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Can you have gua sha during breastfeeding?

Sep 29, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, routine gua sha is not recommended during lactation. In special circumstances, it should only be performed cautiously after evaluation by a qualified healthcare provider. Gua sha is a traditional Chinese external therapy that stimulates the skin and meridians to regulate qi and blood flow. It may trigger physiological stress responses, and some sensitive postpartum women might experience discomfort such as fatigue or dizziness, which could affect postnatal recovery. If therapeutic intervention is desired, consultation with a medical professional is advised prior to treatment.

Under normal circumstances, routine scraping (Gua Sha) is not recommended during lactation. In special cases, it should only be performed cautiously after evaluation by a qualified healthcare professional. The detailed explanation is as follows:

Gua Sha is a traditional Chinese external therapy that stimulates the skin and meridians to regulate qi and blood flow. It may trigger bodily stress responses, and some sensitive postpartum women might experience discomfort such as fatigue or dizziness, which could interfere with postnatal recovery. During Gua Sha, skin pores open up, and if proper warmth is not maintained, the individual may catch a chill. Since lactating women generally have relatively weaker immune systems, catching a chill could lead to illnesses such as colds or fever. If medication becomes necessary, it may further affect breastfeeding.

If a lactating woman experiences discomfort such as neck, shoulder, back, or leg pain, it is preferable to first try relief methods like warm compresses, gentle massage, and moderate physical activity. If symptoms are severe and require treatment, she should visit the traditional Chinese medicine or obstetrics and gynecology department of a reputable hospital. A physician will assess her overall health condition to determine whether Gua Sha is appropriate, and if so, perform the procedure professionally—controlling pressure and avoiding sensitive areas—rather than attempting self-administered scraping.

Women who wish to pursue therapeutic treatments should first consult a qualified medical professional and opt for proven, safe approaches to ensure no adverse effects on breastfeeding or their own recovery.

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