disorders that have produced inflammation and is best to be used on the upper neck where cupping is often impossible. Spooning is particularly helpful for headaches caused by neck tension and stress. Chronic muscle soreness is very efficiently relieved by this technique.