Can moxibustion and gua sha be done together?

Oct 11, 2022 Source: Cainiu Health
Disease description:

I have moxa sticks and a gua sha board at home. My leg is uncomfortable—can I do moxibustion and gua sha together?

Doctor's answer (1)
Dr. He Haochen
Moxibustion and gua sha should generally not be performed together. Gua sha involves repeated friction on the treated area, which can make the skin more sensitive and fragile. Moxibustion requires igniting moxa sticks or cones, allowing mugwort to burn near the skin. If both therapies are applied to the same area, the smoke or moxa residue from moxibustion may increase the risk of local infection.