Gua Sha is a traditional chinese medicine treatment 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. Usually a chinese soup spoon is used to create this effect, though in ancient times they used the rounded horn of a buffalo. It is wonderful at treating stiff upper necks and backs, as well as extremely tight muscles. Additionally, gua sha’s effects are immediate since the tension and pain release begins the moment the spoon touches the skin and the sha comes up.