Module 7: Changes to Body Flesh and Tongue from Gua sha | Healthy Seminars

Module 7: Changes to Body Flesh and Tongue from Gua sha

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Module 7: Changes to Body Flesh and Tongue from Gua sha

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The seminar provides images of Dr. Nielsen’s observational research over decades. Covered in this module are nascent flesh colors and quality, the colors of sha and immediate and significant changes in the Tongue as a direct result of Gua sha.

Demonstration is provided by slides of sha, as well as cases and record of Tongue changes. Participants learn that drawing the Tongue before and after Gua sha helps to develop and eye for changes. Discussion of the potential meaning of flesh and sha colors, as well as Tongue changes in terms of the depth and direction of a disorder are discussed as ‘diagnostic and prognostic indicators’.

Please Note: Certain pages from Arya Nielsen's Text book Gua Sha, is required reading for this course. The text book is not included in the purchase price of this course. You are required to obtain a copy of her book. You will receive CEU/PDA for reading required sections of the text book. To purchase book click here.
There are no handouts of slides to download for this course
Arya Nielsen purposefully did not include slides for downloads. Due to copyright laws and the inability to replicate the quality and attention to detail of the colour photographs, the textbook serves as your best handouts for this module and is a required text.

Certification Course

This course is part of the  Gua Sha Certification program by Dr. Arya Neilsen comprised of 11 modules.
You can choose to take the full certification program (all 11 modules and hands on training with Dr. Arya Nielsen) and be listed on the website or you can choose a la carte and take just the modules that interest you and only receive continuing education credits.

If you have taken one or more of the modules below and you want to take all 11 modules and save on the bulk registration  please contact Healthy Seminars directly and we can apply the fees you have paid for the individual modules toward the Complete 11 module program. It is cheaper to register for the complete program than to register for all 11 modules individually. 

This course is approved with the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).

  1. Flesh colors related to sha, needle reactions
  2. Tongue color, shape, coat related to sha
  3. Palpation qualities related to sha
    1. Temperature
    2. Texture
    3. Reaction to palpation
  4. Tongue directly related to Gua sha
    1. Venting heat: immediate changes in a red Tongue
    2. Circulating and astringing Fluids: immediate changes in Tongue shape, coat, moisture
    3. Nourishing blood: moving deficiency blood stasis, Tongue color
    4. Nourishing Yin: increasing, rooting absent Tongue coat.
    5. Concentrating heat in deficiency: temporary reddening of Tongue
    6. Moving Blood stasis: changes in purple, blue Tongues
  5. Sha colors and their significance
    1. Very red sha
    2. Pale sparse sha
    3. Brown sha
    4. Blue sha
    5. Resolving sha colors
  6. Case example coordinating palpation signs, color of flesh, color of sha and Tongue changes
  7. Review, Question and Answers, Program Worksheet and Quiz

Dr. Arya Nielsen is an American acupuncturist taught in the classical lineage of Dr. James Tin Yau So. She graduated in the first class of the first acupuncture college in the United States in 1977 (New England School of Acupuncture). She is a practitioner, teacher, author, and researcher and is considered the Western clinical authority on Gua sha. Dr Nielsen is an Assistant Clinical Professor at Icahn School of Medicine at Mount Sinai in the Department of Family Medicine & Community Health and directs the Acupuncture Fellowship for Inpatient Care at Mount Sinai. Her research includes both the physiology and therapeutic effect of Gua sha, acupuncture therapies for acute care and the inpatient setting as well as research on the treatment of chronic pain in underserved populations. Dr. Nielsen is the author of the textbook Gua Sha, A Traditional Technique for Modern Practice, (also in German, French and Italian) now in its second edition. She also filmed Gua Sha: Step-by-Step a teaching DVD. Arya teaches internationally on topics related to East Asian medicine and Integrative medicine she developed and teaches the Gua sha Certification Course with ProD Seminars ( as well as courses on safe and ethical practice standards, evidence for acupuncture and traditional East Asian modalities, and inpatient hospital-based acupuncture therapy. Dr. Nielsen is the Chair of the Policy Working Group for the Academic Consortium for Integrative Medicine & Health, the 70 plus North American member organization of academic medical centers and health systems that support utilization of evidence-based nonpharmacologic therapies as integrative medical care. Arya served on a 2014 Joint Commission Stakeholder Panel on pain that led to their clarification (2015) that nonpharmacologic therapies be included in treatment strategies. Arya can be contacted by email at or at her website

$150.00 USD

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