Gua Sha is a Traditional Chinese modality, similar in effect to cupping. Gua stands for rubbing or friction. Sha stands for congested or stagnant blood at the surface of the body. When friction is applied in repeated, even strokes, the sha surfaces as small red petechiae. Typically a Chinese soup spoon is used to create this effect. It is very effective at treating stiff upper necks and backs, reducing the effects of everyday stress, alleviates asthmatic symptoms, assists with breaking up congestion in the lungs, and others. Gua Sha is included in an acupuncture visit usually at the end of te session or can be done separately.