Can you perform gua sha for a fever?
Dec 08, 2025
Source: Cainiu Health
Dr. Sun Lianqing
Introduction
In general, gua sha can be used for fever, but its suitability depends on the type of fever and the individual's constitution—it is not appropriate in all cases. When performing gua sha, pressure should be carefully controlled to avoid excessive force that may cause skin bruising, and proper techniques and appropriate acupoints should be selected. During fever, it is also important to drink plenty of warm water and ensure adequate rest. If the fever persists or symptoms worsen, timely and targeted interventions are necessary.
Generally speaking, gua sha can be used for fever, but its application depends on the type of fever and individual constitution—it is not suitable for all situations. The specific analysis is as follows:
Gua sha has the effects of dispelling wind, resolving exterior patterns, clearing heat, and detoxifying. For fevers caused by wind-heat or summer-dampness type colds—accompanied by symptoms such as sore throat, nasal congestion with yellow discharge, and a yellow, greasy tongue coating—performing gua sha on relevant acupoints can help unblock meridians, expel pathogenic factors, and assist in reducing body temperature. These types of fevers are usually caused by external pathogens, and gua sha may serve as a physical regulatory method.
However, gua sha is not recommended for early-stage wind-cold感冒 with fever accompanied by chills, clear nasal discharge, and a thin white tongue coating, or for individuals with weak constitution, skin injuries, or coagulation disorders. Performing gua sha during the early stage of wind-cold may worsen retention of cold pathogens; in people with weak constitution, it may cause dizziness or fatigue, while those with skin damage or coagulation issues may experience further skin injury or bleeding.
When performing gua sha, pressure should be carefully controlled to avoid excessive force that could lead to bruising. Proper techniques and appropriate acupoints should be selected. During fever, it's also important to drink plenty of warm water and ensure adequate rest. If the fever persists or symptoms worsen, timely and targeted medical interventions should be sought.
