Are there any contraindications to using gua sha?

Active skin conditions: People with coagulation disorders or on anticoagulant therapy are advised to seek the advice of a healthcare professional before using gua sha, as they are more prone to bruising.

Coagulation disorders: Gua sha should also be avoided on areas with conditions such as cystic acne, eczema, psoriasis or open lesions, as this could worsen the condition of the skin.

Skin inflammations: In cases of rosacea, severe acne or other skin inflammations, it is recommended to refrain from using gua sha, or to seek professional medical advice.