External therapies: The dose in all four

In each technique, what the dose is

Expected response or a signal to stop?

• Redness that fades within hoursExpectedStop now
• Sharp pain during the maneuverExpectedStop now
• A blisterExpectedStop now
• Clustered petechiae with no sharp painExpectedStop now
• Central pallor under the moxa stickExpectedStop now
• A pleasant, diffuse feeling of warmthExpectedStop now

How do you raise the dose in any of the four?

1. Start at a medium dose and adjust up or down
2. Ask the patient how much they can take and go there
3. Start at the minimum and assess the response before going up
4. Fix it in advance by area and do not change during the session

What is recording the dose and response of each session for?

1. So the next one starts where this one ended, not from zero
2. To justify the session if there is a complaint
3. To be able to raise the dose each time
4. To work out how many sessions will be needed

Build how the dose closes in gua sha