Similar to cupping, guasha involves the promotion of circulation through stimulation of the surface layer of the skin with a rounded edge instrument. “Gua” means to rub or friction. “Sha” is the term used to describe congestion of blood at the surface of the body. The benefits of guasha are numerous. It moves stagnant blood, promoting normal oxygenated circulation to the muscles, tissues, and organs directly beneath the surface treated. The patient often experiences immediate changes in stiffness, pain and mobility. Normal metabolic processes are restored by the movement of fluids as nutrients are carried to the tissues and metabolic wastes are carried away.