Dermal Scraping- Techniques

Techniques in Dermal Scraping Therapy

General Guidelines for Scraping Application


(Scraping on the arm)

  1. The affected area(s) such as painful sites.
  2. The hand-corresponding sites - see hand diagrams.
  3. The spinal-corresponding sites
  4. The meridian sites - see meridian diagrams

Before using the technique, examine the affected sites (for tension, swelling, tenderness and tissue inflammation). Scrape with light or medium pressure 20-30 times. Use light pressure to scrape the hand-corresponding sites 15-20 times. Do the spinal corresponding sites by using light to medium pressure until the areas are red. Choose the meridian sites if the problem is related to the meridian pathways. For example, the lung meridian can be scraped for chest congestion and coughing.

Scraping Techniques:

  1. Choose the scraping sites. (See diagrams provided below.)
  2. Cleanse the area with alcohol.
  3. Apply lubricant (massage oil, olive oil, medicated oil, baby oil or Vaseline) onto the skin.
  4. Hold the scraping board or spoon to scrape at a 45-degree angle from one direction only (i.e. top to bottom, center to left or right). Apply the pressure smoothly and steadily. Repeat the action about 20-30 times until the skin surface is red. Light pressure is suitable for first time clients, young children, and on weak or tender body parts. The right degree of pressure is usually in accordance to the client's conditions.

Arm Sites
Common Scraping sites on the body front

Division of the Back

Back Sites


Neck Sites


Leg Sites

Treatment Method:

Ceramic Spoon, Scrapers of bone, Tongue depressor
(Ceramic Spoon, Scrapers made of bone, Tongue depressor)

When the inflammation is located deep in between the muscles or soft tissues, dermal scraping will not be as effective. Deep tissue scraping can work better. A scraping board, any smooth object with narrow edges can be used, such as the handle of a knife or spoon.

Search for the painful site, which is usually located between the muscle tissues and are very painful when pressure is applied. The site may show some physiological changes such as tenderness, hardened tissues as small cords, sand-like deposits, swelling and tightness. Apply some massage or medicated oil on the skin surface. Use the scraping tool to apply pressure until tingling and numb sensations become apparent; sometimes the areas to be treated will be a long strip of tissue. The treated area will become red and may have some slightly bruised patches, these will disappear after a few days. The sore area can be scraped once a day for 5 days until the inflamed tissues return to normal.

General Guidelines for Pressure Application:

When the Scraping is Completed

Clean the treated sites. Offer a warm drink to your client. Advise him/her to increase fluid intake in order to cleanse the toxins when the healing system is working. He/she should take a nap or a short rest to rejuvenate. When the blush spots have almost disappeared and the symptoms are not completely gone, the treatment can be applied again. If there is no improvement at all, advise a visit to the doctor for further advice and investigations. Open areas on the skin may develop infections when abrasions occur during scraping; clean the site properly with antiseptic agents and cover it with a sterile or clean piece of gauze.