Gua Sha can be performed either from the top down or from the bottom up, as determined by the patient’s condition. Gua Sha is the use of gua sha apparatus, in a certain part of the body surface for scraping, in order to treat the disease of a method. When carrying out gua sha operation, usually first head and face after hands and feet, first upper limbs after lower limbs, first waist behind the chest and abdomen, step by step operation. The direction of gua sha is generally according to from top to bottom, from inside to outside single direction to scrape, and as far as possible to pull long distance. However, if the patient is lower extremity varicose veins or lower extremity swelling, the direction of Gua Sha should be changed to from bottom to top. It should be noted that if the patient needs to scrape for the treatment of disease, it is recommended to be operated by a professional physician, so as not to delay the condition.